{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T11:27:55Z","timestamp":1786361275842,"version":"build-2736575974"},"reference-count":27,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The body mass index (BMI, calculated as weight in kilograms divided by the square of height in meters) of the mother before pregnancy and the growth of weight during pregnancy are both important perinatal health determinants. The aim of the present study was to examine the association between the maternal BMI and obstetric and neonatal outcomes in Saudi Arabia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study was conducted among 1500 women who gave birth at King Abdulaziz Hospital, Al\u2010Ahsa, in 2022. A total of 343 pregnant women aged 18\u201345\u2009years met the inclusion criteria and were included in the present study. The BMI was determined using the Centers for Disease Control and Prevention (CDC) guidelines. The BMI was categorized into four groups, including underweight (less than 18.5), normal weight (18.5\u201324.9), overweight (25.0\u201329.9), and obese (\u2265\u200930). The relationship that existed between pre\u2010pregnancy BMI and neonatal outcome was evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The pre\u2010pregnancy mean pre\u2010pregnancy BMI was 27.17\u2009\u00b1\u20096.05. A total of 58% of the studied women were overweight or obese. The findings show significant correlations of pre\u2010pregnancy BMI and age, parity, hypothyroidism, and mode of delivery. The highest proportion of preterm births (25.8%) was found among obese mothers, whereas the highest proportion of normal\u2010weight infants (92%) was found among mothers with normal\u2010pre\u2010pregnancy BMI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Maternal pre\u2010pregnancy BMI was significantly associated with adverse neonatal outcomes, particularly at both extremes of BMI. These findings highlight the importance of achieving a healthy pre\u2010pregnancy weight to optimize maternal and neonatal health outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.71194","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T10:29:18Z","timestamp":1786357758000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association between maternal pre\u2010pregnancy body mass index and maternal and neonatal outcomes in Saudi Arabia: A\u00a0retrospective cohort study"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5983-0979","authenticated-orcid":false,"given":"Randa","family":"Elsayed","sequence":"first","affiliation":[{"name":"Nursing Department College of Nursing, King Saud Bin Abdulaziz University for Health Sciences  Al\u2010Ahsa Saudi Arabia"},{"name":"King Abdullah International Medical Research Center  Al\u2010Ahsa Saudi 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