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January 15, 2025Ultrasound in Obstetrics and GynecologyOpen Access

Association of maternal body mass index with hemodynamic and vascular alterations at 35–37 weeks' gestation

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Key result

High maternal BMI in early pregnancy and higher gestational weight gain were independently associated with worse maternal hemodynamic and vascular indices at 35-37 weeks' gestation.

Why the study?

Obese pregnant women face increased risks of adverse pregnancy outcomes and premature cardiovascular disease, but the associated maternal hemodynamic and vascular alterations remain incompletely understood.

Is increased maternal BMI and gestational weight gain associated with worse maternal hemodynamic and vascular parameters at 35-37 weeks' gestation?

Population

Pregnant women assessed at 35-37 weeks' gestation

Comparison

Overweight or obese women vs normal-weight women across gestational weight gain

Design

Observational cohort study

Authors

MCMarietta CharakidaPediatric CardiologyCCChristos ChatzakisHôpital Necker-Enfants MaladesLMLaura A. MageePreventive Cardiology

Discussion

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Implication

May inform early-pregnancy weight counseling; extends observational data on maternal hemodynamics but should not yet change practice.

Study Design

Type

Observational

Structured PICO

Is increased maternal BMI and gestational weight gain associated with worse maternal hemodynamic and vascular parameters at 35-37 weeks' gestation?

P
Population
Pregnant women assessed at 35-37 weeks' gestation to evaluate the association of maternal BMI and gestational weight gain with hemodynamic and vascular parameters.
E
Exposure
Overweight or obese prepregnancy body mass index (BMI) and increased gestational weight gain
C
Comparator
Normal-weight pregnant women
O
Outcome
Maternal hemodynamic and vascular parameters (uterine artery pulsatility index, ophthalmic artery peak systolic velocity ratio, carotid-to-femoral pulse-wave velocity, augmentation index, cardiac output, total peripheral resistance, and central systolic and diastolic blood pressure) at 35-37 weeks' gestationsurrogate

Higher maternal BMI in early pregnancy and greater gestational weight gain are independently associated with adverse maternal hemodynamic and vascular alterations in late pregnancy.

Cite This Study

Charakida et al. (2025) conducted an observational in Pregnancy. High maternal BMI and gestational weight gain vs. Normal-weight women was evaluated on Maternal hemodynamic and vascular indices (including blood pressure, cardiac output, aortic stiffness, and UtA-PI). High maternal BMI in early pregnancy and higher gestational weight gain were independently associated with worse maternal hemodynamic and vascular indices at 35-37 weeks' gestation.

synapsesocial.com/papers/6a7bdf327cc40aa1f8df9160https://doi.org/10.1002/uog.29170
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Rethinking causal assumptions about maternal BMI, gestational weight gain, and adverse pregnancy outcomes2024 · 23 citations
  2. 2Visceral adiposity index is associated with arterial stiffness in hypertensive adults with normal-weight: the china H-type hypertension registry study2021 · 15 citations
  3. 3Obesity and Coronary Artery Disease: An Updated Systematic Review 20222022 · 36 citations
  4. 4Trends in all-cause and cause-specific mortality by BMI levels in England, 2004–2019: a population-based primary care records study2024 · 7 citations
  5. 5Cardiac maladaptation in obese pregnant women at term2018 · 44 citations