{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T10:26:58Z","timestamp":1782815218826,"version":"3.54.5"},"reference-count":15,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2013,6,7]],"date-time":"2013-06-07T00:00:00Z","timestamp":1370563200000},"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":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2013,9]]},"abstract":"Abstract<\/jats:title>\n \n We describe characteristics and risk factors regarding pregnancy outcome in women with a preconception body mass index (\n BMI<\/jats:styled-content>\n ) >50\u00a0kg\/m\n 2<\/jats:sup>\n compared with women with\n BMI<\/jats:styled-content>\n \u226450\u00a0kg\/m\n 2<\/jats:sup>\n in a retrospective population cohort study in singleton pregnancies from the Danish Medical Birth Registry. Results were analyzed as relative risks by a two\u2010proportion\n z<\/jats:italic>\n \u2010test. Women with preconception\n BMI<\/jats:styled-content>\n >50\u00a0kg\/m\n 2<\/jats:sup>\n smoked, developed gestational diabetes and pre\u2010eclampsia, and needed induction of labor more frequently than mothers with\n BMI<\/jats:styled-content>\n \u226450\u00a0kg\/m\n 2<\/jats:sup>\n . Examination of the case records showed that many attempted vaginal delivery without epidural analgesia, 21% needed an emergency cesarean section (compared with 12% among women with\n BMI<\/jats:styled-content>\n \u226450\u00a0kg\/m\n 2<\/jats:sup>\n ), and 25% underwent general anesthesia in this context. Many neonates were macrosomic and 34% needed neonatal intensive care and early feeding compared with 6% of neonates from women with\n BMI<\/jats:styled-content>\n \u226450\u00a0kg\/m\n 2<\/jats:sup>\n . Women with an extremely high preconception\n BMI<\/jats:styled-content>\n develop more pregnancy complications and their neonates appear affected by this as well.\n <\/jats:p>","DOI":"10.1111\/aogs.12174","type":"journal-article","created":{"date-parts":[[2013,5,16]],"date-time":"2013-05-16T04:08:42Z","timestamp":1368677322000},"page":"1111-1114","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Pregnancy outcomes in a cohort of women with a preconception body mass index >50\u00a0kg\/m\n 2<\/sup>"],"prefix":"10.1111","volume":"92","author":[{"given":"Barbara","family":"Bonnesen","sequence":"first","affiliation":[{"name":"Department of Gynecology and Obstetrics Holb\u00e6k Hospital Holb\u00e6k Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niels J.","family":"Secher","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology The Juliane Marie Centre University of Copenhagen Copenhagen Denmark"},{"name":"Department of Gynecology and Obstetrics Aarhus Universty Hospital Skejby Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars K.","family":"M\u00f8ller","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Hvidovre Hospital Hvidovre Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steen","family":"Rasmussen","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Odense University Hospital Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsten R.","family":"Andreasen","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Hvidovre Hospital Hvidovre Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristina","family":"Renault","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Odense University Hospital Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,6,7]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1280852"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2012.02.037"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181da8f09"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199312000-00011"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2010.06.022"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijoa.2008.07.013"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2044.2000.01536.x"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199702000-00002"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aem344"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(03)00861-5"},{"key":"e_1_2_6_12_1","unstructured":"International Classification of Diseases 10th Revision. Available online at:http:\/\/www.who.int\/classifications\/icd\/en\/(accessed 18 November 2012)."},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc08-2077"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.114.1.e29"},{"issue":"3","key":"e_1_2_6_15_1","first-page":"320","article-title":"The Danish Medical Birth Registry","volume":"45","author":"Knudsen LB","year":"1998","journal-title":"Dan Med Bull"},{"issue":"16","key":"e_1_2_6_16_1","first-page":"1079","article-title":"Overv\u00e6gtige gravide og komplikationer i relation til graviditet og f\u00f8dsel. [Obese pregnant women and complications in relation to pregnancy and birth]","volume":"174","author":"Vinter CA","year":"2012","journal-title":"Ugeskr Laeger"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Faogs.12174","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.12174","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T23:33:25Z","timestamp":1696462405000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/aogs.12174"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,6,7]]},"references-count":15,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2013,9]]}},"alternative-id":["10.1111\/aogs.12174"],"URL":"https:\/\/doi.org\/10.1111\/aogs.12174","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.3410\/f.718011042.793503142","asserted-by":"object"}]},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,6,7]]},"assertion":[{"value":"2013-04-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-05-10","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-06-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}