<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0864-2125</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina General Integral]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Med Gen Integr]]></abbrev-journal-title>
<issn>0864-2125</issn>
<publisher>
<publisher-name><![CDATA[ECIMED]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-21252023000100009</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Complicaciones materno-fetales en gestantes obesas del municipio Artemisa]]></article-title>
<article-title xml:lang="en"><![CDATA[Maternal-Fetal Complications in Obese Pregnant Women from Artemisa Municipality]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez Gavilán]]></surname>
<given-names><![CDATA[Yudelmis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vital Riquenes]]></surname>
<given-names><![CDATA[Elyen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fujishiro Vidal]]></surname>
<given-names><![CDATA[Loriennys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de la Habana Centro Nacional de Genética Médica ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2023</year>
</pub-date>
<volume>39</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-21252023000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-21252023000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-21252023000100009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: Un Índice de Masa Corporal superior de 30 kg/m2, al inicio de la gestación, se asocia con incremento de riesgo para presentar afecciones materno-fetales.  Objetivo:  Describir las principales complicaciones maternas o fetales asociadas a la obesidad en gestantes del municipio Artemisa.  Métodos: Se realizó un estudio observacional, transversal, en Artemisa, en el 2016. De las 832 gestantes captadas, se seleccionaron 179 con Índice de Masa Corporal &gt; 25 kg/m2 desde la etapa preconcepcional o en la captación del embarazo. Mediante revisión documental se obtuvo la información de interés: tipo de obesidad y complicaciones materno-fetales.  Resultados: De las gestantes del estudio, 21,5 % (179 de 832) iniciaron el embarazo con un Índice de Masa Corporal &gt; 25 kg/m2; 61,5 % (110 de 179) padecían obesidad combinada con hipertensión arterial y/o diabetes. La frecuencia de complicaciones aumentó con la presencia de estas enfermedades asociadas. Las principales morbilidades maternas fueron: partos vaginales con complicaciones obstétricas, anemia, cesáreas, preeclampsia y diabetes gestacional. El 50 % de las participantes tuvo descendencia afectada. Cuando la obesidad materna se acompañaba de hipertensión arterial, con frecuencia se observaron recién nacidos pretérmino. Si las obesas padecían diabetes pregestacional los defectos congénitos mayores resultaron las morbilidades predominantes en su descendencia. No se encontró asociación entre sobrepeso preconcepcional e incremento del riesgo de afecciones fetales.  Conclusiones: Alrededor de 20 de cada 100 mujeres inician el embarazo con sobrepeso u obesidad, con un incremento del riesgo de complicaciones materno-fetales proporcional al aumento del Índice de Masa Corporal y a la gravedad con la que se presenta esta enfermedad. Este riesgo es mayor cuando la obesidad se combina con otras morbilidades maternas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: A body mass index higher than 30 kg/m2, at the beginning of pregnancy, is associated with an increased risk of presenting maternal-fetal conditions.  Objective:  To describe the main maternal or fetal complications associated with obesity in pregnant women from Artemisa Municipality.  Methods:  An observational and cross-sectional study was conducted in Artemisa in 2016. Of the 832 pregnant women, 179 with body mass index higher than 25 kg/m2 from the preconception stage or at the time of pregnancy were selected. Through documentary review, information of interest was obtained: type of obesity and maternal-fetal complications.  Results:  Of the pregnant women under study, 21.5 % (179 of 832) started their pregnancy with a body mass index higher than 25 kg/m2, while 61.5 % (110 of 179) suffered from obesity combined with arterial hypertension and/or diabetes. The frequency of complications increased with the presence of these associated diseases. The main maternal morbidities were vaginal deliveries with obstetric complications, anemia, cesarean sections, preeclampsia and gestational diabetes. 50 % of the participants had affected offspring. When maternal obesity was accompanied by arterial hypertension, preterm newborns were frequently observed. If obese women had pregestational diabetes, major congenital defects were the predominant morbidities in their offspring. No association was found between preconceptional overweight and increased risk of fetal conditions.  Conclusions:  About twenty out of a hundred women start pregnancy with overweight or obesity, with an increased risk for maternal-fetal complications proportional to the increase in body mass index and the severity with which this disease is manifested. This risk is higher when obesity is combined with other maternal morbidities.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[obesidad]]></kwd>
<kwd lng="es"><![CDATA[índice de masa corporal]]></kwd>
<kwd lng="es"><![CDATA[embarazo]]></kwd>
<kwd lng="es"><![CDATA[complicaciones]]></kwd>
<kwd lng="en"><![CDATA[obesity]]></kwd>
<kwd lng="en"><![CDATA[body mass index]]></kwd>
<kwd lng="en"><![CDATA[pregnancy]]></kwd>
