Startseite The cumulative impact of parity on the body mass index (BMI) in a non-selected Lower Saxony population
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The cumulative impact of parity on the body mass index (BMI) in a non-selected Lower Saxony population

  • Lars Brodowski EMAIL logo , Niels Rochow , Efrah I. Yousuf , Fabian Kohls , Constantin S. von Kaisenberg , Ralf L. Schild , Silvia Berlage , Hans Peter Hagenah und Manfred Voigt
Veröffentlicht/Copyright: 1. Dezember 2020
Journal of Perinatal Medicine
Aus der Zeitschrift Journal of Perinatal Medicine Band 49 Heft 4

Abstract

Objectives

During the last decade obesity has been continuously rising in adults in industrial countries. The increased occurrence of perinatal complications caused by maternal obesity poses a major challenge for obstetricians during pregnancy and childbirth. This study aims to examine the association between parity, pregnancy, birth risks, and body mass index (BMI) of women from Lower Saxony, Germany.

Methods

This retrospective cohort study examined pseudonymized data of a non-selected singleton cohort from Lower Saxony’s statewide quality assurance initiative. Mothers were categorized according to BMI as normal weight (18.5 to <25 kg/m2) or obese (≥30 kg/m2).

Results

Most of the mothers in this study population were either in their first (33.9%) or second pregnancy (43.4%). The mean age of women giving birth for the first time was 28.3 years. Maternal age increased with increasing parity. The proportion of pregnant women with a BMI over 30 was 11% in primiparous women, 14.3% in second para, 17.3% in third para and 24.1% in fourth para or more women. Increasing parity was positively correlated with the incidence of classical diseases related to obesity, namely diabetes mellitus, gestational diabetes, hypertension, pregnancy-related hypertension and urinary protein excretion. An increased risk of primary or secondary cesarean section was observed in the obese women, particularly during the first deliveries.

Conclusions

There is a positive and significant correlation between parity and increased maternal BMI. The highest weight gain happens during the first pregnancy. The rate of operative deliveries and complications during delivery is increased in obese pregnant women.

Keywords: maternal health; obesity; parity; pregnancy
Corresponding author: Lars Brodowski, MD, Department of Obstetrics, Gynecology and Reproductive Medicine, Hannover Medical School, Carl-Neuberg-Str. 1, 30625Hannover, Germany, E-mail:

Acknowledgments

The authors greatly appreciate the support of the obstetric hospitals in Lower Saxony and the Ärztekammer Niedersachsen in recruiting participants and providing data.

  1. Research funding: None declared.

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: This is a retrospective analysis of birth data from the Lower Saxony Perinatal Survey under the Ethical Approval of the Ethics Committee of the Lower Saxony Medical Association.

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Supplementary Material

The online version of this article offers supplementary material (https://doi.org/10.1515/jpm-2020-0261).

Received: 2020-06-09
Accepted: 2020-10-23
Published Online: 2020-12-01
Published in Print: 2021-05-26

© 2020 Walter de Gruyter GmbH, Berlin/Boston

Artikel in diesem Heft

  1. Frontmatter
  2. In Memorian
  3. Robert L. Brent, MD, PhD (1927–2021)
  4. Review
  5. Implications of the vaginal microbiome and potential restorative strategies on maternal health: a narrative review
  6. Original Articles – Obstetrics
  7. Disorders of placental villous maturation are present in one-third of cases with spontaneous preterm labor
  8. Gestational iron deficiency anemia is associated with preterm birth, fetal growth restriction, and postpartum infections
  9. Women with high plasma levels of PBDE-47 are at increased risk of preterm birth
  10. Racial disparities in recurrent preterm delivery risk: mediation analysis of prenatal care timing
  11. Doppler ultrasonography of the uterine artery in correlation with KANET
  12. The cumulative impact of parity on the body mass index (BMI) in a non-selected Lower Saxony population
  13. The relation between second-trimester placental elasticity and poor obstetric outcomes in low-risk pregnancies
  14. Comparison of pregnancy outcomes after second trimester amniocentesis between procedures performed by experts and non-experts
  15. Effect of vitamin D3 supplementation during pregnancy on high risk factors — a randomized controlled trial
  16. Educating future professionals in perinatal medicine: the attitude of medical and nursing students towards childbirth
  17. Original Articles – Fetus
  18. Normal values of cardiac axis (CA) measurements in healthy fetuses during the first trimester screening ultrasound
  19. Original Articles – Neonates
  20. Effects of COVID-19 pandemic on breastfeeding rates in a neonatal intensive care unit
  21. Factors associated with extubation failure in very low birth weight infants: a cohort study in the northeast Brazil
  22. Perinatal outcome of in vitro fertilization pregnancies in women with polycystic ovary syndrome by pregravid BMI
  23. Evaluation of audio-voice guided application for neonatal resuscitation: a prospective, randomized, pilot study
  24. Letter to the Editor
  25. Systematic screening for SARS-CoV-2 in pregnant women admitted for delivery: not as easy as it sounds
https://doi.org/10.1515/jpm-2020-0261
Schlagwörter für diesen Artikel
maternal health; obesity; parity; pregnancy

Artikel in diesem Heft

  1. Frontmatter
  2. In Memorian
  3. Robert L. Brent, MD, PhD (1927–2021)
  4. Review
  5. Implications of the vaginal microbiome and potential restorative strategies on maternal health: a narrative review
  6. Original Articles – Obstetrics
  7. Disorders of placental villous maturation are present in one-third of cases with spontaneous preterm labor
  8. Gestational iron deficiency anemia is associated with preterm birth, fetal growth restriction, and postpartum infections
  9. Women with high plasma levels of PBDE-47 are at increased risk of preterm birth
  10. Racial disparities in recurrent preterm delivery risk: mediation analysis of prenatal care timing
  11. Doppler ultrasonography of the uterine artery in correlation with KANET
  12. The cumulative impact of parity on the body mass index (BMI) in a non-selected Lower Saxony population
  13. The relation between second-trimester placental elasticity and poor obstetric outcomes in low-risk pregnancies
  14. Comparison of pregnancy outcomes after second trimester amniocentesis between procedures performed by experts and non-experts
  15. Effect of vitamin D3 supplementation during pregnancy on high risk factors — a randomized controlled trial
  16. Educating future professionals in perinatal medicine: the attitude of medical and nursing students towards childbirth
  17. Original Articles – Fetus
  18. Normal values of cardiac axis (CA) measurements in healthy fetuses during the first trimester screening ultrasound
  19. Original Articles – Neonates
  20. Effects of COVID-19 pandemic on breastfeeding rates in a neonatal intensive care unit
  21. Factors associated with extubation failure in very low birth weight infants: a cohort study in the northeast Brazil
  22. Perinatal outcome of in vitro fertilization pregnancies in women with polycystic ovary syndrome by pregravid BMI
  23. Evaluation of audio-voice guided application for neonatal resuscitation: a prospective, randomized, pilot study
  24. Letter to the Editor
  25. Systematic screening for SARS-CoV-2 in pregnant women admitted for delivery: not as easy as it sounds
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