{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T19:33:38Z","timestamp":1778787218613,"version":"3.51.4"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,10,3]],"date-time":"2019-10-03T00:00:00Z","timestamp":1570060800000},"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":[[2020,6]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Obesity is prevalent in the Australian antenatal population, but there are scarce data on the prevalence and associated outcomes of body mass index (<jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>) \u226550\u00a0kg\/m<jats:sup>2<\/jats:sup>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To examine the prevalence and outcomes for women with <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> \u226550\u00a0kg\/m<jats:sup>2<\/jats:sup> delivering in a non\u2010tertiary hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Retrospective cohort study of women delivering a singleton pregnancy in a non\u2010tertiary Victorian hospital during 2011\u20132016. Women &gt;180\u00a0kg were excluded as their care was managed in a tertiary centre. Maternal and perinatal outcomes were analysed by <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> group. Statistical analysis was performed using \u03c7<jats:sup>2<\/jats:sup>, Kruskal\u2013Wallis and logistic regression with a significance level of 0.05.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 18\u00a0518 births between 2011 and 2016, 99.4% had a maternal <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> recorded. The prevalence of <jats:styled-content style=\"fixed-case\">BMI <\/jats:styled-content>\u226550\u00a0kg\/m<jats:sup>2<\/jats:sup> was 0.5%. Highest complication rates were observed among women with <jats:styled-content style=\"fixed-case\">BMI <\/jats:styled-content>\u226550\u00a0kg\/m<jats:sup>2<\/jats:sup>, including gestational diabetes (29%), hypertensive disorders of pregnancy (20%) and caesarean section (48%). Of infants born to women with <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> \u226550\u00a0kg\/m<jats:sup>2<\/jats:sup>, 12% were late\u2010pre\u2010term, 23% required special or intensive care and 20% had birth weight \u22654.0\u00a0kg. When compared with obese women with <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> 30\u201349\u00a0kg\/m<jats:sup>2<\/jats:sup>, women with <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> \u226550\u00a0kg\/m<jats:sup>2<\/jats:sup> were significantly more likely to develop a hypertensive disorder of pregnancy (preeclampsia adjusted odds ratio (<jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content>) 3.98 (1.93\u20138.18), pregnancy\u2010induced hypertension <jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content> 3.55 (1.79\u20137.03)) and deliver a late pre\u2010term infant (<jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content> 2.45 (1.31\u20134.58)).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The prevalence of severe maternal obesity in our non\u2010tertiary setting is higher than previous national estimates. Women with <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> \u226550\u00a0kg\/m<jats:sup>2<\/jats:sup> are an important subgroup of the obese obstetric population who experience high rates of complications and interventions. Health services need to respond to evolving needs of the antenatal population to achieve the best outcomes for mothers and babies.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13064","type":"journal-article","created":{"date-parts":[[2019,10,3]],"date-time":"2019-10-03T23:44:49Z","timestamp":1570146289000},"page":"361-368","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Maternal and perinatal outcomes for women with body mass index \u226550\u00a0kg\/m<sup>2<\/sup> in a non\u2010tertiary hospital setting"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2121-1259","authenticated-orcid":false,"given":"Anita","family":"Pratt","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology The Northern Hospital Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Howat","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology The Northern Hospital Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9720-3562","authenticated-orcid":false,"given":"Lisa","family":"Hui","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology The Northern Hospital Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,10,3]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja11.11120"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2006.tb00115.x"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2010.01272.x"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-015-0693-y"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12246"},{"issue":"7","key":"e_1_2_5_7_1","first-page":"606","article-title":"Maternal and perinatal outcomes of extreme obesity in pregnancy","volume":"35","author":"Crane JM","year":"2013","journal-title":"JOGC"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12174"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181da8f09"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-010667"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016341003657884"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2012.02.037"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-015-3921-9"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2010.02593.x"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja17.00344"},{"key":"e_1_2_5_16_1","unstructured":"World Health Organisation.Body Mass Index \u2013 BMI 2017. 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