<kwd lng="en"><![CDATA[complications]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pacheco-Romero]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Gestación en la mujer obesa consideraciones especiales]]></article-title>
<source><![CDATA[An. Fac. med]]></source>
<year>2017</year>
<volume>78</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>207-14</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Manrique]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Impacto de la obesidad en la salud reproductiva de la mujer adulta]]></article-title>
<source><![CDATA[Rev. peru. ginecol. obstet]]></source>
<year>2017</year>
<volume>63</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>607-14</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lozano Bustillo]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Betancourth Melendez]]></surname>
<given-names><![CDATA[WR]]></given-names>
</name>
<name>
<surname><![CDATA[Turcios Urbina]]></surname>
<given-names><![CDATA[TU]]></given-names>
</name>
</person-group>
<source><![CDATA[Sobrepeso y obesidad en el embarazo. Sus complicaciones y manejo]]></source>
<year>2016</year>
<publisher-name><![CDATA[Insight Medical Publishing.htm]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Claros Benítez]]></surname>
<given-names><![CDATA[DI]]></given-names>
</name>
<name>
<surname><![CDATA[Mendoza Tascón]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Impacto de los trastornos hipertensivos, la diabetes y la obesidad materna sobre el peso, la edad gestacional al nacer y la mortalidad neonatal]]></article-title>
<source><![CDATA[Rev. chil. obstet. ginecol]]></source>
<year>2016</year>
<volume>81</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>480-8</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stubert]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Reister]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Hartmann]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Janni]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The risks associated with obesity in pregnancy]]></article-title>
<source><![CDATA[Deutsches Ärzteblatt International]]></source>
<year>2018</year>
<volume>115</volume>
<numero>16</numero>
<issue>16</issue>
<page-range>276</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mills]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Troendle]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Conley]]></surname>
<given-names><![CDATA[MR]]></given-names>
</name>
<name>
<surname><![CDATA[Carter]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Druschel]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Maternal obesity and congenital heart defects: a population-based study]]></article-title>
<source><![CDATA[The American journal of clinical nutrition]]></source>
<year>2010</year>
<volume>91</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1543-9</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gómez Álvarez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Pita Rodríguez]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Cardellá Rosales]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Paneque Blanco]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[De la Torre Núñez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comportamiento del exceso de peso en las mujeres en edad fértil que viven sin restricciones en la comunidad]]></article-title>
<source><![CDATA[Revista Cubana de Alimentación y Nutrición]]></source>
<year>2016</year>
<volume>26</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="book">
<collab>Grupo Nacional de Ginecología y Obstetricia</collab>
<source><![CDATA[Protocolo de atención diferenciada de la paciente con obesidad en etapa preconcepcional, embarazo, parto y puerperio]]></source>
<year>2016</year>
<publisher-loc><![CDATA[La Habana ]]></publisher-loc>
<publisher-name><![CDATA[MINSAP]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="book">
<collab>Ministerio de Salud Pública de Cuba</collab>
<source><![CDATA[Tablas antropométricas de la embarazada]]></source>
<year>2010</year>
<publisher-loc><![CDATA[La Habana ]]></publisher-loc>
<publisher-name><![CDATA[MINSAP]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Persson]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Cnattingius]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Villamor]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Söderling]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Pasternak]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Stephansson]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Risk of major congenital malformations in relation to maternal overweight and obesity severity: cohort study of 1.2 million singletons]]></article-title>
<source><![CDATA[BMJ]]></source>
<year>2017</year>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fernández Alba]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
<name>
<surname><![CDATA[Mesa Páez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Vilar Sánchez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Soto Pazos]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[González Macías]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
<name>
<surname><![CDATA[Serrano Negro]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sobrepeso y obesidad como factores de riesgo de los estados hipertensivos del embarazo: estudio de cohortes retrospectivo]]></article-title>
<source><![CDATA[Nutr. Hosp]]></source>
<year>2018</year>
