Obesity in Pregnancy Linked to Fetal and Infant Death

Lowest fetal and infant death risks in women with a body mass index of 23 kg/m²

THURSDAY, April 28 (HealthDay News) -- Early pregnancy obesity significantly increases the risk of fetal and infant death, independent of risks associated with congenital anomalies and maternal pre-gestational diabetes, according to a study published online April 5 in Human Reproduction.

Peter W.G. Tennant, M.D., from Newcastle University in the United Kingdom, and colleagues investigated the association between early-pregnancy body mass index (BMI) and risk of fetal (more than 20 weeks' gestation) and infant (aged up to 1 year) death in 29,856 singleton pregnancies, which were not affected by congenital anomalies or pre-gestational diabetes. The participants were classified as underweight (BMI less than 18.5 kg/m²) or overweight (BMI, 25 to 29.9 kg/m²), and compared to women of recommended BMI (18.5 to 24.9 kg/m²).

The investigators found that the risks of fetal and infant death increased significantly in obese women (adjusted odds ratio [aOR], 2.32 and 1.97, respectively). Fetal and infant death risks were lowest among women with BMIs of 23 kg/m², and increased with increasing or decreasing BMI (aOR per unit, 1.07 for fetal death and 1.06 for infant death). No significant excess risk of fetal and infant death was found for either underweight or overweight mothers. No specific cause could be found for increased fetal and infant death risk in obese except for higher pre-eclampsia rates among stillbirths.

"Early pregnancy obesity is significantly associated with fetal and infant death, independent of the known relationships with congenital anomalies and maternal pre-gestational diabetes," the authors write.

Abstract
Full Text (subscription or payment may be required)

Copyright © 2011 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Debunking Three Rape Myths
Journal of Forensic Nursing, October/December 2014
Expires: 12/31/2016 CE:2.5 $24.95


Drug updates and approvals: 2014 in review
The Nurse Practitioner, 13December 2014
Expires: 12/31/2016 CE:3 $27.95


Can Food Processing Enhance Cancer Protection?
Nutrition Today, September/October 2014
Expires: 10/31/2016 CE:2 $21.95


More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events