Health Care Consumption during Pregnancy in relation to Maternal Body Mass Index: A Swedish Population Based Observational Study

Objective. To assess whether antenatal health care consumption is associated with maternal body mass index (BMI). Design. A register based observational study. Methods. The Swedish Medical Birth Register, the Maternal Health Care Register, and the Inpatient Register were used to determine antenatal...

Full description

Bibliographic Details
Main Authors: Elisabeth S. Lindholm, Daniel Altman, Margareta Norman, Marie Blomberg
Format: Article
Language:English
Published: Hindawi Limited 2015-01-01
Series:Journal of Obesity
Online Access:http://dx.doi.org/10.1155/2015/215683
id doaj-cfe9d77d844a49fb9f95e382fa6cd0a9
record_format Article
spelling doaj-cfe9d77d844a49fb9f95e382fa6cd0a92020-11-24T23:47:58ZengHindawi LimitedJournal of Obesity2090-07082090-07162015-01-01201510.1155/2015/215683215683Health Care Consumption during Pregnancy in relation to Maternal Body Mass Index: A Swedish Population Based Observational StudyElisabeth S. Lindholm0Daniel Altman1Margareta Norman2Marie Blomberg3Division of Obstetrics and Gynecology, Department of Clinical Science, Karolinska Institutet, 171 77 Stockholm, SwedenDivision of Obstetrics and Gynecology, Department of Clinical Science, Karolinska Institutet, 171 77 Stockholm, SwedenDivision of Obstetrics and Gynecology, Department of Clinical Science, Karolinska Institutet, 171 77 Stockholm, SwedenDepartment of Obstetrics and Gynecology and Department of Clinical and Experimental Medicine, Linköping University, 581 83 Linköping, SwedenObjective. To assess whether antenatal health care consumption is associated with maternal body mass index (BMI). Design. A register based observational study. Methods. The Swedish Medical Birth Register, the Maternal Health Care Register, and the Inpatient Register were used to determine antenatal health care consumption according to BMI categories for primiparous women with singleton pregnancies, from 2006 to 2008, n=71,638. Pairwise comparisons among BMI groups are obtained post hoc by Tukey HSD test. Result. Obese women were more often admitted for in-patient care (p<0.001), had longer antenatal hospital stays (p<0.001), and were more often sick-listed by an obstetrician (p<0.001) during their pregnancy, compared to women with normal weight women. Preeclampsia was more than four times as common, hypertension five times as common, and gestational diabetes 11 times as common when comparing in-patient care, obese to normal weight women (p<0.001 for all comparisons). Underweight mothers had longer stay in hospitals (p<0.05) and hydronephrosis and hyperemesis gravidarum were more than twice as common (both p<0.001). Conclusion. Obese and underweight mothers consumed significantly more health care resources and obese women were significantly more often sick-listed during their pregnancy when compared to pregnant women of normal weight.http://dx.doi.org/10.1155/2015/215683
collection DOAJ
language English
format Article
sources DOAJ
author Elisabeth S. Lindholm
Daniel Altman
Margareta Norman
Marie Blomberg
spellingShingle Elisabeth S. Lindholm
Daniel Altman
Margareta Norman
Marie Blomberg
Health Care Consumption during Pregnancy in relation to Maternal Body Mass Index: A Swedish Population Based Observational Study
Journal of Obesity
author_facet Elisabeth S. Lindholm
Daniel Altman
Margareta Norman
Marie Blomberg
author_sort Elisabeth S. Lindholm
title Health Care Consumption during Pregnancy in relation to Maternal Body Mass Index: A Swedish Population Based Observational Study
title_short Health Care Consumption during Pregnancy in relation to Maternal Body Mass Index: A Swedish Population Based Observational Study
title_full Health Care Consumption during Pregnancy in relation to Maternal Body Mass Index: A Swedish Population Based Observational Study
title_fullStr Health Care Consumption during Pregnancy in relation to Maternal Body Mass Index: A Swedish Population Based Observational Study
title_full_unstemmed Health Care Consumption during Pregnancy in relation to Maternal Body Mass Index: A Swedish Population Based Observational Study
title_sort health care consumption during pregnancy in relation to maternal body mass index: a swedish population based observational study
publisher Hindawi Limited
series Journal of Obesity
issn 2090-0708
2090-0716
publishDate 2015-01-01
description Objective. To assess whether antenatal health care consumption is associated with maternal body mass index (BMI). Design. A register based observational study. Methods. The Swedish Medical Birth Register, the Maternal Health Care Register, and the Inpatient Register were used to determine antenatal health care consumption according to BMI categories for primiparous women with singleton pregnancies, from 2006 to 2008, n=71,638. Pairwise comparisons among BMI groups are obtained post hoc by Tukey HSD test. Result. Obese women were more often admitted for in-patient care (p<0.001), had longer antenatal hospital stays (p<0.001), and were more often sick-listed by an obstetrician (p<0.001) during their pregnancy, compared to women with normal weight women. Preeclampsia was more than four times as common, hypertension five times as common, and gestational diabetes 11 times as common when comparing in-patient care, obese to normal weight women (p<0.001 for all comparisons). Underweight mothers had longer stay in hospitals (p<0.05) and hydronephrosis and hyperemesis gravidarum were more than twice as common (both p<0.001). Conclusion. Obese and underweight mothers consumed significantly more health care resources and obese women were significantly more often sick-listed during their pregnancy when compared to pregnant women of normal weight.
url http://dx.doi.org/10.1155/2015/215683
work_keys_str_mv AT elisabethslindholm healthcareconsumptionduringpregnancyinrelationtomaternalbodymassindexaswedishpopulationbasedobservationalstudy
AT danielaltman healthcareconsumptionduringpregnancyinrelationtomaternalbodymassindexaswedishpopulationbasedobservationalstudy
AT margaretanorman healthcareconsumptionduringpregnancyinrelationtomaternalbodymassindexaswedishpopulationbasedobservationalstudy
AT marieblomberg healthcareconsumptionduringpregnancyinrelationtomaternalbodymassindexaswedishpopulationbasedobservationalstudy
_version_ 1725487969829126144