Maternal Obesity Is an Independent Risk Factor for Intensive Care Unit Admission during Delivery Hospitalization.

Abstract:

OBJECTIVE:We aim to quantify the impact of obesity on maternal intensive care unit (ICU) admission. MATERIALS AND METHODS:This is a population-based, retrospective cohort study of Ohio live births from 2006 to 2012. The primary outcome was maternal ICU admission. The primary exposure was maternal body mass index (BMI). Relative risk (RR) of ICU admission was calculated by BMI category. Multivariate logistic regression quantified the risk of obesity on ICU admission after adjustment for coexisting factors. RESULTS:This study includes 999,437 births, with peripartum maternal ICU admission rate of 1.10 per 1,000. ICU admission rate for BMI 30 to 39.9 kg/m2 was 1.24 per 1,000, RR: 1.20 (95% confidence interval [CI]: 1.07, 1.35); BMI 40 to 49.9 kg/m2 had ICU admission rate of 1.80 per 1,000, RR: 1.73 (95% CI: 1.38, 2.17); and BMI ≥ 50 kg/m2 had ICU admission rate of 2.98 per 1,000, RR: 1.73 (95% CI: 1.77, 4.68). After adjustment, these increases persisted in women with BMI 40 to 49.9 kg/m2 with adjusted relative risk (adjRR) of 1.37 (95% CI: 1.05, 1.78) and in women with BMI ≥ 50 kg/m2, adjRR: 1.69 (95% CI: 1.01, 2.83). CONCLUSION:Obesity is a risk factor for maternal ICU admission. Risk increases with BMI. After adjustment, BMI ≥ 40 kg/m2 is an independent risk factor for ICU admission.

journal_name

Am J Perinatol

authors

Masters HR,Housley E,Van Hook JW,DeFranco E

doi

10.1055/s-0038-1660460

subject

Has Abstract

pub_date

2018-12-01 00:00:00

pages

1423-1428

issue

14

eissn

0735-1631

issn

1098-8785

journal_volume

35

pub_type

杂志文章
  • Inadvertent amniocenteses occurring during unrelated invasive diagnostic procedures in the third trimester.

    abstract::Two cases of inadvertent third trimester amniocenteses occurring during attempted spinal tap and culdocentesis are presented. These hitherto undescribed occurrences stress potential complications of these invasive diagnostic procedures in the gravid woman. ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-994618

    authors: Sherer DM,Abramowicz JS

    更新日期:1993-11-01 00:00:00

  • Oral Ibuprofen and ductus arteriosus in premature infants: a randomized pilot study.

    abstract::The purpose of this study was to evaluate the feasibility of the use oral ibuprofen suspension (OIS) in the treatment of patent ductus arteriosus (PDA) in premature infants. Premature infants (

    journal_title:American journal of perinatology

    pub_type: 杂志文章,随机对照试验

    doi:10.1055/s-2007-976550

    authors: Aly H,Lotfy W,Badrawi N,Ghawas M,Abdel-Meguid IE,Hammad TA

    更新日期:2007-05-01 00:00:00

  • Obstetrical determinants of neonatal neurological morbidity in < or = 1000-gram infants.

    abstract::The purpose of this study is to identify obstetrical factors associated with adverse neurological outcome in < or =1000-g infants. In a 1-year (1992-1993) observational study, the NICHD MFMU Network collected obstetrical risk factors for 486 infants who weighed < or =1000 g at birth and who survived > 2 days. Infants'...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-993833

    authors: Goepfert AR,Goldenberg RL,Hauth JC,Bottoms SF,Iams JD,Mercer B,MacPherson CA,Moawad AH,VanDorsten JP,Thurnau GR

    更新日期:1999-01-01 00:00:00

  • Effect of vibroacoustic stimulation on fetal meconium passage in labor.

    abstract::It has been suggested that vibroacoustic stimulation might be stressful to the fetus. The present study was designed to evaluate whether the stimulus induces passage of meconium in labor. Patients in labor at term with healthy fetuses and intact membranes were randomized to a vibroacoustic stimulation or sham test. Th...

    journal_title:American journal of perinatology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1055/s-2007-994297

    authors: Zimmer EZ,Talmon R,Makler-Shiran E,Jakobi P

    更新日期:1996-02-01 00:00:00

  • Passive Range-of-Motion Exercise and Bone Mineralization in Preterm Infants: A Randomized Controlled Trial.

