Maternal Body Mass Index and Amniotic Fluid Index in Late Gestation

2017 ◽  
Vol 37 (3) ◽  
pp. 561-568 ◽  
Author(s):  
Matthew J. Blitz ◽  
Burton Rochelson ◽  
Leah B. Stork ◽  
Stephanie Augustine ◽  
Meir Greenberg ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Amniotic Fluid ◽  
Body Mass ◽  
Late Gestation ◽  
Maternal Body Mass Index ◽  
Amniotic Fluid Index ◽  
Maternal Body

Effect of Maternal Body Mass Index and Amniotic Fluid Index on the Accuracy of Sonographic Estimation of Fetal Weight in Late Gestation

2018 ◽  
Vol 35 (13) ◽  
pp. 1235-1240 ◽  
Author(s):  
Burton Rochelson ◽  
Leah Stork ◽  
Stephanie Augustine ◽  
Meir Greenberg ◽  
Cristina Sison ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Amniotic Fluid ◽  
Body Mass ◽  
Fetal Weight ◽  
Maternal Body Mass Index ◽  
Amniotic Fluid Index ◽  
Maternal Body ◽  
Significant Difference ◽  
Substantial Error ◽  
Maternal Bmi

Objective The objective of this study was to determine the effect, if any, of maternal body mass index (BMI) and amniotic fluid index (AFI) on the accuracy of sonographic estimated fetal weight (EFW) at 40 to 42 weeks' gestation. Methods This was a retrospective cohort study of singleton gestations with ultrasound performed at 40 to 42 weeks from 2010 to 2013. In this study, patients with documented BMI and sonographic EFW and AFI, concurrently, within 7 days of delivery were included. Chronic medical conditions and fetal anomalies were excluded from this study. The primary variable of interest was the rate of substantial error in EFW, defined as absolute percentage error (APE) >10%. Results A total of 1,000 pregnancies were included. Overall, the APE was 6.0 ± 4.5% and the rate of substantial error was 17.4% (n = 174). There was no significant difference in APE or rate of substantial error between BMI groups. In the final multivariable logistic regression model, the rate of substantial error was increased in women with oligohydramnios (OR 1.79; 95% CI: 1.10–2.92). Furthermore, oligohydramnios was significantly more likely to overestimate EFW while polyhydramnios was more likely to underestimate EFW. Maternal BMI did not affect the accuracy of sonographic EFW. Conclusion Sonographic EFW may be affected by extremes of AFI in the postdates period. Maternal BMI does not affect EFW accuracy at 40 to 42 weeks.

268: Do maternal body mass index and amniotic fluid index affect the accuracy of sonographic estimation of fetal weight near delivery?

2017 ◽  
Vol 216 (1) ◽  
pp. S165
Author(s):  
Matthew J. Blitz ◽  
Leah B. Stork ◽  
Stephanie Augustine ◽  
Meir Greenberg ◽  
Cristina P. Sison ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Amniotic Fluid ◽  
Body Mass ◽  
Fetal Weight ◽  
Maternal Body Mass Index ◽  
Amniotic Fluid Index ◽  
Maternal Body

Adiponectin concentration in mid-trimester amniotic fluid varies with the α-amylase level and maternal and neonatal outcomes

2018 ◽  
Vol 46 (3) ◽  
pp. 317-321 ◽  
Author(s):  
Joseph Chervenak ◽  
Mio Sawai ◽  
Lamis El Kabab ◽  
Rahul Lohana ◽  
Daniel Skupski ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Preterm Birth ◽  
Amniotic Fluid ◽  
Body Mass ◽  
Subsequent Development ◽  
Amylase Level ◽  
Maternal Body Mass Index ◽  
Spontaneous Preterm Birth ◽  
Adiponectin Concentration ◽  
Maternal Body

Abstract Objective: Factors influencing intraamniotic adiponectin levels and their functional significance remain incompletely elucidated. We prospectively measured adiponectin in amniotic fluid and identified its associations with maternal parameters, mediators in amniotic fluid and pregnancy outcomes. Study design: Mid-trimester amniotic fluid from 571 women was tested for adiponectin, interleukin (IL)-6, IL-8 and α-amylase by enzyme-linked immunosorbant assay (ELISA), after which clinical data were obtained. Correlations between adiponectin and clinical or laboratory variables were analyzed by the Kruskal-Wallis, Mann-Whitney and Spearman rank correlation tests. Results: As compared to median levels in 462 women with a term delivery (7.8 ng/mL), adiponectin was elevated in 14 women who subsequently developed preterm premature rupture of membranes (pPROM) (17.3 ng/mL) and 24 women with an iatrogenic preterm birth (IPTB) (13.9 ng/mL) (P=0.0003), but not in 30 women who subsequently had a spontaneous preterm birth with intact membranes (8.1 ng/mL) (P>0.05). Median adiponectin was also elevated in 13 women whose babies developed fetal growth restriction (FGR) (20.6 ng/mL) (P=0.0055) and in 22 women whose babies had respiratory distress syndrome (RDS) (23.0 ng/mL) (P<0.0001). The adiponectin concentration was positively correlated with amylase (P=0.0089) and inversely correlated with maternal body mass index (P=0.0045). Conclusion: Adiponectin is a component of mid-trimester amniotic fluid and its concentration varies with maternal body mass index and subsequent development of pPROM, IPTB, FGR and RDS.

scholarly journals 373: Effect of maternal body mass index on inpatient postpartum opioid use

2019 ◽  
Vol 220 (1) ◽  
pp. S257
Author(s):  
Shelly Soni ◽  
Matthew J. Blitz ◽  
Lakha Prasannan ◽  
Meir Greenberg ◽  
Michael Qiu ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Maternal Body Mass Index ◽  
Opioid Use ◽  
Maternal Body

scholarly journals The effect of maternal body mass index on neonatal outcome in women receiving a single course of antenatal corticosteroids

2010 ◽  
Vol 202 (3) ◽  
pp. 263.e1-263.e5 ◽  
Author(s):  
Jason N. Hashima ◽  
Yinglei Lai ◽  
Ronald J. Wapner ◽  
Yoram Sorokin ◽  
Donald J. Dudley ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Neonatal Outcome ◽  
Maternal Body Mass Index ◽  
Antenatal Corticosteroids ◽  
Maternal Body

Impact of maternal body mass index on obstetric outcome

2007 ◽  
Vol 33 (5) ◽  
pp. 655-659 ◽  
Author(s):  
Meenakshi T. Sahu ◽  
Anjoo Agarwal ◽  
Vinita Das ◽  
Amita Pandey
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Maternal Body Mass Index ◽  
Obstetric Outcome ◽  
Maternal Body

Maternal body mass index as a risk factor for craniosynostosis

2010 ◽  
Vol 152A (11) ◽  
pp. 2895-2897 ◽  
Author(s):  
Sheree L. Boulet ◽  
Sonja A. Rasmussen ◽  
Margaret A. Honein
Keyword(s):  
Body Mass Index ◽  
Risk Factor ◽  
Body Mass ◽  
Maternal Body Mass Index ◽  
Maternal Body
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