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

Am J Obstet Gynecol. 2010 Mar;202(3):263.e1-5. doi: 10.1016/j.ajog.2009.10.859. Epub 2009 Dec 22.

Abstract

Objective: The aim of this study was to determine the effect of maternal body mass index on the incidence of neonatal prematurity morbidities in those who receive corticosteroids.

Study design: This was a secondary analysis of a trial of corticosteroids in women at risk for preterm birth. Women receiving a single course of corticosteroids were classified by their prepregnancy body mass index (<25 and > or = 25) and compared on a composite outcome comprised of several neonatal morbidities and on each individual outcome.

Results: Of 183 eligible women, 96 (52.5%) had a body mass index of <25 and 87 (47.5%) had a body mass index of > or = 25. The composite outcome occurred more frequently in the body mass index of > or = 2 5 group (28.7%), compared with those with a body mass index of <25 (18.8%), although this was not statistically significant (odds ratio, 1.75; 95% confidence interval, 0.83-3.72). Body mass index was not associated with outcomes after adjusting for confounding.

Conclusion: Maternal body mass index did not affect neonatal prematurity morbidities in those receiving corticosteroids.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adrenal Cortex Hormones / therapeutic use*
  • Adult
  • Betamethasone / therapeutic use
  • Body Mass Index*
  • Bronchopulmonary Dysplasia / epidemiology
  • Bronchopulmonary Dysplasia / prevention & control
  • Dexamethasone / therapeutic use
  • Enterocolitis, Necrotizing / epidemiology
  • Enterocolitis, Necrotizing / prevention & control
  • Female
  • Humans
  • Infant, Newborn
  • Infant, Premature*
  • Infant, Premature, Diseases / epidemiology*
  • Infant, Premature, Diseases / prevention & control*
  • Injections, Intramuscular
  • Intracranial Hemorrhages / epidemiology
  • Intracranial Hemorrhages / prevention & control
  • Leukomalacia, Periventricular / epidemiology
  • Leukomalacia, Periventricular / prevention & control
  • Obesity / epidemiology
  • Pregnancy
  • Respiratory Distress Syndrome, Newborn / epidemiology
  • Respiratory Distress Syndrome, Newborn / prevention & control
  • Retinopathy of Prematurity / epidemiology
  • Retinopathy of Prematurity / prevention & control

Substances

  • Adrenal Cortex Hormones
  • Dexamethasone
  • Betamethasone

Grants and funding