Table 4.
Maternal and Neonatal Outcomes by Gestational Age at Screening with Obesity
Early Screen (n=37) | No Early Screen (n=375) | p | OR (95% CI) | |
---|---|---|---|---|
Maternal Outcomes | ||||
Any Cesarean | 17 (46%) | 180 (48%) | 0.81 | 0.83 (0.38–1.78)* |
Primary Cesarean | 8/20 (40%) | 99/294 (34%) | 0.58 | 0.59 (0.24–1.46) † |
Preeclampsia | 9 (24%) | 88 (23%) | 0.91 | 0.78 (0.29–2.13) ‡ |
A2 Diabetes | 22 (59%) | 188 (50%) | 0.28 | 0.91 (0.35–2.36) § |
Insulin | 9 (24%) | 18 (5%) | <0.01 | 5.40 (1.26–23.21) ‡ |
Neonatal Outcomes | ||||
Birth weight (g) | 3254 ± 1072 | 3395 ± 709 | 0.27 | - |
Macrosomia | 7 (19%) | 64 (17%) | 0.77 | 1.16 (0.48–2.78) || |
Large for Gestational Age | 7 (19%) | 75 (20%) | 0.88 | 0.91 (0.38–2.18) || |
Small for Gestational Age | 1 (3%) | 29 (8%) | 0.26 | 0.25 (0.03–1.94)¶ |
Birth Injury | 1 (3%) | 12 (3%) | 0.91 | - |
Gestational age at Delivery (wks) | 37.2 ± 4.8 | 38.5 ± 2.0 | <0.01 | - |
Preterm Delivery <37 wks | 9 (24%) | 61(16%) | 0.21 | 1.43 (0.63–3.27) ** |
Data presented as % or mean ± standard deviation, as appropriate
Adjusted for prior cesarean
Adjusted for prior vaginal delivery
Adjusted for chronic hypertension, fasting value on 3-hour GTT
Adjusted for glucose challenge test, fasting value on 3-hour GTT
Adjusted for prior macrosomic infant, chronic hypertension
Adjusted for chronic hypertension, nulliparity
Adjusted for chronic hypertension, prior preterm delivery
-Logistic regression not performed due to small sample size or continuous variable