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Maternal Super Obesity and Neonatal Morbidity after Term Cesarean Delivery.

Publication ,  Conference
Smid, MC; Vladutiu, CJ; Dotters-Katz, SK; Manuck, TA; Boggess, KA; Stamilio, DM
Published in: Am J Perinatol
October 2016

Objective To estimate the association between maternal super obesity (body mass index [BMI] ≥ 50 kg/m(2)) and neonatal morbidity among neonates born via cesarean delivery (CD). Methods Retrospective cohort of singleton neonates delivered via CD ≥ 37 weeks in the Maternal-Fetal Medicine Unit Cesarean Registry. Maternal BMI at delivery was stratified as 18.5 to 29.9 kg/m(2), 30 to 39.9 kg/m(2), 40 to 49.9 kg/m(2), and ≥ 50 kg/m(2). Primary outcomes included acute (5-minute Apgar score < 5, cardiopulmonary resuscitation and ventilator support < 24 hours, neonatal injury, and/or transient tachypnea of the newborn) and severe (grade 3 or 4 intraventricular hemorrhage, necrotizing enterocolitis, seizure, respiratory distress syndrome, hypoxic ischemic encephalopathy, meconium aspiration, ventilator support ≥ 2 days, sepsis and/or neonatal death) neonatal morbidity. Odds of neonatal morbidity were estimated for each BMI category adjusting for clinical and operative characteristics. Results Of 41,262 maternal-neonatal dyads, 36% of women were nonobese, 49% had BMI of 30 to 39.9 kg/m(2), 12% had BMI of 40 to 49.9 kg/m(2), and 3% were super obese. Compared with nonobese women, super obese women had twofold odds of acute (5 vs. 10%; adjusted odds ratio [aOR]: 1.81, 95% confidence interval [CI]: 1.59-2.73) and severe (3 vs. 6%; aOR: 2.08; 95% CI: 1.59-2.73) neonatal morbidity. Conclusion Among term infants delivered via CD, maternal super obesity is associated with increased risk of neonatal morbidity.

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Published In

Am J Perinatol

DOI

EISSN

1098-8785

Publication Date

October 2016

Volume

33

Issue

12

Start / End Page

1198 / 1204

Location

United States

Related Subject Headings

  • Young Adult
  • United States
  • Term Birth
  • Tachypnea
  • Sepsis
  • Seizures
  • Retrospective Studies
  • Respiratory Distress Syndrome, Newborn
  • Respiration, Artificial
  • Perinatal Death
 

Citation

APA
Chicago
ICMJE
MLA
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Smid, M. C., Vladutiu, C. J., Dotters-Katz, S. K., Manuck, T. A., Boggess, K. A., & Stamilio, D. M. (2016). Maternal Super Obesity and Neonatal Morbidity after Term Cesarean Delivery. In Am J Perinatol (Vol. 33, pp. 1198–1204). United States. https://doi.org/10.1055/s-0036-1586122
Smid, Marcela C., Catherine J. Vladutiu, Sarah K. Dotters-Katz, Tracy A. Manuck, Kim A. Boggess, and David M. Stamilio. “Maternal Super Obesity and Neonatal Morbidity after Term Cesarean Delivery.” In Am J Perinatol, 33:1198–1204, 2016. https://doi.org/10.1055/s-0036-1586122.
Smid MC, Vladutiu CJ, Dotters-Katz SK, Manuck TA, Boggess KA, Stamilio DM. Maternal Super Obesity and Neonatal Morbidity after Term Cesarean Delivery. In: Am J Perinatol. 2016. p. 1198–204.
Smid, Marcela C., et al. “Maternal Super Obesity and Neonatal Morbidity after Term Cesarean Delivery.Am J Perinatol, vol. 33, no. 12, 2016, pp. 1198–204. Pubmed, doi:10.1055/s-0036-1586122.
Smid MC, Vladutiu CJ, Dotters-Katz SK, Manuck TA, Boggess KA, Stamilio DM. Maternal Super Obesity and Neonatal Morbidity after Term Cesarean Delivery. Am J Perinatol. 2016. p. 1198–1204.
Journal cover image

Published In

Am J Perinatol

DOI

EISSN

1098-8785

Publication Date

October 2016

Volume

33

Issue

12

Start / End Page

1198 / 1204

Location

United States

Related Subject Headings

  • Young Adult
  • United States
  • Term Birth
  • Tachypnea
  • Sepsis
  • Seizures
  • Retrospective Studies
  • Respiratory Distress Syndrome, Newborn
  • Respiration, Artificial
  • Perinatal Death