Table 5.
Adjusted odds ratios (95% CIs)* comparing adverse perinatal outcomes among women with obesity & women with morbid obesity, compared to women with no obesity (normal & overweight), stratified by maternal race/ethnicity
White | Black | Hispanic | Asian-American | ||
---|---|---|---|---|---|
GDM | Women with obesity | 3.07 (2.88 - 3.26) | 2.65 (2.27 - 3.10) | 2.42 (2.33 - 2.51) | 2.30 (2.06 - 2.58) |
Women with morbid obesity | 5.72 (5.16 - 6.33) | 4.52 (3.66 - 5.59) | 4.17 (3.88 - 4.48) | 2.48 (1.66 - 3.70) | |
Preeclampsia | Women with obesity | 2.31 (2.12 - 2.52) | 1.80 (1.53 - 2.12) | 1.75 (1.65 - 1.86) | 3.85 (3.16 - 4.69) |
Women with morbid obesity | 3.97 (3.43 - 4.61) | 2.48 (1.94 - 3.18) | 2.82 (2.51 - 3.17) | 3.67 (1.78 - 7.56) | |
Primary CD | Women with obesity | 2.05 (1.96 - 2.15) | 1.76 (1.60 - 1.94) | 1.76 (1.70 - 1.82) | 1.93 (1.71 - 2.19) |
Women with morbid obesity | 3.04 (2.76 - 3.35) | 2.36 (2.00 - 2.80) | 2.95 (2.73 - 3.18) | 2.92 (1.86 - 4.58) | |
PTB | Women with obesity | 1.19 (1.12 - 1.26) | 0.89 (0.80 - 1.00) | 1.03 (0.99 - 1.07) | 1.30 (1.12 - 1.51) |
Women with morbid obesity | 1.22 (1.07 - 1.39) | 0.96 (0.79 - 1.18) | 1.18 (1.08 - 1.29) | 1.36 (0.81 - 2.30) | |
Macrosomia | Women with obesity | 1.64 (1.57 - 1.72) | 1.61 (1.40 - 1.86) | 1.77 (1.71 - 1.84) | 2.57 (2.22 - 2.97) |
Women with morbid obesity | 2.16 (1.97 - 2.37) | 1.74 (1.37 - 2.20) | 2.40 (2.23 - 2.58) | 7.14 (4.93 - 10.36) | |
LBW | Women with obesity | 1.13 (1.03 - 1.23) | 0.95 (0.83 - 1.08) | 1.02 (0.97 - 1.08) | 1.15 (0.95 - 1.40) |
Women with morbid obesity | 1.24 (1.04 - 1.49) | 0.97 (0.77 - 1.22) | 0.91 (0.78 - 1.05) | 1.43 (0.75 - 2.74) |
Results in bold indicate statistical significance (P<0.05)
models controlled for advanced maternal age, maternal education (≥12 years versus <12), parity (nulliparous versus parous), public insurance status, and prenatal care initiation in 1st trimester.
GDM, gestational diabetes mellitus; CD, Cesarean delivery; PTB, preterm birth; LBW, low birth weight