nach oben

Archives of Gynecology and Obstetrics

Erschienen in:

01.10.2019 | Review

The impact of pre-pregnancy body mass index and gestational weight gain on placental abruption risk: a systematic review and meta-analysis

verfasst von: Akilew A. Adane, Carrington C. J. Shepherd, Faye J. Lim, Scott W. White, Brad M. Farrant, Helen D. Bailey

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 5/2019

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The aim of this systematic review was to evaluate the associations between pre-pregnancy body mass index and gestational weight gain and placental abruption.

Methods

Relevant studies were identified from PubMed, EMBASE, Scopus and CINAHL. Unpublished findings from analyses of linked population-based data sets from Western Australia (2012–2015, n = 114,792) were also included. Studies evaluating pre-pregnancy body mass index and/or gestational weight gain and placental abruption were included. Two independent reviewers evaluated studies for inclusion and quality. Data including odds ratios (ORs) and 95% confidence intervals (CIs) were extracted and analysed by random effects meta-analysis.

Results

21 studies were included, of which 15 were eligible for meta-analyses. The summary ORs for the association of being underweight, overweight and obese, and placental abruption, compared to normal weight women, were 1.4 (95% CI 1.1, 1.7), 0.8 (95% CI 0.8, 0.9) and 0.8 (95% CI 0.7, 0.9), respectively. These findings remained unchanged when each study was eliminated from the analysis and in subgroup analyses. Although data were scarce, women with gestational weight gain below the Institute of Medicine recommendations appeared to be at greater risk of abruption compared with women who had optimal weight gain.

Conclusions

Mothers that are underweight prior to or in early pregnancy are at a moderately increased risk of placental abruption.

Nur mit Berechtigung zugänglich

Ananth CV, Hansen AV, Williams MA et al (2017) Cardiovascular disease in relation to placental abruption: a population-based cohort study from Denmark. Paediatr Perinat Epidemiol 31:209–218PubMed

Ananth CV, Keyes KM, Hamilton A et al (2015) An international contrast of rates of placental abruption: an age-period-cohort analysis. PLoS One 10:e0125246PubMedPubMedCentral

Ananth CV, Oyelese Y, Yeo L et al (2005) Placental abruption in the United States, 1979 through 2001: temporal trends and potential determinants. Am J Obstet Gynecol 192:191–198PubMed

Ananth CV, Smulian JC, Vintzileos AM (1999) Incidence of placental abruption in relation to cigarette smoking and hypertensive disorders during pregnancy: a meta-analysis of observational studies. Obstet Gynecol 93:622–628PubMed

Anonymous (2016) Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19.2 million participants. Lancet 387:1377–1396

Audrain-Mcgovern J, Benowitz NL (2011) Cigarette smoking, nicotine, and body weight. Clin Pharmacol Ther 90:164–168PubMed

Avci ME, Şanlikan F, Çelik M et al (2015) Effects of maternal obesity on antenatal, perinatal and neonatal outcomes. J Maternal-Fetal Neonatal Med 28:2080–2083

Bhattacharya S, Campbell DM, Liston WA et al (2007) Effect of body mass index on pregnancy outcomes in nulliparous women delivering singleton babies. BMC Public HEALTH 7:168PubMedPubMedCentral

Bianco AT, Smilen SW, Davis Y et al (1998) Pregnancy outcome and weight gain recommendations for the morbidly obese woman. Obstet Gynecol 91:97–102PubMed

10.

Blumenfeld YJ, Baer RJ, Druzin ML et al (2014) Association between maternal characteristics, abnormal serum aneuploidy analytes, and placental abruption. Am J Obstet Gynecol 211:144.e141–149

11.

Boisrame T, Sananes N, Fritz G et al (2014) Placental abruption: risk factors, management and maternal-fetal prognosis. Cohort study over 10 years. Eur J Obstet Gynecol Reprod Biol 179:100–104PubMed

12.

Budde MP, De Lange TE, Dekker GA et al (2007) Risk factors for placental abruption in a socio-economically disadvantaged region. J Maternal-fetal Neonatal Med 20:687–693

13.

Cedergren MI (2004) Maternal morbid obesity and the risk of adverse pregnancy outcome. Obstet Gynecol 103:219–224PubMed

14.

Cheney K, Farber R, Barratt AL et al (2018) Population attributable fractions of perinatal outcomes for nulliparous women associated with overweight and obesity, 1990–2014. Med J Aust 208:119–125PubMed

15.

Christian P (1973S) Micronutrients and reproductive health issues: an international perspective. J Nutr 133:1969S–1973SPubMed

16.

Cucó G, Fernández-Ballart J, Sala J et al (2005) Dietary patterns and associated lifestyles in preconception, pregnancy and postpartum. Eur J Clin Nutr 60:364

17.

