Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Impact of Prepregnancy Body Mass Index on Pregnancy Outcome in Women with a Singleton Conceived by Assisted Reproductive Technology and Spontaneously Conceived Pregnancy: A Case-Control Study

생식보조술을 받은 산모와 자연임신한 산모에서 임신 전 체질량지수가 임신 결과에 미치는 영향

  • Kim, Ju-Hee (College of Nursing Science, Kyung Hee University) ;
  • Shin, Hye-Sook (College of Nursing Science, Kyung Hee University) ;
  • Park, Bo-Kyung (Cheil General Hospital & Women's Healthcare Center) ;
  • Yang, Kwang-Moon (Infertility, Cheil General Hospital & Women's Healthcare Center) ;
  • Lee, Young-Ho (Radiology, Cheil General Hospital & Women's Healthcare Center) ;
  • Ryu, Hyun-Mee (Maternal Fetal Medicine, Cheil General Hospital & Women's Healthcare Center)
  • 김주희 (경희대학교 대학원 간호학과) ;
  • 신혜숙 (경희대학교 간호과학대학) ;
  • 박보경 (제일병원 초음파실) ;
  • 양광문 (제일병원 불임생식내분비과) ;
  • 이영호 (제일병원 영상의학과) ;
  • 류현미 (제일병원 산부인과)
  • Received : 2012.02.18
  • Accepted : 2012.07.19
  • Published : 2012.08.31
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Abstract

Purpose: To compare and confirm the impact of prepregnancy body mass index on pregnancy outcome in women with a singleton conceived by assisted reproductive technology and spontaneously conceived pregnancy. Methods: A sample of 165 and 247 pregnant women with and without assisted reproductive technology were retrospectively recruited from electronic medical charts of C hospital. Results: There were significant differences between the two groups for maternal age, paternal age, length of marriage, prepregnancy body mass index, parity, spontaneous abortion experience, and preterm delivery. A prepregnancy body mass index of ${\geq}25$ was associated with higher risk for maternal and neonatal complication in the assisted reproductive technology group. Conclusion: The results indicate that a higher prepregnancy body mass index is associated with increased risks for adverse pregnancy outcomes for women using assisted reproductive technology. So these women need appropriate care to compensate for the risk.

