Résumé :
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[BDSP. Notice produite par INIST 58R0x9bm. Diffusion soumise à autorisation]. Objectives. This study examined the associations between prepregnancy weight and the risk of pregnancy complications and adverse outcomes among nulliparous women. Methods. We conducted a population-based cohort study with 96 801 Washington State birth certificates from 1992 to 1996. Women were categorized by body mass index. Multivariate logistic regression was performed. Results. The rate of occurrence of most of the outcomes incrased with increasing body mass index category. Compared with lean women, both overweight and obese women had a significantly increased risk for gestational diabetes, preeclampsia, eclampsia, csarean delivery, and delivery of a macrosomic infant. Conclusions. Among nulliarous women, not only prepregnancy obesity but also overweight increases the risk of pregnancy complications and adverse pregnancy outcomes.
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