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Obese women at increased risk of fetal loss after 20 weeks' gestation.(News)
RENO, NEV. -- Obese mothers have a higher risk of losing a fetus after 20 weeks' gestation than do nonobese women, even in the absence of diabetes and hypertension, D. Yvette LaCoursiere, M.D., and her colleagues reported at the annual meeting of the Society for Maternal-Fetal Medicine.
The findings, which indicate that this increased risk accelerates at term, suggest that a physician might want to routinely initiate twice-weekly nonstress testing at 38 weeks to monitor obese patients more closely, Dr. LaCoursiere, of the department of obstetrics and gynecology at the University of Utah, Salt Lake City, said in an interview.
On the other hand, this might not be feasible or practical given how many people are now obese in this country, she added.
The study, presented in poster form at the meeting, reviewed maternal medical data for body mass index (BMI), as well as birth and death certificate records in Utah from 1991 to 2001. It looked only at singleton pregnancies that were at 20 weeks' gestation or later.
Overall, the investigators found a fetal mortality of 4.9 deaths per 1,000 live births and fetal deaths. Fetal death rate was also assessed by ...
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