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Selected Publication:

Giuliani, A; Tamussino, K; Basver, A; Haas, J; Petru, E.
The impact of body mass index and weight gain during pregnancy on puerperal complications after spontaneous vaginal delivery
WIEN KLIN WOCHENSCHR. 2002; 114(10-11): 383-386.
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Leading authors Med Uni Graz
Giuliani Albrecht
Co-authors Med Uni Graz
Haas Josef
Petru Edgar
Tamussino Karl
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Abstract:
Background: We studied the effect of the prepregnancy body mass index (BMI) and weight gain during pregnancy on the rate of puerperal complications after spontaneous vaginal delivery. Methods:This is a prospective cohort study of 11,114 women delivered spontaneously between 36 and 43 week's gestation at a university hospital, between January 1996 and December 2000, Postpartum complications were analyzed according to prepregnancy BMI category (low < 19.8; normal 19.8-26; high 26.1-29; obese > 29) and weight gain during pregnancy. Weight gain was defined as low, normal or high according to the National Academy of Science recommendations for BMI. Results: Overall, 7.3% women had complications. Anemia and readmission were significantly more common in lean women than in women with normal BMI (3.5% versus 2.6%; P=.021 and 1.0% versus 0.3%; P<.001, respectively). Obese women had significantly more infectious complications (especially urinary tract infection) than women with normal BMI (6.3% versus 3.8%; P=.005). Conclusions: These results suggest that obese women should be screened for puerperal urinary tract infection. Weight gain during pregnancy has no influence on puerperal complications.

Find related publications in this database (Keywords)
body mass index
weight gain
postpartum complication
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