Neonatal outcomes in obese pregnant women who develop preeclampsia.
Obesity; Neonate; Neonatal ICU; Pre-eclampsia
OBJECTIVE: Obesity and preeclampsia in pregnant women are each independently associated with poorer neonatal outcomes. We study obesity and preeclampsia alone and also in combination in pregnant women to determine their association with neonatal outcomes. STUDY DESIGN: This retrospective study (n = 664) compared four groups: 1) no preeclampsia/no obesity, 2) no preeclampsia/yes obesity, 3) yes preeclampsia/no obesity, and 4) yes preeclampsia/yes obesity. The primary outcome was neonatal intensive care unit (NICU) admission. Secondary outcomes were low birth weight, low Apgar 1 score, and low Apgar 5 score. RESULTS: Those with yes preeclampsia/yes obesity (OR:3.06, 95% CI:1.76, 5.32, p < 0.001) and those with yes preeclampsia/no obesity (OR:1.98, 95% CI:1.03, 3.80, p < 0.05) each had significantly higher odds for NICU admission. Those with no preeclampsia/yes obesity were not associated with NICU admission. Yes preeclampsia/yes obesity did not have any significant association with low birth weight, low Apgar 1 score, and low Apgar 5 score. CONCLUSION: Patients with preeclampsia alone or preeclampsia/obesity combined are associated with higher odds for NICU admission. However, obesity alone without preeclampsia is not associated with NICU admission. This knowledge can allow the Pediatric service prior to delivery to prepare and mitigate potential poor neonatal complications.
Asemota O; Bryson L; Fogel J
Pregnancy Hypertension
2020
2020-07
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journalArticle
<a href="http://doi.org/10.1016/j.preghy.2020.05.016" target="_blank" rel="noreferrer noopener">10.1016/j.preghy.2020.05.016</a>
Pregnancy-induced hypertension and duration of sexual cohabitation
prevention; hypertension; risk-factors; disease; Obstetrics & Gynecology; cardiovascular; healthy nulliparous women; low-dose aspirin; paternity; pre-eclampsia; pre-eclampsia; pregnancy-induced; sexual cohabitation; pregnancy complications
OBJECTIVE: To evaluate the possible association between duration of sexual cohabitation and the risk of pregnancy-induced hypertension (PIH). STUDY DESIGN: A matched case-control design in which each case of PIH was compared with three controls. Information was obtained about use of barrier contraception, duration of intercourse prior to pregnancy and paternity. RESULTS: Sixty-eight cases were included in the study. For primiparous women, a shorter duration of sexual cohabitation without contraception was associated with a small and nonsignificant risk of PIH. For multiparous women, a greater length of time since stopping use of barrier contraception was associated with a greater risk of PIH. CONCLUSION: Advising nulliparous women to prolong the duration of sexual cohabitation prior to conception in an effort to decrease the risk of PIH is not justified, based on the findings of this study.
Morcos R N; Bourguet C C; Gill P P S; Khawli O; Krew M A; Eucker J; Skarote P
Journal of Reproductive Medicine
2000
2000-03
Journal Article or Conference Abstract Publication
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