Research Article

Maternal Prepregnancy Weight and Pregnancy Outcomes in Saudi Women: Subgroup Analysis from Riyadh Mother and Baby Cohort Study (RAHMA)

Table 2

The effects of prepregnancy BMI on maternal and neonatal outcomes.

Underweight
( kg/m2)
Normal
( kg/m2)
Overweight
(-29.9 kg/m2)
Obese
( kg/m2)
value

Gestation diabetes14 (13.5)251 (18.0)334 (21.4)593 (33.3)< 0.01
Hypertensive events0 (0.0)22 (1.1)29 (1.2)63 (2.6)< 0.01
Gestational age at delivery
 PTB (<34 weeks)6 (3.8)43 (2.1)26 (1.1)49 (2.0)0.01
 PTB (34-36 weeks)10 (6.4)146 (7.1)130 (5.6)124 (5.1)
 Full term (37-41 weeks)140 (89.7)1,879 (90.9)2,174 (93.3)2,256 (92.9)
Postdate delivery (> 41 weeks)0 (0.0)29 (1.4)39 (1.7)51 (2.1)0.11
Induction of labour19 (12.1)347 (16.7)392 (16.8)477 (19.6)<0.01
Failed induction of labour1 (0.06)41 (11.8)66 (16.8)91 (19.0)0.02
Mode of delivery
 Spontaneous vaginal delivery125 (80.6)1,619 (78.2)1,759 (75.7)1,642 (67.4)<0.01
 Instrumental delivery12 (7.7)111 (5.4)105 (4.5)92 (3.8)
 Elective caesarean section7 (4.5)102 (4.9)148 (6.8)305 (12.5)
 Emergency caesarean section11 (7.1)239 (11.9)303 (13.0)396 (16.3)
Maternal admission to ICU1 (0.6)10 (0.5)5 (0.2)9 (0.4)0.46
Apgar less than 7 at 5 minutes3 (1.9)27 (1.3)24 (1.0)32 (1.3)0.66
Stillbirth1 (0.6)14 (0.7)16 (0.7)16 (0.7)0.99
Birth weight (kg)
 Low birth weight (<2.5 kg)37 (23.6)240 (11.5)167 (7.1)171 (7.0)<0.01
 Macrosomia (≥4 kg)1 (0.6)24 (1.3)51 (2.3)125 (5.5)<0.01
Intrauterine growth restriction6 (3.8)40 (1.9)23 (1.0)23 (0.9)<0.01
NICU5 (3.2)73 (3.5)65 (2.8)98 (4.0)0.14

BMI: body mass index; ICU: intensive care unit; NICU: neonatal intensive care unit; PTB: preterm birth. Data expressed as (%) or the .