medigraphic.com
Federación Mexicana de Ginecología y Obstetricia, A.C.

2006, Number 09

Ginecol Obstet Mex 2006; 74 (09)

Maternal and fetal morbidity in obese pregnant women

Romero GG, Urbina OFJ, Ponce PLAL, Amador N

Language: Spanish
References: 9
Page: 483-487
PDF size: 329.90 Kb.


ABSTRACT

Objective: To determine the maternal and fetal morbidity in obese pregnant women compared with non-obese pregnant women.
Patients and methods: It was carried out a case-control study. There were included 342 patients who had a body mass index previous to the pregnancy of 18.5 to 24.9 (control group) and 342 pregnant women with body mass index › 30 (group of obese women). We registered the mother and newborns’ data to evaluate their morbidity. The groups were compared with Student’s t test or Mann Whitney’s U test for continuous data and chi-square or Fisher exact test for categorical variables.
Results: We found more macrosomic newborns in the group of obese women (p = 0.003) and a higher number of caesarean sections (48.8 vs 37.4%, p = 0.003). The maternal morbidity characterized by gestational diabetes was higher in the obese ones (3.5 vs 0.58%, p = 0.015). Other variables as preterm delivery, stillbirths, malformations, admissions to the neonatal intensive care unit, as well as the development of hypertensive disorders of pregnancy were not significant.
Conclusion: We found higher maternal and fetal morbidity in obese women. Therefore, these patients should be considered as carriers of high-risk pregnancies. This strategy could avoid complications associated to this group of patients.


REFERENCES

  1. Word Health Organization. Obesity: preventing and managing the global epidemia. Report of the WHO consultation on obesity. Geneva: World Health Organization: 3-4 June 1997.

  2. National Institutes of Health. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults, the evidence report. Bethesda, Maryland: National Institutes of Health, US Department of Health and Human Services, 1998.

  3. Nuthalapaty FS, Rouse DJ. The impact of obesity on obstetrical practice and outcome. Clin Obstet Gynecol 2004;47:898-913.

  4. Kristensen J, Vestergaard M, Wisborg K, Kesmodel U, Secher NJ. Pre-pregnancy weight and the risk of stillbirth and neonatal death. BJOG 2005;112:403-8.

  5. Moore LL, Singer ME, Bradlee ML, et al. A prospective study of the risk of congenital defects associated with maternal obesity and diabetes. Epidemiology 2000;11:689-94.

  6. Michlin R, Oettinger M, Odeh M, et al. Maternal obesity and pregnancy outcome. Isr Med Assoc J 2000;2:10-3.

  7. Sebire NJ, Jolly M, Harris JP, et al. Maternal obesity and pregnancy outcome: a study of 287,213 pregnancies in London. Int J Obes Relat Metab Disord 2001;25:1175-82.

  8. Callaway LK, Prins JB, Chang AM, McIntyre. The prevalence and impact of overweight and obesity in an Australian obstetric population. Med J Aust 2006;184:56-9.

  9. Robinson HE, O’Conell CM, Joseph KS, Mc Leod NL. Maternal outcomes in pregnancies complicated by obesity. Obstet Gynecol 2005;106:1357-64.




2020     |     www.medigraphic.com