Maternal Obesity and the Risk of Stillbirth

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Obese women are twice as likely to experience stillbirth than those of normal weight. The association between the two is potentially confounded by a number of medical and social factors. Gestational diabetes, hypertensive disorders, placental dysfunction, metabolic syndrome, previous history of pregnancy loss, foetal abnormalities, suboptimal antenatal screening and post maturity are direct risk factors for still birth which are related to obesity. Factors such as age, nulliparity and social class are strongly related to both obesity and stillbirth and it is not always possible to confidently demonstrate an independent causal relationship between obesity and late pregnancy loss in their presence. Data from a single cohort study which adjusted for maternal age, smoking, alcohol, caffeine intake, height, parity, offspring gender, education, working and co-habitation status suggest a higher unexplained stillbirth rate in non-hypertensive, non-diabetic obese women. Strategies for the prevention of stillbirth are the focus of much ongoing research. There is little evidence to support the use of fetal movement counting, doppler studies, and fetal cardiotogography (CTG). Primary prevention of maternal obesity and encouraging women not to delay pregnancy have been suggested. Secondary prevention including weight management in pregnancy, risk scoring systems to highlight pregnancies at high risk for stillbirth and additional surveillance have all been suggested, but the evidence base underpinning these is far from robust. Raising the profile of adverse effects of maternal obesity on pregnancy outcomes including stillbirth is of vital importance to improving future maternal and offspring health.
Original languageEnglish
Title of host publicationObesity
EditorsTahir Mahmood, Sabaratnam Arulkumaran
PublisherElsevier Inc
Pages371-382
Number of pages12
ISBN (Print)9780124160453
DOIs
Publication statusPublished - 2013

Fingerprint

Stillbirth
Obesity
Mothers
Parity
Pregnancy
Weights and Measures
High-Risk Pregnancy
Fetal Movement
Reproductive History
Gestational Diabetes
Maternal Age
Primary Prevention
Pregnancy Outcome
Secondary Prevention
Caffeine
Prenatal Diagnosis
Social Class
Cohort Studies
Smoking
Alcohols

Keywords

  • maternal obesity
  • stillbirth
  • body mass index
  • pregnancy

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Black, M., & Bhattacharya, S. (2013). Maternal Obesity and the Risk of Stillbirth. In T. Mahmood, & S. Arulkumaran (Eds.), Obesity (pp. 371-382). [28] Elsevier Inc. https://doi.org/10.1016/B978-0-12-416045-3.00028-5

Maternal Obesity and the Risk of Stillbirth. / Black, Mairead; Bhattacharya, Siladitya.

Obesity. ed. / Tahir Mahmood; Sabaratnam Arulkumaran. Elsevier Inc, 2013. p. 371-382 28.

Research output: Chapter in Book/Report/Conference proceedingChapter

Black, M & Bhattacharya, S 2013, Maternal Obesity and the Risk of Stillbirth. in T Mahmood & S Arulkumaran (eds), Obesity., 28, Elsevier Inc, pp. 371-382. https://doi.org/10.1016/B978-0-12-416045-3.00028-5
Black M, Bhattacharya S. Maternal Obesity and the Risk of Stillbirth. In Mahmood T, Arulkumaran S, editors, Obesity. Elsevier Inc. 2013. p. 371-382. 28 https://doi.org/10.1016/B978-0-12-416045-3.00028-5
Black, Mairead ; Bhattacharya, Siladitya. / Maternal Obesity and the Risk of Stillbirth. Obesity. editor / Tahir Mahmood ; Sabaratnam Arulkumaran. Elsevier Inc, 2013. pp. 371-382
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