New tab X BBE BIOSTATISTIC Module X PBE BIOSTATISTIC Module X pop *Unit 5 Assignment 4. > > Confidence Interval or X and Unit 5 Assignment 4.p X + X CA File | C:/Users/mluvh/OneDrive/Desktop/EEBCPBP1%20MODULE%204/Unit%205/Unit%205%20Assignment%204.pdf G 2 of 4 Q + [ Page view A Read aloud | ) Add text | \\ Draw ~ Highlight Erase dbirth Abstract Go to: Y Background Obesity is a serious medical condition affecting more than 30 % of Indiana, and 25 % of Unites States pregnant women. Obesity is related to maternal complications, and significantly impacts the health of pregnant women. The objective of this study was to describe the relationship between maternal complications and pre-pregnancy maternal weight. Methods Using logistic regression models, we analyzed 2008 to 2010 birth certificate data, for 255,773 live births abstracted from the Indiana Vital Statistics registry. We examined the risk of reproductive factors, obstetrical complications and perinatal (intrapartum) complications for underweight, healthy weight, overweight and obese women for this population. BMC Pregnancy Childbirth Results Women who received prenatal care were more likely to be obese [adjusted odds ratio (AOR) = 1.82 (1.56- 2.13)]. While women with parity of zero (0) were less likely to be obese [AOR = 0.89, 95 % CI (0.86- 0.91)]. Women giving birth to twins [AOR = 1.25, 95 % CI (1.17-1.33)], women delivering by Caesarian section [AOR = 2.31, 95 % CI ( 2.26-2.37)], and women who previously had a Caesarian section [AOR = 1.95, 95 % CI (1.88-2.02)] were more likely to be obese. There was evidence of metabolic like complication in this population, due to obesity. Obesity was significantly associated with obstetrical conditions of the metabolic syndrome, including pre-pregnancy diabetes, gestational diabetes, pre- pregnancy hypertension, pregnancy-induced hypertension and eclampsia [AOR =5.12, 95 % CI (4.47- 5.85); AOR = 3.87, 95 % CI (3.68-4.08); AOR = 7.66, 95 % CI (6.77-8.65); AOR = 3.23, 95 % CI (3.07- 3.39); and AOR = 1.77, 95 % CI (1.31-2.40), respectively. Maternal obesity modestly increased the risk of induction, epidural, post-delivery bleeding, and prolonged labor [AOR = 1.26, 95 % CI (1.23-1.29); AOR = 1.15, 95 % CI (1.13-1.18); AOR = 1.20, 95 % CI (1.12-1.28); and AOR = 1.44, 95 % CI (1.30-1.61)], respectively. Obese women were less likely to have blood transfusions [AOR = .74, 95 % CI (0.58-96)]. vaginal tears [AOR = 0.51, 95 % CI (0.44-0.59)]. or infections [AOR = 86, 95 % CI (0.80-0.93)]. BMC Pregnancy Childbirth Conclusions Our results suggest that maternal obesity in Indiana, like other populations in the USA, is associated with high risks of maternal complications for pregnant women. Pre-pregnancy obesity prevention efforts should focus on targeting children, adolescent and young women, if the goal to reduce the risk of maternal complications related to obesity, is to be reached. 13 C ENG 19:00 Clear US 2022/06/03 3New tab X PRE BIOSTATISTIC Module X D BIOSTATISTIC Module X pon *Unit 5 Assignment 4. > >Confidence Interval or X and Unit 5 Assignment 4.p X + X File | C:/Users/mluvh/OneDrive/Desktop/EEBCPBP1%20MODULE%204/Unit%205/Unit%205%20Assignment%204.pdf G . . PDF Set Microsoft Edge as the default application for reading PDF files? Set as default X 3 of 4 Q + Q [ Page view | A Read aloud T Add text | Draw " Highlight Erase | $ 8 Table 2 Pregnancy Childbirth Crude and adjusted odds ratios for overweight and obesity, compared to healthy weight, by reproductive factors of pregnancy for women delivering in Indiana 2008 through 2010 (n = 255,773) Overweight crude Overweight adjusted Obesity crude Obesity adjusted Odds ratio (95 % CT)" Odds ratio (95 % CT) Odds ratio (95 % CT) Odds ratio (95 % CI) Prenatal care Yes 1.11 (1.02-1.20) 1.28 (1.14-1.45) 1.41 (1.27-1.56) 1.82 (1.56-2.13) No Reference Reference Reference Reference Parity 0 0.81 (0.80-0.83) 0.89 (0.87-0.91) 0.74 (0.72-0.76) 0.89 (0.86-0.91) 1 Reference Reference Reference Reference 2 1.09 (1.06-1.12) 1.01 (0.98-1.04) 1.12 (1.09-1.16) 1.00 (0.97-1.04) 1.20 (1.17-1.24) 1.05 (1 02-1.09) 1.30 (1.26-1.35) 1.02 (0.98-1.06) BMC Pregnancy Childbirth Gestation type Singleton Reference Reference Reference Reference Twins 1.16 (1.10-1.22) 1.11 (1.05-1.18) 1.28 (1.21-1.35) 1.25 (1.17-1.33) Triplets 1.04 (0.82-1.30) 1.10 (0.87-1.39) 1.01 (0.78-1.30) 1.15 (0.87-1.52) More than 3 0.60 (0.26-1.39) 0.79 (0.34-1.84) 0.98 (0.44-2.19) 1.06 (0.38-2.96) Delivery type Vaginal Reference Reference Reference Reference Caesarian 1.41 (1.38-1.44) 1.40 (1.37-1.43) 2 34 (2.29-2.39) 2.31 (2.26-2.37) Vacuum 0.86 (0.81-0.90) 0.90 (0.85-0.95) 0.76 (0.71-0.81) 0.81 (0.76-0.87) Forceps 0.88 (0.78-0.99) 0.92 (0.81-1.05) 0.81 (0.70-0.94) 0.87 (0.74-1.02) Previous Caesarian section delivery BMC Pr Yes 1.47 (1.43-1.52) 1.38 (1.33-1.42) 2.15 (2.09-2.22) 1.95 (1.88-2.02) ENG 18:58 13 C OLD A 3 US 2022/06/03 Clear