**Assisted Delivery:**
- No reliable indicators were found to predict a lower probability of assisted delivery.
- Maternal height, despite its known risks, did not emerge as a strong indicator due to the inclusion of critically low stature women, diluting the risk.
- Analysis using deciles showed more predictive power for maternal height.
**Pre-eclampsia:**
- No generally accepted definition exists for hypertensive disorders of pregnancy.
- Prevalence ranged from below 1% to 15%.
- None of the indicators strongly predicted pre-eclampsia, with the highest odds ratios just above 1.
- Poor maternal nutritional status was associated with a reduced risk, but scientific evidence is weak.
- Maternal height, pre-pregnancy weight, and arm circumference showed neutral or marginally negative relationships.
- BMI at different stages of pregnancy had small estimated mean ORs ranging from 0.6 to 0.9.
**Sensitivity and Specificity:**
- Only BMI/9 had a minimum study sensitivity of 0.05.
- Several indicators showed study sensitivities dropping below 0.1.
- Pre-pregnancy BMI was the only indicator meeting the Se/Sp criteria in over 40% of studies.
- Overall, maternal anthropometry was a poor predictor of pre-eclampsia due to confounding effects of late pregnancy edema.
**Postpartum Haemorrhage:**
- No known biological basis for a relationship between maternal nutritional status and postpartum hemorrhage.
- Prevalence was very low (0.5–4.4%).
- All estimated ORs were below 1, except for attained BMI indicators, which showed a marginal elevated risk.
- Attained weight by month 9 and MUAC had ORs of 0.6, suggesting a reduced risk, but more data is needed to confirm this.
Overall, maternal anthropometry and nutritional status did not strongly predict assisted delivery, pre-eclampsia, or postpartum hemorrhage, with most indicators showing neutral or marginally negative relationships.**Assisted Delivery:**
- No reliable indicators were found to predict a lower probability of assisted delivery.
- Maternal height, despite its known risks, did not emerge as a strong indicator due to the inclusion of critically low stature women, diluting the risk.
- Analysis using deciles showed more predictive power for maternal height.
**Pre-eclampsia:**
- No generally accepted definition exists for hypertensive disorders of pregnancy.
- Prevalence ranged from below 1% to 15%.
- None of the indicators strongly predicted pre-eclampsia, with the highest odds ratios just above 1.
- Poor maternal nutritional status was associated with a reduced risk, but scientific evidence is weak.
- Maternal height, pre-pregnancy weight, and arm circumference showed neutral or marginally negative relationships.
- BMI at different stages of pregnancy had small estimated mean ORs ranging from 0.6 to 0.9.
**Sensitivity and Specificity:**
- Only BMI/9 had a minimum study sensitivity of 0.05.
- Several indicators showed study sensitivities dropping below 0.1.
- Pre-pregnancy BMI was the only indicator meeting the Se/Sp criteria in over 40% of studies.
- Overall, maternal anthropometry was a poor predictor of pre-eclampsia due to confounding effects of late pregnancy edema.
**Postpartum Haemorrhage:**
- No known biological basis for a relationship between maternal nutritional status and postpartum hemorrhage.
- Prevalence was very low (0.5–4.4%).
- All estimated ORs were below 1, except for attained BMI indicators, which showed a marginal elevated risk.
- Attained weight by month 9 and MUAC had ORs of 0.6, suggesting a reduced risk, but more data is needed to confirm this.
Overall, maternal anthropometry and nutritional status did not strongly predict assisted delivery, pre-eclampsia, or postpartum hemorrhage, with most indicators showing neutral or marginally negative relationships.