International Journal of Public Health
Volume 61, Issue 4, 2016, Pages 455-463

The association of pre-pregnancy overweight and obesity with delivery outcomes: a comparison of immigrant and non-immigrant women in Berlin, Germany (Article)

Reiss K. , Breckenkamp J.* , Borde T. , Brenne S. , Henrich W. , David M. , Razum O.
  • a Department of Epidemiology and International Public Health, Bielefeld School of Public Health (BiSPH), Bielefeld University, Bielefeld, Germany
  • b Department of Epidemiology and International Public Health, Bielefeld School of Public Health (BiSPH), Bielefeld University, Bielefeld, Germany
  • c Alice Salomon Hochschule Berlin, University of Applied Sciences, Berlin, Germany
  • d Department of Gynecology, Campus Virchow-Klinikum, Charité Universitätsmedizin Berlin, Berlin, Germany
  • e Department of Gynecology, Campus Virchow-Klinikum, Charité Universitätsmedizin Berlin, Berlin, Germany
  • f Department of Gynecology, Campus Virchow-Klinikum, Charité Universitätsmedizin Berlin, Berlin, Germany
  • g Department of Epidemiology and International Public Health, Bielefeld School of Public Health (BiSPH), Bielefeld University, Bielefeld, Germany

Abstract

Objectives: To analyse the influence of maternal overweight/obesity on delivery outcomes among first- and second-generation immigrant women and non-immigrant women. Methods: We used perinatal data from Berlin/Germany (n = 1987 first generation, n = 687 second generation, n = 2185 non-immigrants; gestational age: 24+ weeks; maternal age: 18+ years). Poisson models were fitted to estimate the effect of pre-pregnancy overweight/obesity (categorised according to WHO) on mode of delivery (vaginal vs. emergency caesarean section (ECS)) and labour onset (spontaneous vs. induced). Results: First generation, second generation and non-immigrant women were more likely to have their labour induced when obese [first generation: RR = 1.41 (95 % CI: 1.15–1.72); second generation: RR = 1.51 (95 % CI: 1.14–2.00); non-immigrants: RR = 1.53 (95 % CI: 1.28–1.81)] compared to normal weight. There were also indications of obese women being more likely to deliver by ECS than women of normal weight, irrespective of migrant status. Conclusions: An elevated RR for obese and in parts for overweight women of labour induction and ECS pertains irrespective of migrant status. This warrants further research looking into pathophysiological in addition to health-system factors. Weight control interventions addressed at overweight/obese women planning pregnancies are urgently needed. © 2016, Swiss School of Public Health (SSPH+).

Author Keywords

Pre-pregnancy BMI immigrants Induction of labour Emergency caesarean section Overweight/obesity

Index Keywords

Germany pregnancy complication Pregnancy Complications human Health Behavior Overweight statistics and numerical data obesity ethnology procedures Young Adult Humans migrant Adolescent labor induction Labor, Induced Emigrants and Immigrants female Socioeconomic Factors risk factor Risk Factors socioeconomics pregnancy obstetric delivery pregnancy outcome adult body mass Delivery, Obstetric Body Mass Index Berlin
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84966550424&doi=10.1007%2fs00038-016-0825-9&partnerID=40&md5=37332516d07755c363000315a2d1b028
DOI: 10.1007/s00038-016-0825-9
ISSN: 16618556
Cited by: 3
Original Language: English