title: A prospective study of pregnancy outcome and biomarkers of oxidative stress in nulliparous obese women.
abstract: OBJECTIVE
  We sought to investigate pregnancy outcome and biomarkers of oxidative stress in nulliparous obese pregnant women.
  
  
  METHODS
  Pregnancy outcome and blood biomarkers were assessed prospectively in 385 obese nulliparous women from the placebo arm of a randomized controlled trial.
  
  
  RESULTS
  Body mass index was associated with higher rates of preeclampsia (PE) (P = .010) and cesarean section (P = .016). In all, 18.8% of infants were small for gestational age (< 10th adjusted birthweight centile), 13.4% were large for gestational age (> 90th centile), and 11.9% were preterm. The plasma ascorbic acid concentration was inversely related to small-for-gestational-age delivery (P < .025), and increased plasma triglyceride concentrations with later PE (P < .0001). Plasma uric acid concentration (P = .043) and the gamma- tocopherol:alpha-tocopherol ratio (P = .023) were related to body mass index.
  
  
  CONCLUSIONS
  A previously unreported risk of fetal growth restriction associated with reduced plasma ascorbic acid concentration was identified in nulliparous obese women. The high incidence of PE and preterm birth were unrelated to oxidative stress markers.
authors.affiliation: Division of Reproduction and Endocrinology, Maternal and Fetal Research Unit, King's College London, London, United Kingdom.
authors.forename: Daghni
authors.initials: D
authors.lastname: Rajasingam
authors.forename: Paul T
authors.initials: PT
authors.lastname: Seed
authors.forename: Annette L
authors.initials: AL
authors.lastname: Briley
authors.forename: Andrew H
authors.initials: AH
authors.lastname: Shennan
authors.forename: Lucilla
authors.initials: L
authors.lastname: Poston
mesh_terms: D000328:Adult; D015415:Biomarkers / Q000097:blood; D005260:Female; D006801:Humans; D009765:Obesity / Q000097:blood / Q000378:metabolism*; D018384:Oxidative Stress; D010298:Parity; D011247:Pregnancy; D011248:Pregnancy Complications / Q000097:blood / Q000378:metabolism*; D011256:Pregnancy Outcome; D011446:Prospective Studies
chemical_list: D015415:Biomarkers