<volume>35</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>874-80</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aguilar-Cordero]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Baena García]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez López]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Obesidad durante el embarazo y su influencia en el sobrepeso en la edad infantil]]></article-title>
<source><![CDATA[Nutr. Hosp]]></source>
<year>2016</year>
<volume>33</volume>
<numero>^s5</numero>
<issue>^s5</issue>
<supplement>5</supplement>
<page-range>18-23</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[De la Plata Daza]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Pantoja Garrido]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Frías Sánchez]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Rojo Novo]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Influence of the body mass index and maternal gestational weight gain in maternal-fetal perinatal outcomes]]></article-title>
<source><![CDATA[Rev. cuba. obstet. Ginecol]]></source>
<year>2018</year>
<volume>44</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-9</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Araya]]></surname>
<given-names><![CDATA[Marcela]]></given-names>
</name>
<name>
<surname><![CDATA[Padilla]]></surname>
<given-names><![CDATA[Oslando]]></given-names>
</name>
<name>
<surname><![CDATA[Garmendia]]></surname>
<given-names><![CDATA[María Luisa]]></given-names>
</name>
<name>
<surname><![CDATA[Atalah]]></surname>
<given-names><![CDATA[Eduardo]]></given-names>
</name>
<name>
<surname><![CDATA[Uauy]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalence of obesity among Chilean women in childbearing ages]]></article-title>
<source><![CDATA[Rev. méd. Chile]]></source>
<year>2014</year>
<volume>142</volume>
<numero>11</numero>
<issue>11</issue>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mejia Montilla]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Reyna Villasmil]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Obesidad, insulinorresistencia e hipertensión durante el embarazo]]></article-title>
<source><![CDATA[Rev. Venez. Endocrinol. Metab]]></source>
<year>2017</year>
<volume>15</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>169-81</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hernández Fernández]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<name>
<surname><![CDATA[Valdés Collazo]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Clapés Hernández]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Lantigua Cruz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Relationship between Maternal Obesity and Congenital Malformation in a Subpopulation of Havana]]></article-title>
<source><![CDATA[Diabetes &amp; Metabolism]]></source>
<year>2015</year>
<volume>6</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ruiz]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Gonzales-Gallegos]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Miranda-Navia]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Síndrome metabólico en gestantes de alto riesgo obstétrico]]></article-title>
<source><![CDATA[Rev Soc Peru Med Interna]]></source>
<year>2014</year>
<volume>27</volume>
<page-range>136-9</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Leon Garcia]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Knepper]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Roeder]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Laurent]]></surname>
<given-names><![CDATA[LC]]></given-names>
</name>
<name>
<surname><![CDATA[La Coursiere]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Maternal obesity and sex-specific differences in placental pathology]]></article-title>
<source><![CDATA[Placenta]]></source>
<year>2016</year>
<volume>38</volume>
<page-range>33-40</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jadresic]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Au]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Woodhouse]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Nitsch]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pre-pregnancy obesity and risk of congenital abnormalities of the kidney and urinary tract (CAKUT)-systematic review, meta-analysis and ecological study]]></article-title>
<source><![CDATA[Pediatric Nephrology]]></source>
<year>2021</year>
<volume>36</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>119-32</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Benítez]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
<name>
<surname><![CDATA[Duro]]></surname>
<given-names><![CDATA[EA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Relación entre sobrepeso y obesidad materna con cardiopatías congénitas. Estudio retrospectivo caso control en el área norte de buenos aires]]></article-title>
<source><![CDATA[Rev perinatología y reproducción humana]]></source>
<year>2017</year>
<volume>31</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>73-7</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Persson]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Razaz]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Edstedt Bonamy]]></surname>
<given-names><![CDATA[AK]]></given-names>
</name>
<name>
<surname><![CDATA[Villamor]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Cnattingius]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Maternal overweight and obesity and risk of congenital heart defects]]></article-title>
