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Matern Child Health J. 2009 Sep;13(5):614-20. doi: 10.1007/s10995-008-0388-3. Epub 2008 Jul 10.

Prepregnancy obesity prevalence in the United States, 2004-2005.

Author information

1
Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA. syc1@cdc.gov

Abstract

OBJECTIVE:

To provide a current estimate of the prevalence of prepregnancy obesity in the United States.

METHODS:

We analyzed 2004-2005 data from 26 states and New York City (n = 75,403 women) participating in the Pregnancy Risk Assessment Monitoring System, an ongoing, population-based surveillance system that collects information on maternal behaviors associated with pregnancy. Information was obtained from questionnaires self-administered after delivery or from linked birth certificates; prepregnancy body mass index was based on self-reported weight and height. Data were weighted to provide representative estimates of all women delivering a live birth in each particular state.

RESULTS:

In this study, about one in five women who delivered were obese; in some state, race/ethnicity, and Medicaid status subgroups, the prevalence was as high as one-third. State-specific prevalence varied widely and ranged from 13.9 to 25.1%. Black women had an obesity prevalence about 70% higher than white and Hispanic women (black: 29.1%; white: 17.4%; Hispanic: 17.4%); however, these race-specific rates varied notably by location. Obesity prevalence was 50% higher among women whose delivery was paid for by Medicaid than by other means (e.g., private insurance, cash, HMO).

CONCLUSION:

This prevalence makes maternal obesity and its resulting maternal morbidities (e.g., gestational diabetes mellitus) a common risk factor for a complicated pregnancy.

PMID:
18618231
DOI:
10.1007/s10995-008-0388-3
[Indexed for MEDLINE]
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