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- W2941005200 abstract "Introduction: Maternal pre-pregnancy obesity is a known risk factor for pregnancy complications. Our study looks at the prevalence, ethnic distribution of maternal obesity, associations with maternal complications and the relevance of different BMI cut-offs in predicting complications. Design and Methods: A retrospective review of women followed up at Singapore General Hospital (SGH) over an eight-year period (2005-2012). World Health Organisation (WHO) international and Asian cut-offs for body mass index (BMI) was used. Multiple logistic regressions were applied to assess the association of maternal BMI with medical complications. Results and Discussion: We identified 8843 mothers with singleton pregnancies. The prevalence of obesity was 12.2%. This varies greatly between different ethnicities – from 4.6% among Chinese women, 17.2% among Indian women, to 21.5% among Malay women. Obesity is found to be strongly associated with existing diabetes mellitus (OR 7.81 [4.17-14.7]), essential hypertension (OR 13.9 [7.52-25.6]), gestational diabetes mellitus (OR 2.53 [1.99-3.22]) and hypertensive diseases of pregnancy. The risk of developing maternal and obstetric complications is high at a lower BMI. Hence, the lower Asian BMI cut-offs may be useful in identifying women at risk in our population. The varying incidence of different complications between ethnicities also warrants different cut-offs for each ethnicity. Conclusion: There is a high prevalence of obesity in our community with significant ethnic variations. It is important to identify obese mothers to be at an increased risk of having complications. A lower BMI cut-off may be recommended to better identify Asian women at risk." @default.
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- W2941005200 date "2016-06-21" @default.
- W2941005200 modified "2023-09-24" @default.
- W2941005200 title "Maternal Obesity: Prevalence, Outcomes and Evaluation of Body Mass Index Cut-Off Values in a Multi-Ethnic Asian Obstetric Population" @default.
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- W2941005200 doi "https://doi.org/10.33805/2638-812x.102" @default.
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