<source><![CDATA[Journal of the American College of Cardiology]]></source>
<year>2019</year>
<volume>73</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>44-53</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Helle]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Priest]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Maternal obesity and diabetes mellitus as risk factors for congenital heart disease in the offspring]]></article-title>
<source><![CDATA[Journal of the American Heart Association]]></source>
<year>2020</year>
<volume>9</volume>
<numero>8</numero>
<issue>8</issue>
</nlm-citation>
</ref>
<ref id="B23">
<label>23</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Slack]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Best]]></surname>
<given-names><![CDATA[KE]]></given-names>
</name>
<name>
<surname><![CDATA[Rankin]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Heslehurst]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Maternal obesity classes, preterm and post-term birth: a retrospective analysis of 479,864 births in England]]></article-title>
<source><![CDATA[BMC pregnancy and childbirth]]></source>
<year>2019</year>
<volume>19</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-9</page-range></nlm-citation>
</ref>
<ref id="B24">
<label>24</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Razaz]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Villamor]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Muraca]]></surname>
<given-names><![CDATA[GM]]></given-names>
</name>
<name>
<surname><![CDATA[Bonamy]]></surname>
<given-names><![CDATA[AKE]]></given-names>
</name>
<name>
<surname><![CDATA[Cnattingius]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Maternal obesity and risk of cardiovascular diseases in offspring: a population-based cohort and sibling-controlled study]]></article-title>
<source><![CDATA[The Lancet Diabetes &amp; Endocrinology]]></source>
<year>2020</year>
<volume>8</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>572-81</page-range></nlm-citation>
</ref>
<ref id="B25">
<label>25</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fuchs]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Senat]]></surname>
<given-names><![CDATA[MV]]></given-names>
</name>
<name>
<surname><![CDATA[Rey]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Balayla]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Chaillet]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Bouyer]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Impact of maternal obesity on the incidence of pregnancy complications in France and Canada]]></article-title>
<source><![CDATA[Scientific reports]]></source>
<year>2017</year>
<volume>7</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-9</page-range></nlm-citation>
</ref>
<ref id="B26">
<label>26</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Simko]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Totka]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Vondrova]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Samohyl]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Jurkovicova]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Trnka]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Maternal body mass index and gestational weight gain and their association with pregnancy complications and perinatal conditions]]></article-title>
<source><![CDATA[International journal of environmental research and public health]]></source>
<year>2019</year>
<volume>16</volume>
<numero>10</numero>
<issue>10</issue>
</nlm-citation>
</ref>
<ref id="B27">
<label>27</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zhou]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Li]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Association of maternal obesity in early pregnancy with adverse pregnancy outcomes: a chinese prospective cohort analysis]]></article-title>
<source><![CDATA[Obesity]]></source>
<year>2019</year>
<volume>27</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1030-6</page-range></nlm-citation>
</ref>
<ref id="B28">
<label>28</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Siddiqui]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Azria]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Howell]]></surname>
<given-names><![CDATA[EA]]></given-names>
</name>
<name>
<surname><![CDATA[Deneux&#8208;Tharaux]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Langer]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<collab>EPIMOMS Study Group</collab>
<article-title xml:lang=""><![CDATA[Associations between maternal obesity and severe maternal morbidity: Findings from the French EPIMOMS population&#8208;based study]]></article-title>
<source><![CDATA[Paediatric and perinatal epidemiology]]></source>
<year>2019</year>
<volume>33</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>7-16</page-range></nlm-citation>
</ref>
<ref id="B29">
<label>29</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Angeliki]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Dimitrios]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Chara]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Maternal obesity and its association with the mode of delivery and the neonatal outcome in induced labour: implications for midwifery practice]]></article-title>
<source><![CDATA[European Journal of Midwifery]]></source>
<year>2020</year>
<volume>2</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
