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Cohort study
Maternal obesity is an independent risk factor for spontaneous extremely preterm delivery
  1. Cynthia Gyamf i-Bannerman
  1. Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, New York, USA
  1. Correspondence to: Dr Cynthia Gyamf i-Bannerman, Department of Obstetrics and Gynecology, Columbia University Medical Center, 622 West 168th Street, PH-16, New York, NY 10032, USA; cg2231{at}columbia.edu

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Obesity, once considered a major problem only in the USA, is now a global epidemic and related to chronic diseases such as hypertension, diabetes and some cancers.1 Pregnancy in obese women is also known to increase the risks of maternal and fetal complications including gestational diabetes, hypertensive disorders of pregnancy, macrosomia and stillbirth.2 It has been acknowledged that obese pregnant women are at increased risk for preterm delivery, but this was generally believed to be secondary to indicated deliveries for chronic diseases related to obesity. However, this new …

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