medigraphic.com
ISSN 1561-3062 (Electronic)

2016, Number 1

<< Back Next >>

Revista Cubana de Obstetricia y Ginecología 2016; 42 (1)

Anthropometric assessment as an expression of the clinical method in obese pregnant

Suárez GJA, Gutiérrez MM

Language: Spanish
References: 20
Page:
PDF size: 148.28 Kb.


ABSTRACT

Introduction: Obesity can be considered as a disease and a real health problem.
Objective: Describe the anthropometric characteristics in a group of pregnant women who start pregnancy with obesity.
Methods: A prospective observational analytical study was carried outon the anthropometric characteristics in 185 pregnant women with overweight and obesity in Santa Clara, Villa Clara in 2014.
Results: Out of the total number of patients studied, 64.67 % did not refer previous history and the age average was 30.5 years: minimum age was 17 years and a maximum was 46 years. 47 pregnant women are chronic hypertension (25.40 %); followed by 8 werediabetic and 6 were cardiac patients. Waist circumference higher than 88 cm was found in 91.89 %. This is an element for metabolic syndrome diagnosis. 53.51 % had waist/hip higher rate than 0.85 cm, which means cardiovascular risk. Mostly, the weight of newborns of obese mothers were at normal levels.
Conclusions: Women in reproductive age predominate in the group of obese pregnant, with exogenous obesity before pregnancy. While most have no associated medical history, a quarter of the sample has chronic hypertension, and fewer has diabetes mellitus and heart disease. Most have diagnostic elements of the metabolic syndrome with waist circumference higher than 88 cm, and half of the sample have elements of detected cardiovascular risk. The weight of most newborns was normal.


REFERENCES

  1. Savitz DA, Stein CR, Siega-Riz AM, Herring AH. Gestational weight gain and birth outcome in relation to prepregnancy body mass index and ethnicity. Ann Epidemiol. 2011;21:78-85.

  2. Hernández Núñez J, Valdés Yong M, Chong León L, González Medina IM, García Soto MM. Resultados perinatales en gestantes con bajo peso pregestacional. Rev Cubana Obstet Ginecol. 2013;39(2):76-86.

  3. Aly H, Hammad T, Nada A, Mohamed M, Bathgate S, El-Mohandes A. Maternal obesity, associated complications and risk of prematurity. J Perinatol. 2010;30:447-51.

  4. Sebire NJ, Jolly M, Harris JP, Wadsworth J, Joffe M, Beard RW, et al. Maternal obesity and pregnancy outcome: a study of 287 213 pregnancies in London. Int J Obes Relat Metab Disord. 2011;25:1175-82.

  5. Jiménez Acosta SM, Rodríguez Suárez A, Díaz Sánchez ME. Aplicación de las referencias nacionales para la evaluación antropométrica de las embarazadas en la vigilancia nutricional en Cuba. Rev Cubana Obstet Ginecol. 2012;38(2):182-9.

  6. Harvey MC, Harvey L, Ognen E. The effects of booking body mass index on obstetric and neonatal outcomes in an inner city UK tertiary referral centre. Obstet Med. 2008;1:88-91.

  7. Suárez González JA, Preciado Guerrero R, Gutiérrez Machado M, Cabrera Delgado MR, Marín Tápanes Y, Cairo González V. Influencia de la obesidad pregestacional en el riesgo de preeclampsia/eclampsia. Rev Cubana Obstet Ginecol. 2013;39(1):3-11.

  8. Diago Caballero D, Vila Vaillant F, Ramos Guilarte E, GarcIa Valdés R. Factores de riesgo en la hipertensión inducida por el embarazo. Rev Cubana Obstet Ginecol. 2011;37(4):448-56.

  9. Mostello D, Jen Chang J, Allen J, Luehr L, Shyken J, Leet T. Recurrent preeclampsia: the effect of weight change between pregnancies. Obstet Gynecol. 2010;116(3):667- 72.

  10. Papastefanou I, Samolis S, Panagopoulos P, Tagia M, Bale C, Kouskoukis A, et al. Correlation between maternal first trimester plasma leptin levels and birth weight among normotensive and preeclamptic women. J Matern Fetal Neonatal Med. 2010;23(12):1435-43.

  11. De Miranda L. Embarazo y obesidad: un binomio de alto riesgo. [citado 23 May 2014]. Disponible en: http://www.elsalvador.com/mwedh/nota/nota_completa.asp?idCat=47895&idArt= 6925723

  12. OMS. Obesidad y sobrepeso [Internet]. Ginebra: OMS; ©2010 [actualizado 28 Sep 2013; citado 28 de Ago 2013]. Disponible en: http://www.who.int/mediacentre/factsheets/fs311/es/index.html

  13. El problema de la obesidad en Venezuela. Prodavinci.com. Ginebra: UNICEF; ©2010 [actualizado 17 Feb 2014; citado 16 Jun 2014]. Disponible en: http://www.inn.gob.ve/modules.php?name=News&file=article&sid=434

  14. Valdés Ramos E, Blanco Rojas I. Frecuencia y factores de riesgo asociados con la aparición de Diabetes Mellitus Gestacional. Rev Cubana Obstet Ginecol. 2011;37(4):502-12.

  15. Aviram A, Hod M, Yogev Y. Maternal obesity: implications for pregnancy outcome and long-term risks-a link to maternal nutrition. Int J Gynaecol Obstet. 2011;115(S1):S6-10.

  16. Begum KS, Sachchithanantham K, De Somsubhra S. Maternal obesity and pregnancy outcome. Clin Exp Obstet Gynecol. 2011;38(1):14-20.

  17. Roberts V, Smith J, McLea SA, Heizer AB, Richardson JL, Myatt L. Effect of Increasing Maternal Body Mass Index on Oxidative and Nitrative Stress in the Human Placenta. Placenta. 2009;30(2):169-75.

  18. Aly H, Hammad T, Nada A, Mohamed M, Bathgate S, El-Mohandes A. Maternal obesity, associated complications and risk of prematurity. J Perinatol. 2010;30(7):447- 51.

  19. Blomberg M. Maternal obesity, mode of delivery, and neonatal outcome. Obstet Gynecol. 2013;122(1):50-5.

  20. El-Gilany AH, Hammad S. Body mass index and obstetric outcomes in Saudi Arabia: a prospective cohort study. Ann Saudi Med. 2010;30:376-80.




2020     |     www.medigraphic.com