(Ivanhoe Newswire) -- Trying to get pregnant, but want to lose a few
pounds first? Here’s more motivation: new evidence suggests not only does
obesity during pregnancy put a mother and child at a greater risk for health
problems, it is also linked to an increase of health care services.
In a recent study of 13,442 pregnancies between January 1, 2000, and December
31, 2004, researchers found overweight expecting women used both inpatient and
outpatient health care services more frequently. This was especially true for
severely obese women, with a BMI of 35 or greater.
Researchers say a higher than normal body mass index (BMI) was associated with
an increased length of hospital stay for delivery, mostly due to a higher
cesarean birth rate and high-risk conditions linked to obesity. The average
hospital stay for extremely obese women was four-and-a-half days, compared to
about three-and-a-half days for women with a normal BMI.
A higher than normal BMI was also associated with more prenatal fetal tests and
obstetrical ultrasonographic examinations, more medications, and more telephone
calls to obstetrics and gynecology departments. Researchers also found
overweight pregnant women visited their physician more often while seeing nurse
practitioners and physician assistants less frequently.
“Obese women are at increased risk for complications of pregnancy, particularly
hypertensive disorders, preexisting and gestational diabetes mellitus and
cesarean delivery,” study authors write. “Given the rapid increase in the
prevalence of obesity in the United States, obesity during pregnancy is now a
common high-risk obstetrical condition affecting about one in five women who
give birth.”
SOURCE: The New England Journal of Medicine, 2008;358:1444-1453
