Table 5.

Effects of obesity on pregnancy outcomes

ConditionType of StudyEffect*
GDM (53)Meta-analysisOR, 2.14 (1.82–2.53)
OR, 3.56 (3.05–4.21)
OR, 8.56 (5.07–16.04)§
PIH (54)Meta-analysisOR, 2.5 (2.1–3.0)
OR, 3.2 (2.6–4.0)§
C-section (55)Population-based cohort studyRR, 2.6 (2.04–2.51)
RR, 3.38 (2.49–4.57)
Pre-eclampsia (53)Meta-analysisOR, 1.6 (1.1–2.25)
OR, 3.3 (2.4–4.5)§
Preeclampsia (56)Retrospective cohort studyOR, 7.2 (4.7–11.2)§
Induction of labor (56)Retrospective cohort studyOR, 1.8 (1.3–2.5)§
Postpartum hemorrhage (56)Population-based cohort studyOR, 1.5 (1.3–1.7)
Preterm delivery (<33 weeks) (56)Population-based cohort studyOR, 2.0 (1.3–2.9)
Stillbirth (57)Systematic review and meta-anaylsisOR, 1.47
RR, 2.07
Stillbirth (58)Population-based cohort studyOR, 2.8 (1.5–5.3)
Neonatal death (58)Population-based cohort studyOR, 2.6 (1.2–5.8)
  • * All odds ratio (OR) and relative risk (RR) are compared to normal weight pregnant women (body mass index [BMI] 18–25). Values in parentheses indicate 95% CI.

  • BMI 25–30.

  • BMI 30–35.

  • § BMI >35.

  • BMI >30. GDM, gestational diabetes mellitus. PIH, pregnancy-induced hypertension.