BACKGROUND: Overweight and @entity28 is a serious health risk in both developed and developing nations. It is a common finding among @entity1 in their reproductive age. Half of @entity1 entering their pregnancy in the US have a BMI >25.0 and therefore qualify as overweight or @entity28 . Moreover, there is a tendency towards increased @entity1017 during pregnancy. Studies have shown that gestational overweight is associated with complications in pregnancy and birthing as well as short-term and long-term impacts on neonatal outcome in childhood and adulthood. METHODS: Five hundred and ninety-one @entity1 visiting our tertiary perinatal center in 2014 were analyzed for antenatal BMI, gestational @entity1017 , as well as pregnancy outcome and complication together with neonatal weight and outcome. Pregnancy @entity1017 was assessed based on the IOM guidelines (Institute of Medicine) issued in 2009. RESULTS: Twenty-nine percent of our population was overweight with a BMI of more than 25.0. The general @entity1017 was in every BMI group similar (median ranging from 12.0 to 14.0 kg). Approximately one third gained more than the appropriate amount (37%, P<0.001). @entity1 with more gestational weight were at risk of labor induction (55.0% vs. 45.7% labor induction in total, P=0.007). Strikingly, those @entity1 were found to have significantly higher rates of secondary cesarean section (22.4% vs. 15.4%) and decreased chances of spontaneous vaginal birth (57.5% vs. 61.4%) (P=0.008). Furthermore @entity1 with a pregnancy @entity1017 in excess of the guidelines gave birth to neonates with a higher birth weight (>75.centile, 28.3% vs. 21.3%, P<0.001). CONCLUSIONS: Altogether, one third of the analyzed population is already overweight or @entity28 when entering pregnancy. A higher gestational @entity1017 than the recommended amount was found in 37% of cases. We found an association with pregnancy and birthing complications as well as higher @entity1 weight. This highlights the importance of preconceptive and prenatal advice, and if necessary, intervention on BMI and @entity1017 .

Antenatal body mass index (BMI) and XXXX in pregnancy - its association with pregnancy and birthing complications.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'Women', 'infant'] @entity1017 :: ('MESH:D015430', 'Disease') :: ['weight gain'] @entity28 :: ('MESH:D009765', 'Disease') :: ['obese', 'obesity']
@entity1017 :: (MESH:D015430,Disease) :: ['weight gain']
