Does Maternal Obesity Affect Preterm Birth? Documentary Cohort Study of Preterm in Firstborns—Silesia (Poland)
In addition to low birth weight and intrauterine growth restriction, prematurity is a major problem in modern neonatology. The etiology of premature delivery is multifactorial, but maternal obesity has been indicated as an important risk factor for preterm birth. This study aimed to assess the relat...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-07-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/9/7/1007 |
| _version_ | 1797406896342171648 |
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| author | Karolina Sobczyk Tomasz Holecki Joanna Woźniak-Holecka Mateusz Grajek |
| author_facet | Karolina Sobczyk Tomasz Holecki Joanna Woźniak-Holecka Mateusz Grajek |
| author_sort | Karolina Sobczyk |
| collection | DOAJ |
| description | In addition to low birth weight and intrauterine growth restriction, prematurity is a major problem in modern neonatology. The etiology of premature delivery is multifactorial, but maternal obesity has been indicated as an important risk factor for preterm birth. This study aimed to assess the relationship between early pregnancy body mass index (BMI) and the risk of preterm delivery according to gestational age. In the cohort of 2794 firstborns, preterm deliveries accounted for 9.1%. Of all deliveries, 16, 48, and 189 were classified as extremely preterm, very preterm, and moderately preterm deliveries, respectively. The risk of extremely, very, and moderately preterm deliveries increased with the increasing BMI, with the highest overweight and obesity-related risk for extremely and very preterm delivery. The rate of extremely and very preterm delivery among normal-weight women (BMI 18.5 ≤ 25) was 1.8%, while that among overweight and obese women (BMI ≥ 25) was 2.36%. The rate of all preterm deliveries (22 ≤ 37 weeks) was 8% for normal-weight women and 10.3% for overweight and obese women. Compared with normal-weight women, the adjusted odds ratio (95% CI) for preterm delivery in overweight and obese women was 1.33 (0.98–1.79). In Poland, being overweight and obese during pregnancy was associated with an increased risk of preterm delivery, especially extremely and very preterm delivery. This relationship should be assessed in other populations. |
| first_indexed | 2024-03-09T03:33:21Z |
| format | Article |
| id | doaj.art-41ae34dc0d0f4d159d857568b39efab4 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-09T03:33:21Z |
| publishDate | 2022-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-41ae34dc0d0f4d159d857568b39efab42023-12-03T14:51:11ZengMDPI AGChildren2227-90672022-07-0197100710.3390/children9071007Does Maternal Obesity Affect Preterm Birth? Documentary Cohort Study of Preterm in Firstborns—Silesia (Poland)Karolina Sobczyk0Tomasz Holecki1Joanna Woźniak-Holecka2Mateusz Grajek3Department of Health Economics and Health Management, School of Health Sciences in Bytom, Medical University of Silesia in Katowice, 41902 Bytom, PolandDepartment of Health Economics and Health Management, School of Health Sciences in Bytom, Medical University of Silesia in Katowice, 41902 Bytom, PolandDepartment of Health Promotion, School of Health Sciences in Bytom, Medical University of Silesia in Katowice, 41902 Bytom, PolandDepartment of Public Health, School of Health Sciences in Bytom, Medical University of Silesia in Katowice, 41902 Bytom, PolandIn addition to low birth weight and intrauterine growth restriction, prematurity is a major problem in modern neonatology. The etiology of premature delivery is multifactorial, but maternal obesity has been indicated as an important risk factor for preterm birth. This study aimed to assess the relationship between early pregnancy body mass index (BMI) and the risk of preterm delivery according to gestational age. In the cohort of 2794 firstborns, preterm deliveries accounted for 9.1%. Of all deliveries, 16, 48, and 189 were classified as extremely preterm, very preterm, and moderately preterm deliveries, respectively. The risk of extremely, very, and moderately preterm deliveries increased with the increasing BMI, with the highest overweight and obesity-related risk for extremely and very preterm delivery. The rate of extremely and very preterm delivery among normal-weight women (BMI 18.5 ≤ 25) was 1.8%, while that among overweight and obese women (BMI ≥ 25) was 2.36%. The rate of all preterm deliveries (22 ≤ 37 weeks) was 8% for normal-weight women and 10.3% for overweight and obese women. Compared with normal-weight women, the adjusted odds ratio (95% CI) for preterm delivery in overweight and obese women was 1.33 (0.98–1.79). In Poland, being overweight and obese during pregnancy was associated with an increased risk of preterm delivery, especially extremely and very preterm delivery. This relationship should be assessed in other populations.https://www.mdpi.com/2227-9067/9/7/1007pregnancypreterm birthprematurityobesityoverweight |
| spellingShingle | Karolina Sobczyk Tomasz Holecki Joanna Woźniak-Holecka Mateusz Grajek Does Maternal Obesity Affect Preterm Birth? Documentary Cohort Study of Preterm in Firstborns—Silesia (Poland) Children pregnancy preterm birth prematurity obesity overweight |
| title | Does Maternal Obesity Affect Preterm Birth? Documentary Cohort Study of Preterm in Firstborns—Silesia (Poland) |
| title_full | Does Maternal Obesity Affect Preterm Birth? Documentary Cohort Study of Preterm in Firstborns—Silesia (Poland) |
| title_fullStr | Does Maternal Obesity Affect Preterm Birth? Documentary Cohort Study of Preterm in Firstborns—Silesia (Poland) |
| title_full_unstemmed | Does Maternal Obesity Affect Preterm Birth? Documentary Cohort Study of Preterm in Firstborns—Silesia (Poland) |
| title_short | Does Maternal Obesity Affect Preterm Birth? Documentary Cohort Study of Preterm in Firstborns—Silesia (Poland) |
| title_sort | does maternal obesity affect preterm birth documentary cohort study of preterm in firstborns silesia poland |
| topic | pregnancy preterm birth prematurity obesity overweight |
| url | https://www.mdpi.com/2227-9067/9/7/1007 |
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