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- W3037817764 abstract "Abstract Purpose We determined the association between gestational weight gain and severe maternal morbidity. Methods We used data on 84,241 delivery hospitalizations at Magee-Womens Hospital, Pittsburgh, Pennsylvania (2003‒2012). Total gestational weight gain (kg) was converted to gestational age-standardized z-scores. We defined severe maternal morbidity as having ≥1 of the 21 Centers for Disease Control diagnosis or procedure codes for severe maternal morbidity identification, intensive care unit admission, or extended postpartum stay. We used multivariable logistic regression to determine the association between weight gain and severe maternal morbidity after confounder adjustment. Results High gestational weight gain z-scores were associated with an increased risk of severe maternal morbidity. Compared with z-score 0 SD (equivalent to 16 kg at 40 weeks in a normal weight woman), risk differences (95% confidence intervals) for z-scores -2 SD (7 kg), -1 SD (11 kg) +1 SD (23 kg), and +2 SD (31 kg) were 1.5 (-0.71, 3.7), 0.056 (-0.81, 0.93), 3.4 (1.7, 5.0), and 8.6 (4.0, 13) per 1000 deliveries. Results did not vary by gestational age at delivery or prepregnancy body mass index. Conclusions The increased risk of severe maternal morbidity with high pregnancy weight gain may allow scientists to understand and prevent this serious condition." @default.
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- W3037817764 date "2020-10-01" @default.
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- W3037817764 title "Excessive gestational weight gain is associated with severe maternal morbidity" @default.
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- W3037817764 doi "https://doi.org/10.1016/j.annepidem.2020.06.009" @default.
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