BACKGROUND: Maternal obesity has long been correlated with an increased risk of chronic hypertension and diabetes prior to pregnancy and adverse pregnancy outcomes including preeclampsia, gestational diabetes, fetal macrosomia, Cesarean deliveries, postpartum endometritis and a prolonged hospital stay OBJECTIVE: To determine the effect of maternal pre-pregnancy obesity on pregnancy outcomes Methods: One hundred and twenty two women were recruited in the study. The patients were allocated into two groups, group 1 obese patients (68) BMI 30 or more and group 2 non obese patients (54) BMI between 19.8-24.9. OUTCOMES: About two - third of the study group were having mild obesity, moderate obesity comprised about 28% and about 4% only was morbidly obese. Hypertensive disorders were nine folds more among obese women (R.R 4.74). Obese pregnant women were significantly more prone to have gestational diabetes (R.R 6.35). Even anemia was significantly more amongst Obese women when compared to non obese ones (29/68, R.R 3.84). Ante partum hemorrhage had significantly more in obese women (R.R 3.14). There was no increased risk for PROM (R.R 0.71). Moreover The macrosomic babies were extremely commoner among obese (R.R 9.1). CONCLUSION: Pre-pregnancy obesity is a risk factor for gestational diabetes, preeclampsia, labor induction, cesarean section for fetal distress, and wound infection. They should be considered as high risk and counseled accordingly.
BACKGROUND:Maternal obesity has long been correlated with an increased risk of chronic hypertension and diabetes prior to pregnancy and adverse pregnancy outcomes including preeclampsia, gestational diabetes, fetal macrosomia, Cesarean deliveries, postpartum endometritis and a prolonged hospital stay OBJECTIVE: To determine the effect of maternal pre-pregnancy obesity on pregnancy outcomes Methods: One hundred and twenty two women were recruited in the study. The patients were allocated into two groups, group 1 obesepatients (68) BMI 30 or more and group 2 non obesepatients (54) BMI between 19.8-24.9. OUTCOMES: About two - third of the study group were having mild obesity, moderate obesity comprised about 28% and about 4% only was morbidly obese. Hypertensive disorders were nine folds more among obesewomen (R.R 4.74). Obese pregnant women were significantly more prone to have gestational diabetes (R.R 6.35). Even anemia was significantly more amongst Obesewomen when compared to non obese ones (29/68, R.R 3.84). Ante partum hemorrhage had significantly more in obesewomen (R.R 3.14). There was no increased risk for PROM (R.R 0.71). Moreover The macrosomic babies were extremely commoner among obese (R.R 9.1). CONCLUSION: Pre-pregnancy obesity is a risk factor for gestational diabetes, preeclampsia, labor induction, cesarean section for fetal distress, and wound infection. They should be considered as high risk and counseled accordingly.
Authors: Dorte M Jensen; Per Ovesen; Henning Beck-Nielsen; Lars Mølsted-Pedersen; Bente Sørensen; Christina Vinter; Peter Damm Journal: Diabetes Care Date: 2005-09 Impact factor: 19.112
Authors: D K Waller; J L Mills; J L Simpson; G C Cunningham; M R Conley; M R Lassman; G G Rhoads Journal: Am J Obstet Gynecol Date: 1994-02 Impact factor: 8.661
Authors: Marco F Mastroeni; Sandra A Czarnobay; Caroline Kroll; Katherinne B W Figueirêdo; Silmara S B S Mastroeni; Jean C Silva; Mohammad K A Khan; Sarah Loehr; Paul J Veugelers Journal: Matern Child Health J Date: 2017-04
Authors: Brigid M Gillespie; Joan Webster; David Ellwood; Helen Stapleton; Jennifer A Whitty; Lukman Thalib; Nicky Cullum; Kassam Mahomed; Wendy Chaboyer Journal: BMJ Open Date: 2016-02-01 Impact factor: 2.692