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Pregnancy care and birth outcomes for women with moderate to super-extreme obesity.
- Source :
-
Women and birth : journal of the Australian College of Midwives [Women Birth] 2013 Sep; Vol. 26 (3), pp. 179-84. Date of Electronic Publication: 2013 Jun 05. - Publication Year :
- 2013
-
Abstract
- Purpose: To describe the health service utilisation and birth outcomes of pregnant women with moderate to super-extreme obesity.<br />Background: Maternal obesity is increasingly recognised as a key risk factor for adverse outcomes for both women and their babies. Little is known about the service utilisation and perinatal outcomes of women with obesity beyond a body mass index of 40.<br />Method: Women with a self-reported pre-pregnancy BMI of 40 or more, who had received care and birthed a baby at the study site between 1 January 2009 and 31 December 2010. Clinical audit was used to identify the health service utilisation and birth outcomes of these women.<br />Results: 153 women had a BMI of 40 or more. Women saw 6 different health professionals during pregnancy (1-16). Most of their visits were with a medical practitioner, often with limited experience, and almost all women only saw a midwife once at their booking visit (n=150, 98.0%). While the majority of women experienced a normal pregnancy, free from any complications, almost half the women in this study experienced a caesarean section (n=74, 48.4%).<br />Conclusion: Clinical audit has been useful in providing additional information which suggests current maternity care provision is not meeting the needs of this group of women. The model of antenatal care provision may be a mediating factor in the birth outcomes experienced by obese women. The development of effective, targeted antenatal care, designed to meet the needs of these women is recommended.<br /> (Copyright © 2013 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.)
- Subjects :
- Adult
Australia
Body Mass Index
Cesarean Section
Clinical Audit
Diabetes, Gestational epidemiology
Female
Humans
Labor, Obstetric
Pregnancy
Prenatal Care methods
Risk Factors
Socioeconomic Factors
Stillbirth
Obesity complications
Pregnancy Complications etiology
Pregnancy Outcome
Prenatal Care statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1878-1799
- Volume :
- 26
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Women and birth : journal of the Australian College of Midwives
- Publication Type :
- Academic Journal
- Accession number :
- 23746783
- Full Text :
- https://doi.org/10.1016/j.wombi.2013.05.001