General obstetrics and gynecology: obstetricsObesity, obstetric complications and cesarean delivery rate–a population-based screening study☆
Section snippets
Methods
The First and Second Trimester Evaluation of Risk (FASTER) trial, a National Institute of Child Health and Human Development (NICHD) sponsored study, is a prospective multicenter investigation of singleton pregnancies from an unselected obstetric population. This study evaluated first trimester nuchal translucency along with first and second trimester serum markers for the purpose of assessing Down syndrome risk. A database was created containing detailed antenatal, birth, and pediatric
Results
A total of 16,102 records with complete antenatal, birth, and pediatric outcomes were available for review at the time this analysis was performed. The control group consisted of 13,752 (85%) patients, the obese group consisted of 1,473 (9%) patients, and the morbidly obese group consisted of 877 (6%) patients. The demographic characteristics are summarized in Table I. Statistically significant differences were noted between the groups for age, race, education, marital status, parity, and prior
Comment
Studies on maternal and fetal outcomes of pregnancies complicated by obesity have reported varied results.5., 6., 7., 8., 9., 10., 11., 12., 13., 14., 15., 16., 17., 18., 19., 20., 21. The majority of studies have described an increased risk for gestational hypertension, preeclampsia, and gestational diabetes associated with obesity.5., 6., 8., 9., 10., 11., 12., 13., 22. Outcomes regarding postpartum hemorrhage, urinary tract infections, wound infections, fetal macrosomia, IUGR, intrauterine
Acknowledgements
We acknowledge the work of the members of the FASTER Research Consortium: K. Welch, MS, R. Denchy, MS (Columbia University, New York, NY); F. Porter, MD, L. Cannon, BS, K. Nelson, BSN, C. Loucks, RNC, A. Yoshimura (University of Utah, and IHC Perinatal Centers, Salt Lake City, Provo, and Ogden, Utah); D. Luthy, MD, S. Coe, MS (Swedish Medical Center, Seattle, Wash); J. Esler, BS (William Beaumont Medical Center, Royal Oak, Mich); G. Hankins, MD, R. Bukowski, MD, J. Lee MS, (UTMB Galveston,
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Supported by Grant Number RO1 HD 38652 from the National Institutes of Health and the National Institute of Child Health and Human Development.