https://doi.org/10.4081/acbr.2023.273

Impact of first-trimester body mass index on pregnancy outcomes: observational study

Vol. 4 No. 1 (2023)
Submitted: 29 November 2022
Accepted: 24 January 2023
Published: 7 March 2023
Obesity, pregnancy, adverse pregnancy outcomes, Lagos
Abstract Views: 140
PDF: 90
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Authors

Ayodeji A. Oluwole
College of Medicine, University of Lagos, Nigeria; Department of Obstetrics and Gynaecology, Lagos University Teaching Hospital, Nigeria.
Aloy Okechukwu Ugwu
okeyugwu92@gmail.com
https://orcid.org/0000-0003-2405-9720
Department of Obstetrics and Gynaecology, Lagos University Teaching Hospital, Nigeria; Department of Obstetrics and Gynaecology, Nigerian Army Reference Hospital, Yaba, Nigeria.

The epidemic of obesity is gradually becoming a global health concern across all age groups. In pregnant mothers, overweight or obesity have been known to be associated with significant antenatal, intrapartum, postpartum, and neonatal complications. Therefore, this study aimed to investigate the association between high maternal Body Mass Index (BMI) and adverse pregnancy outcomes. This was a longitudinal observational study done at the Lagos University Teaching Hospital between May 2019 and February 2020. Antenatal women with gestational age <12 weeks with singleton pregnancies were recruited for the study. They were followed up throughout pregnancy and postpartum to assess for complication during pregnancy, labour, and puerperium. A total of 568 pregnant women were involved in the study. Five hundred and fifty six (556) had complete data and were included in the data analysis. Of these, 169 (30.4%) had BMI of 30 and above while 387 (69.6%) had BMI<30. Women with BMI of 30 and above had significant (p<0.05) risk for development of complications in pregnancy. There is an obvious association between increased maternal BMI and adverse pregnancy outcomes. Public health implications of obesity are enormous for both the mother and baby during pregnancy and delivery. Preconception counselling and health education programs may be beneficial in order to maintain normal BMI in women of reproductive age.

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Scopus
Google Scholar
Europe PMC
Huang X, Tan H, Cai M, et al. Gestational weight gain in Chinese women - results from a retrospective cohort in Changsha, China. BMC Pregnancy Childbirth 2018;18:185-90. DOI: https://doi.org/10.1186/s12884-018-1833-y
Crozier SR, Inskip HM, Godfrey KM, et al. Southampton Women's Survey Study Group. Weight gain in pregnancy and childhood body composition: findings from the Southampton Women's Survey. Am J Clin Nutr 2010;91:1745-51. DOI: https://doi.org/10.3945/ajcn.2009.29128
Ma RCW, Schmidt MI, Tam WH. Clinical management of pregnancy in the obese mother: before conception, during pregnancy, and postpartum. Lancet Diabetes Endocrinol 2016;4:1037–49. DOI: https://doi.org/10.1016/S2213-8587(16)30278-9
Knight-Agarwal CR, Williams LT, Davis D, et al. Association of BMI and interpregnancy BMI change with birth outcomes in an Australian obstetric population: a retrospective cohort study. BMJ Open 2016;6:e010667. DOI: https://doi.org/10.1136/bmjopen-2015-010667
Kalliala I, Markozannes G, Gunter MJ, et al. Obesity and gynaecological and obstetric conditions: umbrella review of the literature. BMJ 2017;359:j4511. DOI: https://doi.org/10.1136/bmj.j4511
Sridhar SB, Darbinian J, Ehrlich SF, et al. Maternal gestational weight gain and offspring risk for childhood overweight or obesity. Am J Obstet Gynecol 2014;211:259.e1–8. DOI: https://doi.org/10.1016/j.ajog.2014.02.030
Nehring I, Lehmann S, von Kries R. Gestational weight gain in accordance to the IOM/NRC criteria and the risk for childhood overweight: a meta-analysis. Pediatr Obes 2013;8:218–24. DOI: https://doi.org/10.1111/j.2047-6310.2012.00110.x
Ovesen P, Rasmussen S, Kesmodel U. Effect of prepregnancy maternal overweight and obesity on pregnancy outcome. Obstet Gynecol 2011;118:305–12. DOI: https://doi.org/10.1097/AOG.0b013e3182245d49
Wang X, Zhang X, Zhou M, et al. Association of prepregnancy body mass index, rate of gestational weight gain with pregnancy outcomes in Chinese urban women. Nutr Metab (Lond) 2019;16:54. DOI: https://doi.org/10.1186/s12986-019-0386-z
Zhao R, Xu L, Wu ML, et al. Maternal pre-pregnancy body mass index, gestational weight gain influence birth weight. Women Birth 2018;31:e20–e25. DOI: https://doi.org/10.1016/j.wombi.2017.06.003
Rong K, Yu K, Han X. Pre-pregnancy BMI, gestational weight gains and postpartum weight retention: a meta-analysis of observational studies. Public Health Nutr 2015;18:2172–82. DOI: https://doi.org/10.1017/S1368980014002523
Adegoke O, Ozoh OB, Odeniyi A, et al. Prevalence of obesity and an interrogation of the correlation between anthropometric indices and blood pressures in urban Lagos, Nigeria. Sci Rep 2021;3522-9. DOI: https://doi.org/10.1038/s41598-021-83055-w
Ben-Bassey UP, Oduwole AO, Ogundipe OO. Prevalence of overweight and obesity in Eti-Osa LGA, Lagos, Nigeria. Obes Rev 2007;8:475-9. DOI: https://doi.org/10.1111/j.1467-789X.2007.00408.x
Ng M, Fleming T, Robinson M. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 2014;6736:1–16. DOI: https://doi.org/10.1016/S0140-6736(14)60460-8
Van Der Linden EL, Browne JL, Vissers KM, et al. Maternal body mass index and adverse pregnancy outcomes: A ghanaian cohort study. Obesity (Silver Spring) 2016;24:215-22. DOI: https://doi.org/10.1002/oby.21210
van Hoorn F, de Wit L, van Rossem L, et al. A prospective population-based multicentre study on the impact of maternal body mass index on adverse pregnancy outcomes: Focus on normal weight. PLoS One 2021;16:e0257722. DOI: https://doi.org/10.1371/journal.pone.0257722

How to Cite

Oluwole, A. A., & Ugwu, A. O. (2023). Impact of first-trimester body mass index on pregnancy outcomes: observational study. Annals of Clinical and Biomedical Research, 4(1). https://doi.org/10.4081/acbr.2023.273
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