Gestational diabetes & diabetes in pregnancy

Changes in body mass index among pregnant women during labor over four decades: a retrospective longitudinal analysis

Int J Obes (Lond)Published Retrospective longitudinal analysis

Authors' conclusion

The sustained increase in maternal BMI underscores the urgency of implementing targeted interventions, including preconception counseling and personalized antenatal care, to mitigate the adverse maternal and neonatal outcomes associated with elevated BMI.

Study context

Population
Pregnant women during labor
Participants
13,193 women
Exposure
Maternal Body Mass Index (BMI) at labor across cohorts: 1986-1990 vs 2009-2013 vs 2024
Outcome
Changes in BMI among pregnant women during labor
Methodological detailsthree cohorts across four decades
  • Three cohorts across four decades

Main finding

As reported in the abstract

Mean BMI

P < 0.001

Observational data: associations, not effects.

Further findings

OutcomeGroup 0Group 2
Prevalence of obesity4.87%25.76%

Prevalence of obesity

Obesity prevalence rose more than fivefold

BMI trend across groups (regression analysis)

Linear, statistically significant upward trajectory across all groups

Original publication

Changes in body mass index among pregnant women during labor over four decades: a retrospective longitudinal analysis. Int J Obes (Lond). Published 4 February 2026. doi:10.1038/s41366-026-02021-6

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