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Table 4 Model results (odds ratios) for neonatal outcomes by category of pre-pregnancy body mass index and gestational weight gain (GWG)

From: An evaluation of whether a gestational weight gain of 5 to 9 kg for obese women optimizes maternal and neonatal health risks

Pre-pregnancy body mass index

 

Obese I

  

Obese II

  

Obese III

 

Gestational weight gain

<  5 kg

5–9 kg

>  9 kg

<  5 kg

5–9 kg

>  9 kg

<  5 kg

5–9 kg

>  9 kg

Extremely low birth weight

4.4 (4.2, 4.6) a

2.4 (2.2, 2.5) a

2.5 (2.4, 2.6) a

4.3 (4.1, 4.6) a

2.6 (2.4, 2.8) a

3.2 (3.1, 3.4) a

4.5 (4.2, 4.7) a

2.8 (2.6, 3.1) a

4.0 (3.8, 4.3) a

Very low birth weight

3.2 (3.1, 3.3) a

2.0 (1.9, 2.1) a

2.1 (2, 2.1) a

3.1 (2.9, 3.2) a

2.1 (2.0, 2.2) a

2.6 (2.5, 2.7) a

3.2 (3.1, 3.4) a

2.3 (2.2, 2.5) a

3.2 (3.1, 3.3) a

Low birth weight

1.6 (1.5, 1.6) a

1.2 (1.2, 1.3) a

1.0 (1.0, 1.1) a

1.4 (1.4, 1.4) a

1.1 (1.1, 1.2) a

1.1 (1.1, 1.2) a

1.3 (1.3, 1.4) a

1.2 (1.2, 1.2) a

1.3 (1.3, 1.3) a

Macrosomia

1.1 (1.1, 1.1) a

1.5 (1.5, 1.5) a

2.6 (2.5, 2.6) a

1.5 (1.5, 1.5) a

2.0 (2.0, 2.0) a

3.1 (3.1, 3.1) a

1.9 (1.9, 2.0) a

2.6 (2.5, 2.6) a

3.6 (3.6, 3.6) a

Very pre-term birth

3.0 (2.9, 3.1) a

1.9 (1.8, 2.0) a

2.0 (1.9, 2.0) a

2.9 (2.8, 3.0) a

2.0 (1.9, 2.1) a

2.4 (2.3, 2.5) a

3.0 (2.9, 3.1) a

2.2 (2.0, 2.3) a

3.0 (2.9, 3.1) a

Pre-term birth

1.6 (1.6, 1.7) a

1.5 (1.5, 1.5) a

1.5 (1.4, 1.5) a

1.6 (1.6, 1.6) a

1.6 (1.5, 1.6) a

1.7 (1.7, 1.7) a

1.7 (1.7, 1.8) a

1.7 (1.7, 1.8) a

2.0 (2.0, 2.1) a

Low APGAR score

2.2 (2.1, 2.3) a

1.6 (1.5, 1.7) a

1.7 (1.6, 1.8) a

2.3 (2.2, 2.5) a

1.6 (1.5, 1.8) a

2.1 (2.0, 2.2) a

2.5 (2.4, 2.7) a

2.2 (2.0, 2.4) a

2.8 (2.7, 3.0) a

Admission to neonatal ICU

1.4 (1.4, 1.5) a

1.3 (1.3, 1.4) a

1.5 (1.5, 1.5) a

1.4 (1.4, 1.5) a

1.4 (1.4, 1.5) a

1.7 (1.7, 1.7) a

1.6 (1.6, 1.7) a

1.7 (1.7, 1.8) a

2.1 (2.1, 2.2) a

Ventilated for > 6 min

1.8 (1.7, 1.9) a

1.4 (1.3, 1.5) a

1.7 (1.6, 1.7) a

1.9 (1.8, 2.0) a

1.7 (1.6, 1.8) a

2.0 (1.9, 2.1) a

2.2 (2.1, 2.3) a

2.2 (2.1, 2.3) a

2.7 (2.6, 2.8) a

Neonatal mortality

2.5 (2.3, 2.7) a

1.6 (1.5, 1.7) a

1.6 (1.5, 1.6) a

2.4 (2.2, 2.6) a

1.6 (1.4, 1.7) a

1.8 (1.7, 1.9) a

2.5 (2.3, 2.7) a

1.9 (1.7, 2.1) a

2.2 (2, 2.3) a

  1. aOdds ratio is significantly elevated relative to ideal BMI and recommended weight gain