Keywords

References

  1. Barau, G., Robillard, P., Hulsey, T. C., Dedecker, F., Laffite, A., Gerardin, P., et al. (2006). Linear association between maternal pre-pregnancy body mass index and risk of caesarean section in term deliveries. British Journal of Obstetrics and Gynecology, 1173-1177. http://dx.doi.org/10.1111/j.1471-0528.2006.01038.x
  2. Centers for Disease Control and Prevention. (2009). Assisted reproductive technology surveillance-United States, 2006. MMWR Surveillance Summery, 58, 1-25.
  3. Chen, Z., Du, J., Shao, L., Zheng, L., Wu, M., Ai, M., et al. (2010). Prepregnancy body mass index, gestational weight gain, and pregnancy outcomes in China. International Journal of Gynecology and Obstetrics, 109, 41-44. http://dx.doi.org/10.1016/j.ijgo.2009.10.015
  4. Catalano, P. M., & Ehrenberg, H. M. (2006). The short- and long- term implications of maternal obesity on the mother and her offspring. British Journal of Obstetrics and Gynecology, 113, 1126-1133. http://dx.doi.org/10.1111/j.1471-0528.2006.00989.x
  5. Dokras, A., Baredziak, L., Blaine, J., Syrop, C., VanVoorhis, B. J., & Sparks, A. (2006). Obstetric outcomes after in vitro fertilization in obese and morbidly obese women. Obstetrics and Gynecology, 108(1), 61-69. http://dx.doi.org/10.1097/01.AOG.0000219768.08249.b6
  6. Fedorcsak, P., Dale, P. O., Storeng, R., Ertzeid, G., Bjercke, S., Oldereid, N., et al. (2004). Impact of overweight and underweight on assisted reproduction treatment. Human Reproduction, 19, 2523-2528. http://dx.doi.org/10.1093/humrep/deh485
  7. Helmerhorst, F. M., Perquin, D. A. M., Donker, D., & Keirse, M. J. N. C. (2004). Perinatal outcome of singletons and twins after assisted conception: A systematic review of controlled studies. British Medical Journal, 328, 261. http://dx.doi.org/10.1136/bmj.37957.560278.EE
  8. Henningsen, A. A., Pinborg, A., Lidegaard, Q., Ves tergaard, C., Forman, J. L., & Andersen, A. N. (2011). Perinatal outcome of singleton siblings born after assisted reproductive technology and spontaneous conception: Danish national sibling-cohort study. Fertility and Sterility, 95(3), 959-963. http://dx.doi.org/10.1016/j.fertnstert.2010.07.1075
  9. Jackson, R. A., Gibdon, K. A., Wu, Y. W., & Croughan, M. S. (2004). Perinatal outcomes in singleton following in vitro fertilization: A meta-analysis. Obstetrics and Gynecology, 103, 551-563. https://doi.org/10.1097/01.AOG.0000114989.84822.51
  10. Koh, K. S. (1998). Gestational weight gain and perinatal outcomes by maternal body mass index. Journal of the Korean Society of Maternal and Child Health, 2(2), 171-180.
  11. Koh, K. S., & Park, C. H. (1997). The relationship between maternal body mass index, gestational weight gain patterns and preterm birth. Korean Journal of Obstetrics and Gynecology, 40(10), 2168-2177.
  12. Leung, T. Y., Leung, T. N., Sahota, D. S., Chan, O. K., Chan, L. W., Fung, T. Y., et al. (2008). Trends in maternal obesity and associated risks of adverse pregnancy outcomes in a population of Chinese women. British Journal of Obstetrics and Gynecology, 115, 1529-1537. http://dx.doi.org/10.1111/j.1471-0528.2008.01931.x
  13. Luke, B. (2011). The role of obesity in reproduction. Biennial Review of Infertility, 2, 35-42. http://dx.doi.org/10.1007/978-1-4419-8456-2_4
  14. Maheshwari, A., Stofberg, L., & Bhattacharya, S. (2007). Effect of overweight and obesity on assisted reproductive technology-A systematic review. Human Reproduction Update, 13(5), 433-444. http://dx.doi.org/10.1093/humupd/dmm017
  15. McDonald, S. D., Han, Z., Mulla, S., & Beyene, J. (2010). Overweight and obesity in mothers and risk of preterm birth and low birth weight infants: Systemic review and meta analyses. British Medical Journal, 341, 1-20. http://dx.doi.org/10.1136/bmj.c3428
  16. Metwally, M., Ong, K. I., Ledger, W. L., & Li, T. C. (2008). Does high body mass index increase the risk of miscarriage after spontaneous and assisted conception? A meta-analysis of the evidence. Fertility and Sterility, 90, 714-726. http://dx.doi.org/10.1016/j.fertnstert.2007.07.1290
  17. Ministry of Health and Welfare & Hanyang University. (2008). The study for social causative factors of infertility. Seoul: Author.
  18. Mutsaerts, M. A. Q., Groen, H., Bogt, N. C. W., Bolster, J. H. T., Land, J. A., Bemelmans, W. J. E., et al. (2010). The lifestyle study: Costs and effects of a structured lifestyle program in overweight and obese subfertile women to reduce the need for fertility treatment and improve reproductive outcome. A randomized controlled trial. British Medical Council, Women's Health, 10(22), 1-9. http://dx.doi.org/10.1186/1472-6874-10-22
  19. Reddy, U. M., Wapner, R. J., Rebar, R. W., & Tasca, R. J. (2007). Infertility, assisted reproductive technology, and adverse pregnancy outcomes. Obstetrics Gynecology, 109, 967-977. http://dx.doi.org/10.1097/01.AOG.0000259316.04136.30
  20. Romundstad, L. B., Romundstad, P., Sunde, A., During, V., Skjarven, R., Gunnel, D., et al. (2008). Effects of technology or maternal factors on perinatal outcome after assisted fertilization: A population-based cohort study. Lancet, 372, 737-743. http://dx.doi.org/10.1016/S0140-6736(08)61041-7
  21. Stothard, K. J., Tennant, P. W., Bell, R., & Rankin, J. (2009). Maternal overweight and obesity and the risk of congenital anomalies. A systematic review and meta-analysis. Journal of the American Medical Association, 301(6), 636-650. http://dx.doi.org/10.1001/jama.2009.113
  22. Tepper, N. K., Farr, S. L., Cohen, B. B., Nannini, A., Zhang, Z., Anderson, J. E., et al. (2012). Singleton preterm birth: Risk factors and association with assisted reproductive technology. Maternal Child Health Journal, 16(4), 807-813. http://dx.doi.org/10.1007/s10995-011-0787-8
  23. Veleva, Z., Tiitinen, A., Vilska, S., Hyden-Granskog, C., Tomas, C., Martikainen, H., et al. (2008). High and low BMI increase the risk of miscarriage after IVF/ICSI and FET. Human Reproduction, 23(4), 878-884. http://dx.doi.org/10.1093/humrep/den017
  24. Weiss, J. L., Malone, F. D., Emig, D., Ball, R. H., Nyberg, D. A., Comtock, C. H., et al. (2004). Obesity, obstetric complications and cesarean delivery rate- a population based screening study. American Journal of Obstetrics and Gynecology, 190, 1091-1097. http://dx.doi.org/10.1016/j.ajog.2003.09.058
  25. Wisborg, K., Ingerslev, H. J., & Henriksen, T. B. (2010). In vitro fertilization and preterm delivery, low birth weight, and admission to the neonatal intensive care unit: A prospective follow-up study. Fertility and Sterility, 94, 2102-2106. http://dx.doi.org/10.1016/j.fertnstert.2010.01.014
  26. World Health Organization. (2000). Obesity: Preventing and managing the global epidemic. WHO technical report series 894. Geneva, Switzerland: Author.

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