    abstract:OBJECTIVE:To assess the effect of range-of-motion exercise program on bone mineralization and somatic growth of very low birth weight (VLBW) infants. STUDY DESIGN:A total of 36 VLBW infants were randomized into 18 VLBW infants receiving range-of-motion exercise and 18 VLBW control infants receiving tactile stimulation...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,随机对照试验

    doi:10.1055/s-0039-1678559

    authors: El-Farrash RA,Abo-Seif IS,El-Zohiery AK,Hamed GM,Abulfadl RM

    更新日期:2020-02-01 00:00:00

  • The heightened significance of prolonged bradycardia associated with intrauterine growth retardation.

    abstract::The significance and management of prepartum bradycardia is not well established in prepartum fetal assessment. The incidence of prolonged bradycardia was 3.5% (45 per 1284), defined as a decrease of greater than or equal to 40 beats per minute of the fetal heart rate (FHR) below the baseline for at least 2 minutes. T...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999972

    authors: Brustman LE,Langer O,Anyaegbunam A

    更新日期:1985-10-01 00:00:00

  • Wide Pulse Pressure Is Not Associated with Patent Ductus Arteriosus in the First Week of Life.

    abstract:OBJECTIVES:Widened pulse pressure is generally associated with patent ductus arteriosus (PDA). Surprisingly, this is often not true for preterm infants during the first week of life when systolic and diastolic pressures are both reduced and pulse pressure may remain unchanged. STUDY DESIGN:This is a retrospective, obs...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0038-1677475

    authors: Bin-Nun A,Kasirer Y,Mimouni F,Schorrs I,Fink D,Hammerman C

    更新日期:2019-11-01 00:00:00

  • The birth of Caesar and the cesarean misnomer.

    abstract::Although cesarean section is one of the most ancient surgical procedures, the origin of its name remains obscure. The term, however, did not originate because of the birth of the Roman Emperor Julius Caesar through this route. In fact, historians are certain that Julius Caesar was not delivered by the dangerous cesare...

    journal_title:American journal of perinatology

    pub_type: 历史文章,杂志文章

    doi:10.1055/s-2007-986693

    authors: Raju TN

    更新日期:2007-11-01 00:00:00

  • Influence of maternal nicotine exposure on neonatal rat bone: protective effect of ascorbic acid.

    abstract::Limited research in young adults and immature animals suggests a detrimental effect of tobacco on bone during growth. We aimed to determine the adverse effects of maternal nicotine exposure during pregnancy and lactation on neonatal rat bone development, and to determine a protective effect of ascorbic acid. Gravid ra...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2006-951287

    authors: Koklu E,Gunes T,Gunes I,Canoz O,Kurtoglu S,Duygulu F,Erez R

    更新日期:2006-10-01 00:00:00

  • Perinatal and neonatal aspects of maternal idiopathic thrombocytopenic purpura.

    abstract::The pregnant woman with idiopathic thrombocytopenic purpura (ITP) and her fetus-neonate present a number of challenging issues for both the perinatologist and neonatologist. A review of these issues within a single format is helpful because of the widely scattered nature of the pertinent information in the medical lit...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,评审

    doi:10.1055/s-2007-1000014

    authors: Beck R

    更新日期:1984-04-01 00:00:00

  • The use of 17 alpha-hydroxyprogesterone caproate (17p) in women with cervical cerclage.

    abstract::Our objective was to compare the incidence of recurrent spontaneous preterm delivery (SPTD) in patients with cervical cerclage treated with weekly 17 alpha-hydroxyprogesterone caproate (17P) injections versus daily outpatient nursing surveillance (ONS) without 17P. Included in this retrospective cohort study were sing...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2008-1064935

    authors: Rebarber A,Cleary-Goldman J,Istwan NB,Rhea DJ,Desch C,Russo-Stieglitz K,Saltzman DH

    更新日期:2008-05-01 00:00:00

  • Conservative management of abdominal gunshot wound in a pregnant woman.

    abstract::An abdominal gunshot wound in pregnancy warrants prompt surgical exploration but does not mandate uterine evacuation. Despite an entry and exit bullet wound to the uterus an apparent desire for pregnancy termination, a conservative approach was adopted with primary repair of the uterus, in conjunction with surgical re...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999691

    authors: Kirshon B,Young R,Gordon AN

    更新日期:1988-07-01 00:00:00

  • Serum unconjugated estriols in insulin-dependent diabetic pregnancies: normative data and clinical relevance.

    abstract::The purpose of this study was to establish normative reference values for serum unconjugated estriol (E3) concentrations in insulin-dependent diabetic pregnancy. There were 1973 samples analyzed in 63 diabetic pregnancies not complicated by fetal distress and/or neonatal asphyxia. These samples were compared with 867 ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999718

    authors: Miodovnik M,Mimouni F,Hertzberg VS,Siddiqi TA,Tsang RC

    更新日期:1988-10-01 00:00:00

  • Effect of Trial of Labor before Cesarean and Risk of Subsequent Placenta Accreta Spectrum Disorders.

