Maternal-Fetal Medicine Department at BCNatal, Barcelona Clinic Hospital, 08028 Barcelona, Spain; Department of Nursing: Public, Mental and Maternity and Child Health, School of Nursing, Faculty of Medicine and Health Science, University of Barcelona, 08907 L'Hospitalet del Llobregat, Barcelona, Spain.
Maternal-Fetal Medicine Department at BCNatal, Barcelona Clinic Hospital, 08028 Barcelona, Spain; Department of Medicine, Faculty of Medicine and Health Science, University of Barcelona, 08036 Barcelona, Spain.
Enferm Clin (Engl Ed). 2022 Jun;32 Suppl 1:S23-S30. doi: 10.1016/j.enfcle.2021.04.006.
To identify the prevalence of pre-pregnancy overweight/obesity in pregnant women and its relationship with socio-demographic factors and to describe the maternal and perinatal outcomes in a Barcelona hospital (Spain).
A descriptive cross-association study, with retrospective data collection, was performed Barcelona Hospital. The data of 5447 pregnant women who delivered at >=23 weeks of gestation were included. Body Mass Index (BMI) data were categorised into World Health Organization classifications. p values <.05 (two-tailed) were considered significant. Logistic regression models were performed.
The prevalence of pre-pregnancy obesity was 8.4% and 18.9% for overweight. Gestational diabetes was more frequent in pre-pregnancy overweight/obesity (OR 1.92: 95% CI 1.54-2.40 and OR 3.34: 95% CI 2.57-4.33), as were preeclampsia (OR 2.08: 95% CI 1.55-2.79 and OR 3.35: 95% CI 2.38-4.71), induction of labour (OR 1.19: 95% CI 1.02-1.38 and OR 1.94: 95% CI 1.57-2.10), caesarean section (OR 1.41: 95% CI 1.21-1.65 and OR 2.68: 95% CI 2.18-3.29), prematurity (OR 1.28: 95% CI 1-1.65 and OR 1.79: 95% CI 1.32-2.44) and macrosomia (OR 1.87: 95% CI 1.43-2.46 and OR 2.03: 95% CI 1.40-2.93).
One in four pregnant women had pre-pregnancy overweight or obesity. This study shows the relationship between pre-pregnancy overweight or obesity with adverse maternal and perinatal outcomes.
确定巴塞罗那医院孕妇超重/肥胖的孕前患病率及其与社会人口学因素的关系，并描述产妇和围产期结局。
对巴塞罗那医院进行描述性交叉关联研究，回顾性收集数据。纳入≥23 周妊娠分娩的 5447 名孕妇的数据。体重指数（BMI）数据分为世界卫生组织分类。p 值<.05（双侧）被认为有统计学意义。进行了逻辑回归模型。
孕前超重/肥胖的患病率为 8.4%，肥胖的患病率为 18.9%。妊娠糖尿病在孕前超重/肥胖中更为常见（OR 1.92：95%CI 1.54-2.40 和 OR 3.34：95%CI 2.57-4.33），子痫前期也是如此（OR 2.08：95%CI 1.55-2.79 和 OR 3.35：95%CI 2.38-4.71）、引产（OR 1.19：95%CI 1.02-1.38 和 OR 1.94：95%CI 1.57-2.10）、剖宫产（OR 1.41：95%CI 1.21-1.65 和 OR 2.68：95%CI 2.18-3.29）、早产（OR 1.28：95%CI 1-1.65 和 OR 1.79：95%CI 1.32-2.44）和巨大儿（OR 1.87：95%CI 1.43-2.46 和 OR 2.03：95%CI 1.40-2.93）。
每四名孕妇中就有一名孕妇孕前超重或肥胖。本研究表明，孕前超重或肥胖与不良的产妇和围产期结局之间存在关联。
