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. 2025 Aug 2;13(15):1893.
doi: 10.3390/healthcare13151893.

Impact of Maternal Overweight and Obesity on Pregnancy Outcomes Following Cesarean Delivery: A Retrospective Cohort Study

Zlatina Nikolova  1 , Milena Sandeva  1   2 , Ekaterina Uchikova  3   4 , Angelina Kirkova-Bogdanova  5 , Daniela Taneva  6 , Marieta Vladimirova  1 , Lyubomira Georgieva  1
Affiliations

Impact of Maternal Overweight and Obesity on Pregnancy Outcomes Following Cesarean Delivery: A Retrospective Cohort Study

Zlatina Nikolova et al. Healthcare (Basel). .

Abstract

Background/Objectives: Maternal overweight and obesity are critical factors increasing the risk of various pregnancy complications. Maternal obesity can lead to fetal macrosomia and a heightened risk of intrauterine death, with long-term implications for the child's health. This study aimed to analyze the incidence of obesity and its impact on pregnancy outcomes in women who delivered by cesarean section at the University Hospital "St. George", Plovdiv. Methods: A single-center retrospective cohort study was conducted. The documentary method was used for gathering data. Records were randomly selected. The statistical methods used included mean values, confidence intervals (of mean), frequency, and the Kolmogorov-Smirnov test for normality of distribution. Data comparisons were performed using the Mann-Whitney test. Mean values of numerical variables were compared using the independent samples t-test. Results: In total, 46.36% of women in this study were affected by obesity to varying degrees, and the proportion of women who were overweight at the end of their pregnancy was 37.85%. In the studied cohort, 15.99% of women were affected by hypertensive complications. This significant prevalence of obesity highlights concerns regarding body weight among women of reproductive age. This study emphasized a strong correlation between maternal obesity, particularly severe obesity, and the occurrence of preeclampsia. Conclusions: In this study among women who delivered by cesarean section, a significant proportion of them were affected by overweight and obesity. Data for our country are insufficient, and a more in-depth study of this problem is needed. Future research should explore the long-term impacts of maternal obesity on the health of the mother and the newborn.

Keywords: cesarean section; complications; hypertensive disorders; maternal obesity; pregnancy outcome; pregnancy-induced hypertension.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Relative shares of women in the study affected by AH/preeclampsia by BMI classes. Abbreviations: BMI—body mass index; AH—arterial hypertension.
See this image and copyright information in PMC

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