Does maternal underweight prior to conception influence pregnancy risks and outcome?

• Verfasst von: Hoellen, Friederike [VerfasserIn]
• Verfasst von: Hornemann, Amadeus [VerfasserIn]
• Verfasst von: Haertel, Christoph [VerfasserIn]
• Verfasst von: Reh, Annette [VerfasserIn]
• Verfasst von: Rody, Achim [VerfasserIn]
• Verfasst von: Schneider, Sven [VerfasserIn]
• Verfasst von: Tuschy, Benjamin [VerfasserIn]
• Verfasst von: Bohlmann, Michael K. [VerfasserIn]
• Titel: Does maternal underweight prior to conception influence pregnancy risks and outcome?
• Verf.angabe: Friederike Hoellen, Amadeus Hornemann, Christoph Haertel, Annette Reh, Achim Rody, Sven Schneider, Benjamin Tuschy and Michael K. Bohlmann
• Jahr: 2014
• Umfang: 6 S.
• Fussnoten: Gesehen am 17.12.2020
• Titel Quelle: Enthalten in: In vivo
• Ort Quelle: Kapandriti, Attiki : IIAR, 2004
• Jahr Quelle: 2014
• Band/Heft Quelle: 28(2014), 6, Seite 1165-1170
• ISSN Quelle: 1791-7549
• Datenträger: Online-Ressource
• Sprache: eng
• Bibliogr. Hinweis: Erscheint auch als : Druck-Ausgabe: Does maternal underweight prior to conception influence pregnancy risks and outcome?. - 2014
• Sach-SW: Adult
• Sach-SW: body mass index
• Sach-SW: Body Mass Index
• Sach-SW: Body Weight
• Sach-SW: Cohort Studies
• Sach-SW: Delivery, Obstetric
• Sach-SW: Female
• Sach-SW: Germany
• Sach-SW: Humans
• Sach-SW: Infant, Newborn
• Sach-SW: neonatal outcome
• Sach-SW: pregnancy
• Sach-SW: Pregnancy
• Sach-SW: Pregnancy Complications
• Sach-SW: Pregnancy Outcome
• Sach-SW: Retrospective Studies
• Sach-SW: small for gestational age
• Sach-SW: underweight
• K10plus-PPN: 174311012X

Abstract

AIM: Data analyzing risks during pregnancy and neonatal outcome in Caucasian women with pre-conceptional underweight are scarce. - PATIENTS AND METHODS: We conducted a retrospective cohort study in Northern Germany comparing pregnancy risks and neonatal outcomes in nulliparous women with either pre-conceptional underweight or normal weight. - RESULTS: The data of 3,854 nulliparous women with either underweight (n = 243; BMI ≤ 18.5 kg/m(2)) or normal weight (n = 3611; BMI 18.5-24.9 kg/m(2)) were screened. The risks for preterm birth (23.3 vs. 18.6%; p = 0.004) and neonatal underweight were significantly higher in women with underweight prior to conception (p < 0.0001). The risk for secondary caesarean sections was significantly lower in underweight patients. - CONCLUSION: To our knowledge, the present retrospective cohort study constitutes the largest sub-group analysis on delivery and maternal and neonatal outcome in pre-conceptionally underweight mothers. There are significantly more preterm deliveries in underweight mothers, while maternal outcome and birth-associated trauma (lacerations, caesarean section) is not disadvantageously influenced by maternal underweight. Further investigations are required in order to specify nutritional deficits in underweight pregnant women and to optimize medication in cases where nutritional balance cannot be achieved in order to improve the neonatal status at birth.