Racial disparities in gestational weight gain and adverse pregnancy outcomes among Black and White pregnant people with obesity
Authors' conclusion
Black individuals with obesity started pregnancy with higher weight and more preexisting conditions but had lower GWG compared to White individuals. Exacerbated disparities in preexisting conditions demonstrate higher health risks for Black individuals during pregnancy.
Study context
- Population
- Pregnant people with obesity delivering at a large women's specialty hospital in Louisiana, 2018–2022, across early-, peak- and late-pandemic periods
- Participants
- 7,431 deliveries
- Exposure
- Black vs White pregnant people with obesity
- Outcome
- GWG and prepregnancy weight
- Follow-up
- All periods
Methodological detailssingle-centre, Log-linear regression and robust Poisson models
- Single-centre
- Log-linear regression and robust Poisson models
Main finding
As reported in the abstract
all periods
- Black individuals had higher prepregnancy weight and lower gestational weight gain (GWG) vs White individuals across all periods
- GWG differences not significant in peak- and late-pandemic periods
Observational data: associations, not effects.
Further findings
Preexisting conditions and adverse pregnancy outcomes · all periods
- Black pregnant people had higher rates of preexisting T2D and chronic hypertension but lower rates of GDM and preeclampsia vs White
Original publication
Racial disparities in gestational weight gain and adverse pregnancy outcomes among Black and White pregnant people with obesity. Obesity (Silver Spring). Published 25 December 2024. doi:10. 1002/ oby. 24206
Composed by AI from the published abstract and checked against it. How Briefs are made →