{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T19:52:06Z","timestamp":1792093926903,"version":"4.4.0"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,7,29]],"date-time":"2019-07-29T00:00:00Z","timestamp":1564358400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p>Obesity\u2010related complications have been identified across the entire childbearing journey. This study investigated changes in obesity prevalence and their impact on obstetric outcomes in a regional hospital in Victoria, Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All women delivering during 1 January 2010 and 31 December 2016 were eligible to participate. Trends over time and outcomes were assessed on body mass indices (<jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>). Incidences of complications were compared by <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> categories. The effect of obesity on hospital length of stay (LoS) was further assessed using the Generalised Estimating Equations approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the study period a total of 6661 women of whom 27.5% were overweight, and 16.1, 7.7, and 5.5% were respectively obese class I, class <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>, and class <jats:styled-content style=\"fixed-case\">III<\/jats:styled-content>, contributed to 8838 births. An increased trend over time in the prevalence of obesity (<jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\u00a0&gt;\u00a035.0) (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.041) and a decreased trend for vaginal deliveries for the whole sample (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.003) were found. Multiple adverse outcomes were associated with increasing maternal <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> including increased risk of gestational diabetes, gestational hypertension, preeclampsia, emergency caesarean section, shoulder dystocia, macrosomia, and admission to special care. The multivariable analysis showed no associations between LoS and <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Over a short period of seven years, this study provides evidence of a significant trend toward more obesity and fewer vaginal births in a non\u2010urban childbearing population, with increasing trends of poorer health outcomes. Assessing needs and risk factors tailored to this population is crucial to ensuring a model of care that safeguards a sustainable and effective regional maternity health service.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13035","type":"journal-article","created":{"date-parts":[[2019,7,29]],"date-time":"2019-07-29T07:28:44Z","timestamp":1564385324000},"page":"204-211","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Trends in obesity and impact on obstetric outcomes in a regional hospital in Victoria, Australia"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6501-7151","authenticated-orcid":false,"given":"Madeleine C.","family":"Ward","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Monash Health Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anju","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Women's &amp; Children's Services Bendigo Health Bendigo Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Bish","sequence":"additional","affiliation":[{"name":"Department of Rural Nursing and Midwifery La Trobe Rural Health School La Trobe University Bendigo Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"James","sequence":"additional","affiliation":[{"name":"Department of Women's &amp; Children's Services Bendigo Health Bendigo Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona","family":"Faulks","sequence":"additional","affiliation":[{"name":"Department of Women's &amp; Children's Services Bendigo Health Bendigo Victoria Australia"},{"name":"Department of Rural Nursing and Midwifery La Trobe Rural Health School La Trobe University Bendigo Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Pitson","sequence":"additional","affiliation":[{"name":"Department of Women's &amp; Children's Services Bendigo Health Bendigo Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Yuen","sequence":"additional","affiliation":[{"name":"Department of Women's &amp; Children's Services Bendigo Health Bendigo Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Mnatzaganian","sequence":"additional","affiliation":[{"name":"Department of Community and Allied Health La Trobe Rural Health School La Trobe University Bendigo Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,7,29]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Australian Institute of Health and Welfare (AIHW).National Maternity Data Development Project: Body Mass Index \u2013 Research brief no. 1.Canberra:AIHW 2016. 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