Maternal obesity and complications Sample Clauses

Maternal obesity and complications. Maternal obesity during pregnancy increases the risk of complications to both mother and child. Overweight and obese women are at higher risk of spontaneous abortion, hypertension, GDM, and xxxxxxxx birth (35-45). Women who gain in excess of the IOM guidelines (32) had higher odds of having large for gestational age neonates ([OR] 1.72, 95% confidence interval [CI] 1.53-1.93), preterm delivery ([OR] 1.30, 95% CI 1.14- 1.48), and primary cesarean delivery (OR 1.52, 95% CI 1.26-1.83) than women who gained within the guidelines (46). Maternal obesity is associated with 2.5 times the risk of hypertensive pregnancy and 2.7 times higher risk of preeclampsia compared with normal weight women; and excessive GWG results in a 3-fold increased risk of a hypertensive disorder and a 4-fold risk of preeclampsia compared to women achieving weight gain guidelines (47, 48). In addition, infants of obese mothers are at higher risk of birth trauma (shoulder dystocia), macrosomia (49), neural tube defects and cardiovascular abnormalities (50-53). Obese Hispanic women are more likely to have increased risk of neonatal complications and macrosomic babies compared to obese White women (54-57) and Hispanics with GDM have an increased risk of developing type 2 diabetes (12).
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