BACKGROUND: Obesity is a serious medical condition affecting more than 30  % of Indiana, and 25  % of Unites States pregnant @entity1 . Obesity is related to maternal complications, and significantly impacts the health of pregnant @entity1 . The objective of this study was to describe the relationship between maternal complications and pre-pregnancy maternal weight. METHODS: Using logistic regression models, we analyzed 2008 to 2010 birth certificate data, for 255,773 live births abstracted from the Indiana Vital Statistics registry. We examined the risk of reproductive factors, @entity532 and perinatal (intrapartum) complications for underweight, healthy weight, overweight and @entity28 @entity1 for this population. RESULTS: @entity1 who received prenatal care were more likely to be @entity28 [adjusted odds ratio (AOR)   =   1.82 (1.56-2.13)]. While @entity1 with parity of zero (0) were less likely to be @entity28 [AOR   =   0.89, 95  % CI (0.86-0.91)]. @entity1 giving birth to twins [AOR   =   1.25, 95  % CI (1.17- 1.33)], @entity1 delivering by Caesarian section [AOR   =   2.31, 95  % CI ( 2.26-2.37)], and @entity1 who previously had a Caesarian section [AOR   =   1.95, 95  % CI (1.88-2.02)] were more likely to be @entity28 . There was evidence of metabolic like complication in this population, due to @entity28 . Obesity was significantly associated with obstetrical conditions of the @entity209 , including pre-pregnancy @entity6 , pre-pregnancy @entity101 , pregnancy-induced @entity101 and @entity3036 [AOR   =   5.12, 95  % CI (4.47-5.85); AOR   =   3.87, 95  % CI (3.68-4.08); AOR   =   7.66, 95  % CI (6.77-8.65); AOR   =   3.23, 95  % CI (3.07-3.39); and AOR   =   1.77, 95  % CI (1.31-2.40), respectively. @entity28 modestly increased the risk of induction, epidural, @entity548 , and @entity1162 [AOR   =   1.26, 95  % CI (1.23-1.29); AOR   =   1.15, 95  % CI (1.13-1.18); AOR   =   1.20, 95  % CI (1.12-1.28); and AOR   =   1.44, 95  % CI (1.30-1.61)], respectively. Obese @entity1 were less likely to have blood transfusions [AOR   =   .74, 95  % CI (0.58-96)], vaginal tears [AOR   =   0.51, 95  % CI (0.44-0.59)], or infections [AOR   =   86, 95  % CI (0.80-0.93)]. CONCLUSIONS: Our results suggest that maternal @entity28 in Indiana, like other populations in the USA, is associated with high risks of maternal complications for pregnant @entity1 . Pre-pregnancy @entity28 prevention efforts should focus on targeting @entity1 , adolescent and young @entity1 , if the goal to reduce the risk of maternal complications related to @entity28 , is to be reached.

Relationship between maternal @entity28 and prenatal, XXXX , obstetrical and perinatal complications of pregnancy in Indiana, 2008-2010.

@entity1 :: ('9606', 'Species') :: ['women', 'children', 'Women'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertension'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetes, gestational diabetes'] @entity28 :: ('MESH:D009765', 'Disease') :: ['obese', 'Maternal obesity', 'obesity'] @entity548 :: ('MESH:D006470', 'Disease') :: ['post-delivery bleeding'] @entity532 :: ('MESH:D003925', 'Disease') :: ['obstetrical complications'] @entity3036 :: ('MESH:D004461', 'Disease') :: ['eclampsia'] @entity209 :: ('MESH:D008659', 'Disease') :: ['metabolic syndrome'] @entity1162 :: ('MESH:D008133', 'Disease') :: ['prolonged labor']
@entity209 :: (MESH:D008659,Disease) :: ['metabolic syndrome']