    abstract:OBJECTIVE:This study aimed to examine whether labor before cesarean affects the risk of placenta accreta spectrum (PAS) disorders in a subsequent pregnancy. STUDY DESIGN:This is a secondary analysis of the Cesarean Registry, a prospective cohort study of women undergoing cesarean between 1999 and 2002. Women with one ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0039-1685449

    authors: O'Malley KN,Norton ME,Osmundson SS

    更新日期:2020-05-01 00:00:00

  • Feto-neonatal ultrasonography to detect renal abnormalities: evaluation of 1-year screening program.

    abstract::To determine the accuracy of antenatal renal pelvis measurement as a screening tool for renal anomalies we reviewed the antenatal ultrasounds performed at our institution over 1 year. Renal pelvis dilation was found in 3.8% of pregnancies followed by our obstetrics department. In nine (17.6%) infants renal anomalies w...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-993918

    authors: Fasolato V,Poloniato A,Bianchi C,Spagnolo D,Valsecchi L,Ferrari A,Paesano P,Del Maschio A

    更新日期:1998-03-01 00:00:00

  • Persistent pulmonary hypertension of the newborn presenting as the primary manifestation of intracranial arteriovenous malformation of the Vein of Galen.

    abstract::Arteriovenous malformations of the Vein of Galen continue to present diagnostic and therapeutic challenges in the neonatal period. Approximately 40-50% of all malformations of the Vein of Galen present in the neonatal period, usually with congestive heart failure. These neonates represent the most severe cases and are...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2000-13456

    authors: Hendson L,Emery DJ,Phillipos EZ,Bhargava R,Olley PM,Lemke RP

    更新日期:2000-01-01 00:00:00

  • Use of quantitative amniotic fluid phosphatidylglycerol as a criterion for fetal lung maturation.

    abstract::Phosphatidylglycerol (PG) in amniotic fluid was quantitatively measured by thin-layer chromatography (TLC) in 941 amniotic fluid samples and related to the presence or absence of respiratory distress syndrome (RDS) in neonates born within 7 days of the amniocentesis. In 639 case tests with PG 1 nmol/ml or more of amni...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-994666

    authors: Tsao FH,Zachman RD

    更新日期:1992-01-01 00:00:00

  • Accurate gestational dating: revisited.

    abstract::Using first trimester fetal crown-rump length (CRL) measurements as the criterion for gestational dating, rather than menstrual history or neonatal gestational age evaluation after birth, may be a more accurate way of evaluating the accuracy of second or third trimester ultrasonic measurements for gestational age esti...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-994606

    authors: Ott WJ

    更新日期:1994-11-01 00:00:00

  • Periventricular leukomalacia and prenatal methamphetamine exposure: a case report.

    abstract::Periventricular leukomalacia (PVL) is a complication of prematurity that carries a high risk of long-term neurologic morbidity. We report the first case, to our knowledge, of unexpected PVL associated with in utero methamphetamine exposure in a 30-week gestation premature infant with a benign hospital course, who subs...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-970079

    authors: Murphy CR,Bell EF,Sato Y,Klein JM

    更新日期:2007-02-01 00:00:00

  • Impact of oral versus intravenous ibuprofen on neurodevelopmental outcome: a randomized controlled parallel study.

    abstract:OBJECTIVE:Although neurodevelopmental outcomes related to the management of patent ductus arteriosus with intravenous indomethacin and ibuprofen are known, little data on the long-term effects of oral ibuprofen can be found in the literature. METHOD:A follow-up study of 99 infants with birth weight ≤ 1,500 g and gesta...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,随机对照试验

    doi:10.1055/s-0033-1333667

    authors: Eras Z,Gokmen T,Erdeve O,Ozyurt BM,Saridas B,Dilmen U

    更新日期:2013-11-01 00:00:00

  • Emergency cerclages: a review of 40 consecutive procedures.

    abstract::This report describes 40 consecutive emergency cerclages on dilated and effaced cervices prior to 26 weeks' gestation. These "emergency" cerclages were associated with a mean extension of gestational age of 12 weeks (range, 3 days to 20.5 weeks). Thirty-one of 40 pregnancies were carried to 28 weeks' gestation and 23 ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999307

    authors: Mitra AG,Katz VL,Bowes WA Jr,Carmichael S

    更新日期:1992-05-01 00:00:00

  • Variation in the management of persistent pulmonary hypertension of the newborn: a survey of physicians in Canada, Australia, and New Zealand.

