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Maternal Prepregnancy Obesity Affects Foetal Growth, Birth Outcome, Mode of Delivery, and Miscarriage Rate in Austrian Women

Author

Listed:
  • Katharina Syböck

    (Department of Evolutionary Anthropology, University of Vienna, 1030 Wien, Austria)

  • Beda Hartmann

    (Clinic Donaustadt, 1220 Wien, Austria)

  • Sylvia Kirchengast

    (Department of Evolutionary Anthropology, University of Vienna, 1030 Wien, Austria)

Abstract

The increasing obesity rates among women of reproductive age create a major obstetrical problem as obesity during pregnancy is associated with many complications, such as a higher rate of caesarean sections. This medical record-based study investigates the effects of maternal prepregnancy obesity on newborn parameters, birth mode, and miscarriage rate. The data of 15,404 singleton births that had taken place between 2009 and 2019 at the public Danube Hospital in Vienna were enrolled in the study. Newborn parameters are birth weight, birth length, head circumference, APGAR scores, as well as pH values of the arterial and venous umbilical cord blood. In addition, maternal age, height, body weight at the beginning and the end of pregnancy, and prepregnancy body mass index (BMI) (kg/m 2 ) have been documented. The gestational week of birth, the mode of delivery, as well as the number of previous pregnancies and births, are included in the analyses. Birth length, birth weight, and head circumference of the newborn increase with increasing maternal BMI. Furthermore, with increasing maternal weight class, there tends to be a decrease in the pH value of the umbilical cord blood. Additionally, obese women have a history of more miscarriages, a higher rate of preterm birth, and a higher rate of emergency caesarean section than their normal-weight counterparts. Consequently, maternal obesity before and during pregnancy has far-reaching consequences for the mother, the child, and thus for the health care system.

Suggested Citation

  • Katharina Syböck & Beda Hartmann & Sylvia Kirchengast, 2023. "Maternal Prepregnancy Obesity Affects Foetal Growth, Birth Outcome, Mode of Delivery, and Miscarriage Rate in Austrian Women," IJERPH, MDPI, vol. 20(5), pages 1-13, February.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:5:p:4139-:d:1080345
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    References listed on IDEAS

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    1. Suzy Newton & Dejana Braithwaite & Tomi F Akinyemiju, 2017. "Socio-economic status over the life course and obesity: Systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-15, May.
    2. Sylvia Kirchengast & Beda Hartmann, 2021. "Pregnancy Outcome during the First COVID 19 Lockdown in Vienna, Austria," IJERPH, MDPI, vol. 18(7), pages 1-14, April.
    3. Smith, G.C.S. & Shah, I. & Pell, J.P. & Crossley, J.A. & Dobbie, R., 2007. "Maternal obesity in early pregnancy and risk of spontaneous and elective preterm deliveries: A retrospective cohort study," American Journal of Public Health, American Public Health Association, vol. 97(1), pages 157-162.
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    Cited by:

    1. Sylvia Kirchengast & Josef Fellner & Julia Haury & Magdalena Kraus & Antonia Stadler & Teresa Schöllauf & Beda Hartmann, 2024. "The Impact of Higher Than Recommended Gestational Weight Gain on Fetal Growth and Perinatal Risk Factors—The IOM Criteria Reconsidered," IJERPH, MDPI, vol. 21(2), pages 1-14, January.
    2. Simisola I. Adamo, 2023. "Predicting Maternal Complication among Underserved Women based on the Demographic Composition," International Journal of Research and Scientific Innovation, International Journal of Research and Scientific Innovation (IJRSI), vol. 10(10), pages 146-155, October.

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