Denison FC, Norwood P, Bhattacharya S et al (2014) Association between maternal body mass index during pregnancy, short-term morbidity, and increased health service costs: a population-based study. BJOG Int J Obstet Gynaecol 121:72–81

18.

Deutsch AB, Lynch O, Alio AP et al (2010) Increased risk of placental abruption in underweight women. Am J Perinatol 27:235–240PubMed

19.

Ding XX, Xu SJ, Hao JH et al (2016) Maternal pre-pregnancy BMI and adverse pregnancy outcomes among Chinese women: Results from the C-ABCS. J Obstet Gynaecol 36:328–332PubMed

20.

Downes KL, Shenassa ED, Grantz KL (2017) Neonatal outcomes associated with placental abruption. Am J Epidemiol 186:1319–1328PubMedPubMedCentral

21.

Goldstein RF, Abell SK, Ranasinha S et al (2017) Association of Gestational Weight Gain With Maternal and Infant Outcomes: A Systematic Review and Meta-analysisAssociation of Gestational Weight Gain With Maternal and Infant OutcomesAssociation of Gestational Weight Gain With Maternal and Infant Outcomes. JAMA 317:2207–2225PubMedPubMedCentral

22.

Harris RJ, Deeks JJ, Altman DG et al (2008) Metan: fixed-and random-effects meta-analysis. The Stata Journal 8:3–28

23.

Higgins JP, Thompson SG, Deeks JJ et al (2003) Measuring inconsistency in meta-analyses. BMJ 327:557–560PubMedPubMedCentral

24.

Higgins J, Altman D, Sterne J (2008) on behalf of the Cochrane Statistical Methods Group and the Cochrane Bias Methods Group (editors). Chapter 8: Assessing risk of bias in included studies. Cochrane handbook for systematic reviews of interventions version 5

25.

Holman CD, Bass AJ, Rouse IL et al (1999) Population-based linkage of health records in Western Australia: development of a health services research linked database. Aust N Z J Public Health 23:453–459PubMed

26.

Hung TH, Chen SF, Hsu JJ et al (2015) Gestational weight gain and risks for adverse perinatal outcomes: a retrospective cohort study based on the 2009 Institute of Medicine guidelines. Taiwan J Obstet Gynecol 54:421–425PubMed

27.

Hung TH, Hsieh CC, Hsu JJ et al. (2007) Risk factors for placental abruption in an Asian population. Reprod Sci (Thousand Oaks, Calif.) 14:59–65

28.

Hung TH, Hsieh TT (2016) Pregestational body mass index, gestational weight gain, and risks for adverse pregnancy outcomes among Taiwanese women: a retrospective cohort study. Taiwan J Obstet Gynecol 55:575–581PubMed

29.

Institute of Medicine (Us) and National Research Council (Us) Committee to Reexamine Iom Pregnancy Weight Guidelines (2009) Weight gain during pregnancy; Reexamining the Guidelines. In: Rassmussen KM, Yaktine AL, Institute of Medicine, National Research Council (eds)The National Academic Press, Washington DC

30.

Liu X, Du J, Wang G et al (2011) Effect of pre-pregnancy body mass index on adverse pregnancy outcome in north of China. Arch Gynecol Obstet 283:65–70PubMed

31.

Marchi J, Berg M, Dencker A et al (2015) Risks associated with obesity in pregnancy, for the mother and baby: a systematic review of reviews. Obes Rev 16:621–638PubMed

32.

Moher D, Liberati A, Tetzlaff J et al (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ 339:b2535PubMedPubMedCentral

33.

Moola S, Munn Z, Tufanaru C et al (2017) Chapter 7: Systematic reviews of etiology and risk. Joanna Briggs Institute Reviewer's Manual, The Joanna Briggs Institute

34.

National Institute on Drug Abuse (2014) DrugFacts: Methamphetamine. http://www.assessmentpsychology.com/icbmi.htm

35.

Pariente G, Wiznitzer A, Sergienko R et al (2011) Placental abruption: critical analysis of risk factors and perinatal outcomes. J Maternal-fetal Neonatal Med 24:698–702

36.

Pink B (2011) Socio-economic indexes for areas (SEIFA). Australian Bureau of Statistics, Canberra

37.

Poston L, Caleyachetty R, Cnattingius S et al (2016) Preconceptional and maternal obesity: epidemiology and health consequences. Lancet Diabetes Endocrinol 4:1025–1036PubMed

38.

Royal College of Obstetricians and Gynaecologists (Rcog) (2011) Antepartum Haemorrhage: Green top Guideline No. 63. Royal College of Obstetrics & Gynaecology, London

39.

Salihu HM, Diamond E, August EM et al (2013) Maternal pregnancy weight gain and the risk of placental abruption. Nutr Rev 71(Suppl 1):S9–17PubMed

40.

Salihu HM, Lynch O, Alio AP et al (2009) Extreme obesity and risk of placental abruption. Hum Reprod (Oxford, England) 24:438–444

41.

Sayers A, Ben-Shlomo Y, Blom AW et al (2016) Probabilistic record linkage. Int J Epidemiol 45:954–964PubMed

42.

Scott-Pillai R, Spence D, Cardwell C et al (2013) The impact of body mass index on maternal and neonatal outcomes: a retrospective study in a UK obstetric population, 2004–2011. BJOG Int J Obstet Gynaecol 120:932–939

43.

Sebire NJ, Jolly M, Harris J et al (2001) Maternal obesity and pregnancy outcome: a study of 287 213 pregnancies in London. Int J Obes 25:1175

44.

Tikkanen M (2011) Placental abruption: epidemiology, risk factors and consequences. Acta Obstet Gynecol Scand 90:140–149PubMed

45.

Torheim LE, Ferguson EL, Penrose K et al (2058s) Women in resource-poor settings are at risk of inadequate intakes of multiple micronutrients. J Nutr 140:2051s–2058sPubMed

46.

Truong YN, Yee LM, Caughey AB et al (2015) Weight gain in pregnancy: does the Institute of Medicine have it right? Am J Obstet Gynecol 212:362.e361–368

47.

Vinturache A, Moledina N, Mcdonald S et al (2014) Pre-pregnancy Body Mass Index (BMI) and delivery outcomes in a Canadian population. BMC Pregnancy Childbirth 14:422PubMedPubMedCentral

48.

Voerman E, Santos S, Patro Golab B et al (2019) Maternal body mass index, gestational weight gain, and the risk of overweight and obesity across childhood: an individual participant data meta-analysis. PLoS Med 16:e1002744PubMedPubMedCentral

49.

Weiss JL, Malone FD, Emig D et al (2004) Obesity, obstetric complications and cesarean delivery rate—a population-based screening study. Am J Obstet Gynecol 190:1091–1097PubMed

50.

Williams MA, Lieberman E, Mittendorf R et al (1991) Risk factors for abruptio placentae. Am J Epidemiol 134:965–972PubMed

51.

World Health Organization (2006) Global database on body mass index. http://www.assessmentpsychology.com/icbmi.htm

52.

Zhou A, Xiong C, Hu R et al (2015) Pre-pregnancy BMI, gestational weight gain, and the risk of hypertensive disorders of pregnancy: a cohort study in Wuhan, China. PLoS One 10:e0136291PubMedPubMedCentral

Titel: The impact of pre-pregnancy body mass index and gestational weight gain on placental abruption risk: a systematic review and meta-analysis
verfasst von: Akilew A. Adane
Carrington C. J. Shepherd
Faye J. Lim
Scott W. White
Brad M. Farrant
Helen D. Bailey
Publikationsdatum: 01.10.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Gynecology and Obstetrics / Ausgabe 5/2019
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-019-05320-8

Neu im Fachgebiet Gynäkologie und Geburtshilfe

17.04.2024 | Postoperative nausea and vomiting | Nachrichten

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.

Newsletter bestellen

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

The impact of pre-pregnancy body mass index and gestational weight gain on placental abruption risk: a systematic review and meta-analysis

Abstract

Purpose

Methods

Results

Conclusions

Neu im Fachgebiet Gynäkologie und Geburtshilfe

Hochrisiko-Eingriffe für postoperative Übelkeit

Adjuvante Brustkrebstherapie: Doppelt hält besser

Manche Gestagene können das Risiko für Meningeome erhöhen

Stillende Frauen haben geringeres kardiovaskuläres Risiko

Update Gynäkologie

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 5/2019

Correction to: Laparoscopy versus open surgery for adnexal masses in pregnancy: a meta-analytic review

Prognostic factors in Krukenberg tumor

Primary yolk sac tumor of the endometrium: a case report and review of the literatures

Prophylactic abdominal aortic balloon occlusion in patients with pernicious placenta previa during cesarean section: a systematic review and meta-analysis from randomized controlled trials

The role of Kisspeptin levels in polycystic ovary syndrome: a systematic review and meta-analysis

Socioeconomic differences impact overall survival in advanced ovarian cancer (AOC) prior to achievement of standard therapy

Neu im Fachgebiet Gynäkologie und Geburtshilfe

Hochrisiko-Eingriffe für postoperative Übelkeit

Adjuvante Brustkrebstherapie: Doppelt hält besser

Manche Gestagene können das Risiko für Meningeome erhöhen

Stillende Frauen haben geringeres kardiovaskuläres Risiko

Update Gynäkologie