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Federación Mexicana de Ginecología y Obstetricia, A.C.

2017, Number 09

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Ginecol Obstet Mex 2017; 85 (09)

Relationship between low body mass index before pregnancy and the risk of preterm birth

Meléndez-González CV, Saldaña-Solórzano CF, González-Habib R, Tirán-Saucedo J

Language: Spanish
References: 9
Page: 589-594
PDF size: 350.85 Kb.


ABSTRACT

Objetive: To identify if there is a relationship between the low pre-conceptional body mass index and the risk of preterm delivery and / or PROM.
Materials and Methods: Analytical cross-sectional study was conducted with a random sample of 120 patients treated between January 2015 to January 2016. Patients were analyzed for age, body mass index, and weight gain during pregnancy, history of urinary tract infection, vaginal infections, threat of abortion and premature rupture of membranes. The analysis was performed using a generalized linear regression model to identify the influence of body mass index and the rest of the variables studied on the risk of preterm delivery.
Results: The generalized linear regression showed a statistically significant relationship between the pre gestational body mass index and the risk of preterm delivery. (R2 = 0.016, p = ‹0.001)
Conclusion: Body mass index influenced the risk of preterm delivery but not premature rupture of preterm membranes.


REFERENCES

  1. The American College of Obstetricians and Gynecologists. (2016). Management of preterm labor. ACOG Practice Bulletin, Número 159.

  2. The American College of Obstetricians and Gynecologists. (2016). Premature Rupture of Membranes. ACOG Practice Bulletin, Número 160.

  3. Cunningham G, et.al. Williams Obstetricia. México: Mc- Graw Hill. 2012;201-202, 205, 804-831.

  4. Carnero AM, Mejía CR, García PJ. Rate of gestational weight gain, pre-pregancy body mass index and preterm birth subtypes: a retrospective cohort study from Peru. BJOG 2012;119:924-935.

  5. Siega-Riz AM, Adair LS, Hobel CJ. Maternal underweight status and inadequate rate of weight gain during the third trimester of pregancy increases the risk of preterm delivery. J Nutr 1996;126(1):146-153.

  6. Savitz DA, Stein CR, Siega-Riz AM, Herring AH. Gestational Weight Gain and Birth Outcome in Relation to Prepregnancy Body Mass Index and Ethnicity. Ann Epidemiol 2011;21(2).78-85.

  7. World Health Organization. Body mass index – BMI [en línea]. Dirección URL: . [Consulta: 20 de mayo del 2016].

  8. Peduzzi P, Concato J, Kemper E, Holford TR, Feinstein AR. A simulation study of the number of events per variable in logistic regression analysis. J Clin Epidemiol 1996;49(12):1373-9.

  9. Walters SJ, Campbell MJ. The use of bootstrap methods for estimating sample size and analyzing health-related quality of life outcomes. Statistics in Medicine 2005;24:1075-1102.




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