caa a22 4500 445310499 CHVBK 20180317142628.0 cr unu---uuuuu 170323e20111001xx s 000 0 eng 10.1007/s00404-010-1754-0 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1754-0 Pregnancy, obesity, gestational weight gain, and parity as predictors of peripartum complications [Elektronische Daten] [Everett Magann, Dorota Doherty, Suneet Chauhan, Jennifer Klimpel, Shannon Huff, John Morrison] Purpose: To determine if the best predictor of pregnancy complications is pre-pregnancy body mass index (BMI) alone or in combination with other factors. Methods: BMI and peripartum outcomes of singleton pregnancies were evaluated. Recursive partitioning and logistic regression modeling was used. Results: Of the 4,286 cohorts, 26% were obese (BMI >30kg/m2) and, compared to cohorts with normal weight, at risk for wound infections (P<0.001), and shoulder dystocia (P<0.001). High-risk patients (15%; BMI >32.5, parity, pregnancy weight gain of 28lb by 28weeks) were at increased risk for wound infection (P<0.001), endometritis (P<0.001), shoulder dystocia (P=0.001) and 5min Apgar score <4 (P<0.041) and at lower risk for pre-term delivery (P=0.007). Conclusions: Since BMI, parity, and weight gain until 28weeks together provide better prediction of peripartum complications than BMI alone, these characteristics can be used to triage and refer patients. Springer-Verlag, 2010 Pregnancy nationallicence Maternal obesity nationallicence Body mass index nationallicence Pregnancy complications nationallicence Magann Everett Departments of Obstetrics and Gynecology, University of Arkansas for the Medical Sciences, 4301 W. Markham St. Slot # 518, 72205, Little Rock, AR, USA aut Doherty Dorota School of Women's and Infants' Health, University of Western Australia, Perth, Australia aut Chauhan Suneet Eastern Virginia Medical School, Norfolk, VA, USA aut Klimpel Jennifer Naval Medical Center—Portsmouth, Portsmouth, VA, USA aut Huff Shannon University of Mississippi Medical Center, Jackson, MS, USA aut Morrison John University of Mississippi Medical Center, Jackson, MS, USA aut Archives of Gynecology and Obstetrics Springer-Verlag 284/4(2011-10-01), 827-836 0932-0067 284:4<827 2011 284 404 https://doi.org/10.1007/s00404-010-1754-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1754-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Magann Everett Departments of Obstetrics and Gynecology, University of Arkansas for the Medical Sciences, 4301 W. Markham St. Slot # 518, 72205, Little Rock, AR, USA aut NATIONALLICENCE 700 1- Doherty Dorota School of Women's and Infants' Health, University of Western Australia, Perth, Australia aut NATIONALLICENCE 700 1- Chauhan Suneet Eastern Virginia Medical School, Norfolk, VA, USA aut NATIONALLICENCE 700 1- Klimpel Jennifer Naval Medical Center—Portsmouth, Portsmouth, VA, USA aut NATIONALLICENCE 700 1- Huff Shannon University of Mississippi Medical Center, Jackson, MS, USA aut NATIONALLICENCE 700 1- Morrison John University of Mississippi Medical Center, Jackson, MS, USA aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 284/4(2011-10-01), 827-836 0932-0067 284:4<827 2011 284 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer