Table 4. Association between the mode of delivery and neonatal outcomes according to the evolution of BMI in the Atalah classification during prenatal care.
Outcomes | All Sample | Women with adequate BMI in the first prenatal visit | Women with overweight BMI in the last prenatal visit | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Stag | Incr | OR (CI 95%)* | Stag | Incr | OR (CI 95%)* | Stag | Incr | OR (CI 95%)* | ||||
n | n | n | n | n | n | |||||||
Mode of delivery | ||||||||||||
Vaginal | 333 | 81 | Ref | 148 | 43 | Ref | 82 | 19 | Ref | |||
C-section | 448 | 140 | 1.28 | (0.94–1.75) | 117 | 67 | 1.97 | (1.25–3.10) | 104 | 55 | 2.28 | (1.26–4.14) |
Gestational age at birth | ||||||||||||
≥ 37 | 741 | 209 | ref | 313 | 106 | Ref | 179 | 71 | Ref | |||
< 37 | 41 | 12 | 1.04 | (0.54–2.01) | 12 | 4 | 0.98 | (0.31–3.12) | 8 | 3 | 0.95 | (0.24–3.67) |
Newborn weight (g) | ||||||||||||
< 2,500 | 49 | 11 | 0.84 | (0.43–1.64) | 16 | 5 | 1.00 | (0.36–2.82) | 10 | 3 | 0.84 | (0.22–3.14) |
2500–3999 | 702 | 188 | Ref | 299 | 93 | Ref | 170 | 61 | Ref | |||
≥ 4000 | 49 | 18 | 1.37 | (0.78–2.41) | 7 | 9 | 4.13 | (1.50–11.40) | 2 | 9 | 12.54 | (2.64–59.67) |
Somatic neonatal age (weeks) | ||||||||||||
≥ 37 | 704 | 200 | Ref | 303 | 103 | Ref | 165 | 67 | Ref | |||
< 37 | 43 | 14 | 1.15 | (0.61–2.14) | 10 | 3 | 0.88 | (0.24–3.27) | 12 | 6 | 1.23 | (0.44–3.42) |
APGAR 1st minute | ||||||||||||
≥ 7 | 728 | 206 | Ref | 307 | 101 | Ref | 172 | 68 | Ref | |||
< 7 | 37 | 12 | 1.15 | (0.59–2.24) | 10 | 7 | 2.13 | (0.79–5.74) | 11 | 5 | 1.15 | (0.39–3.43) |
APGAR 5th minute | ||||||||||||
≥ 7 | 779 | 221 | Ref | 323 | 110 | Ref | 155 | 74 | Ref | |||
< 7 | 1 | 0 | 1.17 | (0.05–28.90) | 2 | 0 | 0.59 | (0.03–12.29) | 1 | 0 | 0.70 | (0.03–17.28) |
Newborn weight adequacy | ||||||||||||
SGA | 74 | 14 | 0.69 | (0.38–1.25) | 56 | 9 | 0.49 | (0.20–2.77) | 8 | 5 | 1.84 | (0.58–5.86) |
AGA | 670 | 184 | Ref | 385 | 126 | Ref | 171 | 58 | Ref | |||
LGA | 24 | 19 | 2.88 | (1.55–5.38) | 9 | 9 | 3.06 | (1.19–7.87) | 3 | 10 | 9.83 | (2.61–36.94) |
Abbreviations: AGA, adequate for gestational age; CI, confidence interval; Incr, increased; LGA, large for gestational age; OR, odds ratio; ref, reference level; SGA, small for gestational age; Stag, stagnant.