title: [Maternal obesity and pregnancy: Evolution of prevalence and of place of birth].
abstract: OBJECTIVE
  The primary objective was to describe the evolution of the prevalence of maternal obesity in France. The secondary objectives were to assess changes in the French regions and the place of birth according to type (public/private) and level of care.
  
  
  METHODS
  Study based population of all births between 1999 and 2009 included in the AUDIPOG database. Our judgment criterion was the body mass index (BMI) divided into classes.
  
  
  RESULTS
  Seventy-four thousand and forty-six pregnancies were included. The mean BMI was 22.9±4.5kg/m(2) with an increase between 1999-2001 and 2008-2009 (22.6±4.3kg/m(2) versus 23.1±4.7kg/m(2), P<10(-4)). North was the first region in terms of overweight patients (18%) and obese (10.2%). There was an increase of the birth rate in public maternity, and level II and III regardless of BMI class. Only the class of patients with a BMI ≥40kg/m(2) delivered more frequently in level III with an increase between the first and the last period of the study (20.8% versus 36.8%, P=0.02).
  
  
  CONCLUSIONS
  The BMI is still increasing with more and more patients with a BMI ≥40kg/m(2) referred to level III. This raises the question of the organization of care and follow-up of these patients.
authors.affiliation: Pôle femme-mère-nouveau-né, maternité Jeanne-de-Flandre, clinique d'obstétrique, CHRU de Lille, avenue Eugène-Avinée, 59037 Lille cedex, France; EA 4489 « environnement périnatal et santé », pôle de recherche, faculté de médecine Henri-Warembourg, université de Lille, 59045 Lille cedex, France. Electronic address: charles.garabedian@chru-lille.fr.
authors.forename: C
authors.initials: C
authors.lastname: Garabedian
authors.affiliation: Pôle femme-mère-nouveau-né, maternité Jeanne-de-Flandre, clinique d'obstétrique, CHRU de Lille, avenue Eugène-Avinée, 59037 Lille cedex, France.
authors.forename: E
authors.initials: E
authors.lastname: Servan-Schreiber
authors.affiliation: Association des utilisateurs de dossiers informatisés en pédiatrie, obstétrique et gynécologie (AUDIPOG), faculté de médecine RTH-Laennec, 7, rue Guillaume-Paradin, 69372 Lyon cedex 8, France.
authors.forename: O
authors.initials: O
authors.lastname: Rivière
authors.affiliation: Association des utilisateurs de dossiers informatisés en pédiatrie, obstétrique et gynécologie (AUDIPOG), faculté de médecine RTH-Laennec, 7, rue Guillaume-Paradin, 69372 Lyon cedex 8, France; Pôle de gynécologie-obstétrique et de reproduction humaine, CHU de Clermont-Ferrand, site Estaing, 1, place Lucie-et-Raymond-Aubrac, 63003 Clermont-Ferrand cedex 1, France; EA 4681, PEPRADE (périnatalité, grossesse, environnement, pratiques médicales et développement), Clermont université, université d'Auvergne, 63000 Clermont-Ferrand, France.
authors.forename: F
authors.initials: F
authors.lastname: Vendittelli
authors.affiliation: Pôle femme-mère-nouveau-né, maternité Jeanne-de-Flandre, clinique d'obstétrique, CHRU de Lille, avenue Eugène-Avinée, 59037 Lille cedex, France; EA 4489 « environnement périnatal et santé », pôle de recherche, faculté de médecine Henri-Warembourg, université de Lille, 59045 Lille cedex, France.
authors.forename: P
authors.initials: P
authors.lastname: Deruelle
mesh_terms: D000328:Adult; D015992:Body Mass Index; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D009765:Obesity / Q000453:epidemiology; D050177:Overweight / Q000453:epidemiology*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology*; D015995:Prevalence; D055815:Young Adult
keywords: Grossesse; Obesity; Obésité; Population-based study; Pregnancy; Prevalence; Prévalence; Étude en population