    abstract:BACKGROUND:Despite advances in management of persistent pulmonary hypertension of the newborn (PPHN), the risk of mortality and adverse neurological sequelae remains high. Characterizing variation in practices is a crucial step toward improved patient outcome. OBJECTIVE:Evaluate intensive care practices in Canada and ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0032-1310523

    authors: Shivananda S,Ahliwahlia L,Kluckow M,Luc J,Jankov R,McNamara P

    更新日期:2012-08-01 00:00:00

  • Relatively reduced values of plasma alpha-fetoprotein at early second trimester of pregnancies with hypertensive disorders.

    abstract::Hypertensive disorders during pregnancy implicate placental pathologic conditions, which may interfere with the normal passage of alpha-fetoprotein (AFP) to the maternal blood. We compared the levels of maternal serum (MS) in early second trimester of pregnancies complicated by hypertensive disorders with those of mat...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999254

    authors: Leiberman JR,Shoham I,Chattach F,Romem Y,Glezerman M

    更新日期:1992-09-01 00:00:00

  • A longitudinal study of fetal head biometry.

    abstract::In this paper the results gathered in a longitudinal ultrasound study (LS) of fetal growth are presented. The study is unusual in design because of its homogeneity, the number of parameters recorded, the exact spacing between the examinations, and the number of examinations per subject. Information not available in th...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999987

    authors: Jeanty P,Cousaert E,Hobbins JC,Tack B,Bracken M,Cantraine F

    更新日期:1984-01-01 00:00:00

  • Physiologic changes induced by endotracheal instillation and suctioning in critically ill preterm infants with and without sedation.

    abstract::Endotracheal instillation and subsequent suctioning produces fluctuations of intracranial pressure (ICP), mean arterial pressure (MAP), and cerebral perfusion pressure (CPP) in sick preterm infants. In an attempt to observe if these fluctuations could be minimized using sedation, we studied a group of seven sick mecha...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999841

    authors: Ninan A,O'Donnell M,Hamilton K,Tan L,Sankaran K

    更新日期:1986-04-01 00:00:00

  • A Genome-Wide Analysis of Clinical Chorioamnionitis among Preterm Infants.

    abstract:OBJECTIVE:To identify single nucleotide polymorphisms (SNPs) associated with clinical chorioamnionitis among preterm infants. STUDY DESIGN:We reanalyzed a genome-wide association study (GWAS) from preterm newborns at less than 30 weeks' gestation. Cases and control definitions were determined using administrative reco...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0038-1677503

    authors: Spiegel AM,Li J,Oehlert JW,Mayo JA,Quaintance CC,Girsen AI,Druzin ML,El-Sayed YY,Shaw GM,Stevenson DK,Gibbs RS

    更新日期:2019-12-01 00:00:00

  • In utero resolution of hydrops fetalis following the death of one twin in twin-twin transfusion.

    abstract::A case of massive hydramnios involving a twin-twin transfusion syndrome is presented with death of the larger twin and the development of hydrops fetalis in the surviving smaller twin. The amniotic fluid volume of the surviving twin became normal and the hydrops fetalis resolved spontaneously in utero. Concomitant wit...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999457

    authors: Kirshon B,Moise KJ Jr,Mari G,Rothchild S,Wasserstrum N

    更新日期:1990-04-01 00:00:00

  • Provider Awareness, Understanding and Use of NICHD Neonatal Research Network Outcomes Estimator.

    abstract::Introduction Our aim was to survey clinicians to assess awareness and utilization of the NICHD Neonatal Research Network outcomes estimator, which allows clinicians to use multiple factors to better estimate the likelihood that intensive care will benefit the delivered neonate. Study Design The survey tool included a ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0036-1582396

    authors: Peterson S,Gonik B

    更新日期:2016-08-01 00:00:00

  • Detection of fetal growth restriction with preterm severe preeclampsia: experience at two tertiary centers.

    abstract::Our objective was to determine if sonographic estimate of fetal weight (SEFW) can identify fetal growth restriction (FGR; birthweight < 10% for gestational age [GA]) among patients with preterm (28 to 32 weeks) severe preeclampsia (P SPE). At two centers, all singletons with reliable GA, P SPE, and SEFW within 3 weeks...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2008-1075034

    authors: Gupta LM,Gaston L,Chauhan SP

    更新日期:2008-04-01 00:00:00

  • Association between Hospital Birth Volume and Maternal Morbidity among Low-Risk Pregnancies in Rural, Urban, and Teaching Hospitals in the United States.

    abstract::Objectives This study aims to examine the relationship between hospital birth volume and multiple maternal morbidities among low-risk pregnancies in rural hospitals, urban non-teaching hospitals, and urban teaching hospitals, using a representative sample of U.S. hospitals. Study Design Using the 2011 Nationwide Inpat...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0035-1570380

    authors: Kozhimannil KB,Thao V,Hung P,Tilden E,Caughey AB,Snowden JM

    更新日期:2016-05-01 00:00:00