A retrospective study of the pregnancy, delivery and neonatal outcome in overweight versus normal weight women with polycystic ovary syndrome
- PMID: 24963163
- DOI: 10.1093/humrep/deu154
A retrospective study of the pregnancy, delivery and neonatal outcome in overweight versus normal weight women with polycystic ovary syndrome
Abstract
Study question: Do overweight women with polycystic ovary syndrome (PCOS) have a higher risk of perinatal complications than normal weight women with PCOS?
Summary answer: Overweight women with PCOS with an ongoing singleton pregnancy have an increased risk of preterm birth as well as an increased risk of giving birth to a baby with a higher birthweight than normal weight women with PCOS.
What is known already: There is evidence that overweight (BMI > 25 kg/m²) has a negative influence on the prevalence of gestational diabetes mellitus and fetal macrosomia in women with PCOS.
Study design, size, duration: We set up a retrospective comparative cohort study of 93 overweight (BMI ≥ 25 kg/m²) and 107 normal weight (BMI < 25 kg/m²) women with PCOS who were scheduled for fertility treatment between January 2000 and December 2009 and achieved a pregnancy as a result of a treatment cycle, or spontaneously before or between treatment cycles.
Participants/materials, setting, methods: All data (patient characteristics, medical information, pregnancy, delivery and neonatal outcome) were retrieved from patient medical files. All pregnancy, delivery and neonatal outcome parameters were adjusted for age and pre-pregnancy smoking behaviour. The neonatal outcome parameters were additionally adjusted for gestational age.
Main results and the role of chance: The median BMI in the overweight and normal weight women was, respectively, 30.8 kg/m² [interquartile quartile range (IQR) 5.8] and 20.9 kg/m² (IQR 2.3) (P < 0.001). Baseline characteristics did not differ between groups, except for free testosterone and fasting insulin levels, which were higher, and sex hormone-binding globulin, which was lower, in overweight versus normal weight women (all P < 0.001). The time-to-pregnancy was significantly higher in the overweight group (P = 0.01). Multivariate analyses of the ongoing singleton pregnancies showed significantly more preterm births in overweight (10/61) versus normal weight (2/71) women [adjusted odds ratio 0.1, 95% confidence interval (CI) 0-0.6, P = 0.01]. The mean birthweight of newborns was significantly higher in overweight (3386 ± 663 g) than in normal weight (3251 ± 528 g) women (adjusted mean difference 259.4, 95% CI 83.4-435.4, P = 0.004).
Limitations, reason for caution: Our results only represent the pregnancy, delivery and neonatal outcome of ongoing singleton pregnancies. The rather small sample size and observational nature of the study are further limitations.
Wider implications of the findings: Our results suggest the importance of pre-pregnancy weight loss in overweight women with PCOS in order to reduce the risk of adverse perinatal outcomes.
Study funding/competing interests: Veerle De Frène is holder of a Special PhD Fellowship by the Flemish Foundation for Scientific Research (FWO-Vlaanderen). Petra De Sutter is holder of a fundamental clinical research mandate by the Flemish Foundation for Scientific Research (FWO-Vlaanderen). There are no competing interests.
Keywords: delivery; newborn; overweight; polycystic ovary syndrome; pregnancy complications.
© The Author 2014. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oup.com.
Similar articles
-
Obstetric and neonatal outcome of ART in patients with polycystic ovary syndrome: IVM of oocytes versus controlled ovarian stimulation.Hum Reprod. 2019 Aug 1;34(8):1595-1607. doi: 10.1093/humrep/dez086. Hum Reprod. 2019. PMID: 31347678
-
Maternal and neonatal outcomes in pregnant women with PCOS: comparison of different diagnostic definitions.Hum Reprod. 2015 Oct;30(10):2396-403. doi: 10.1093/humrep/dev187. Epub 2015 Jul 29. Hum Reprod. 2015. PMID: 26223675
-
Sexual and relational satisfaction in couples where the woman has polycystic ovary syndrome: a dyadic analysis.Hum Reprod. 2015 Mar;30(3):625-31. doi: 10.1093/humrep/deu342. Epub 2014 Dec 22. Hum Reprod. 2015. PMID: 25534460
-
A meta-analysis of pregnancy outcomes in women with polycystic ovary syndrome.Hum Reprod Update. 2006 Nov-Dec;12(6):673-83. doi: 10.1093/humupd/dml036. Epub 2006 Aug 4. Hum Reprod Update. 2006. PMID: 16891296 Review.
-
Childhood, adolescent, and adulthood adiposity are associated with risk of PCOS: a Mendelian randomization study with meta-analysis.Hum Reprod. 2023 Jun 1;38(6):1168-1182. doi: 10.1093/humrep/dead053. Hum Reprod. 2023. PMID: 37015099 Free PMC article.
Cited by
-
Hyperandrogenemia in polycystic ovary syndrome: exploration of the role of free testosterone and androstenedione in metabolic phenotype.PLoS One. 2014 Oct 13;9(10):e108263. doi: 10.1371/journal.pone.0108263. eCollection 2014. PLoS One. 2014. PMID: 25310562 Free PMC article.
-
Metformin for ovulation induction (excluding gonadotrophins) in women with polycystic ovary syndrome.Cochrane Database Syst Rev. 2019 Dec 17;12(12):CD013505. doi: 10.1002/14651858.CD013505. Cochrane Database Syst Rev. 2019. PMID: 31845767 Free PMC article.
-
The role of the thyroid in polycystic ovary syndrome.Front Endocrinol (Lausanne). 2023 Oct 5;14:1242050. doi: 10.3389/fendo.2023.1242050. eCollection 2023. Front Endocrinol (Lausanne). 2023. PMID: 37867519 Free PMC article. Review.
-
Associations between pre-pregnancy body mass index and gestational weight gain with pregnancy outcomes in women with polycystic ovary syndrome.Diabetol Metab Syndr. 2020 Oct 8;12:88. doi: 10.1186/s13098-020-00595-3. eCollection 2020. Diabetol Metab Syndr. 2020. PMID: 33062059 Free PMC article.
-
Polycystic Ovarian Syndrome (PCOS): Does the Challenge End at Conception?Int J Environ Res Public Health. 2022 Nov 12;19(22):14914. doi: 10.3390/ijerph192214914. Int J Environ Res Public Health. 2022. PMID: 36429632 Free PMC article. Review.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Research Materials