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Maternal obesity and fetal deaths: Results from the Brazilian cross-sectional demographic health survey, 2006

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dc.contributor.author Felisbino-Mendes, M.S.
dc.contributor.author Matozinhos, F.P.
dc.contributor.author Miranda, J. Jaime
dc.contributor.author Villamor, E.
dc.contributor.author Velasquez-Melendez, G.
dc.date.accessioned 2020-06-10T18:11:31Z
dc.date.available 2020-06-10T18:11:31Z
dc.date.issued 2014
dc.identifier.uri https://hdl.handle.net/20.500.12866/7968
dc.description.abstract Background: Obesity is highly related to negative reproductive health outcomes, but its relationship with spontaneous abortion and stillbirth remains to be understood, especially in transitioning economies. This study aimed to examine the relationship between obesity and spontaneous abortions and stillbirths in a representative sample of the Brazilian population.Methods: Cross-sectional study using secondary data of Brazilian women of reproductive age (15-45 years old) from the National Demographic and Health Survey in 2006. Obesity was measured by body mass index (BMI), waist circumference (WC) and waist-to-height ratio (WHR). Logistic regression modeling of the survey data was used to evaluate the relationship between obesity and the study outcomes.Results: The three obesity markers used were found to be strongly and positively associated with spontaneous abortion and stillbirth occurrence. In the adjusted models, there was strong evidence that for each unit increase in BMI (OR = 1.05; 95%CI: 1.02-1.08) and WHR (OR = 1.32; 95%CI: 1.03-1.69), the odds of having a spontaneous abortion was higher. In addition, compared to those of optimal weight, obese women were more likely to have negative outcomes. Maternal age, parity, skin color, educational level and household income were important covariates for adjustment. A sensitivity analysis among women who had only one pregnancy was also performed and showed similar results.Conclusion: Obesity is potentially associated with an increased risk of spontaneous abortion and stillbirth in a representative sample of the Brazilian population. These findings are in accordance with previous studies and thus reinforce the need for obstetric care providers to counsel obese reproductive-age women regarding the risks, complications and importance of weight loss and weight control prior to pregnancy. en_US
dc.language.iso eng
dc.publisher BioMed Central
dc.relation.ispartofseries BMC Pregnancy and Childbirth
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Adolescent en_US
dc.subject Adult en_US
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Young Adult en_US
dc.subject Brazil en_US
dc.subject Cross-Sectional Studies en_US
dc.subject Pregnancy en_US
dc.subject Prevalence en_US
dc.subject Body mass index en_US
dc.subject Obesity en_US
dc.subject obesity en_US
dc.subject Body Height en_US
dc.subject body mass en_US
dc.subject human en_US
dc.subject Waist circumference en_US
dc.subject adult en_US
dc.subject cross-sectional study en_US
dc.subject female en_US
dc.subject middle aged en_US
dc.subject young adult en_US
dc.subject major clinical study en_US
dc.subject adolescent en_US
dc.subject article en_US
dc.subject maternal obesity en_US
dc.subject smoking en_US
dc.subject educational status en_US
dc.subject Health Surveys en_US
dc.subject Body Mass Index en_US
dc.subject Waist Circumference en_US
dc.subject Abortion, Spontaneous en_US
dc.subject body weight en_US
dc.subject skin color en_US
dc.subject sensitivity analysis en_US
dc.subject parity en_US
dc.subject maternal age en_US
dc.subject waist circumference en_US
dc.subject waist to height ratio en_US
dc.subject abortion en_US
dc.subject spontaneous abortion en_US
dc.subject stillbirth en_US
dc.subject fetus death en_US
dc.subject Spontaneous abortion en_US
dc.subject Stillbirth en_US
dc.title Maternal obesity and fetal deaths: Results from the Brazilian cross-sectional demographic health survey, 2006 en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1186/1471-2393-14-5
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.03
dc.relation.issn 1471-2393


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