Obstetric Behavior and Pregnancy Outcome in Overweight and Obese Women

被引:3
作者
Meenakshi [1 ]
Reena, Srivastava [1 ]
Rai, Sharma Neela [1 ]
Kushwaha, K. P. [1 ,2 ]
Vani, Aditya [1 ]
机构
[1] BRD Med Coll, Dept Obstet & Gynecol, Gorakhpur, Uttar Pradesh, India
[2] BRD Med Coll, Dept Pediat, Gorakhpur, Uttar Pradesh, India
关键词
Obesity; Pregnancy; Body mass index; Perinatal outcomes; Morbidity;
D O I
10.1007/s13224-012-0215-z
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective To perform analyses of maternal and fetal complications in overweight and obese women. Methods Eighty-seven women with singleton pregnancies with BMI[25-29.9 kgm 2 and 83 women with singleton pregnancies with BMI[30 kgm(2) were studied for maternal and fetal complications at Nehru Hospital, B.R.D. Medical College, Gorakhpur during June 2007-October 2008. Forty-five women with BMI 20-24.9 kgm(2) were selected to serve as control. Results Compared with women with normal BMI, the outcomes which were more common in overweight and obese women were gestation hypertension (p < 0.05); preeclampsia (p < 0.001); preterm delivery (p < 0.05); induction of labor (p < 0.05); instrumental vaginal delivery (p[0.05); cesarean section (p < 0.01); increased operative time (p < 0.01); still births (p < 0.05); early neonatal deaths (p < 0.05); Apgar score < 7 at 5 min (p < 0.05); and admission to NICU (p < 0.001). No significant differences were noted among groups regarding hypoglycemia hyperbilirubinemia and respiratory distress. Conclusion Overweight and obesity are definite risk factors for adverse pregnancy outcomes. This may be due to altered metabolic state in obesity.
引用
收藏
页码:276 / 280
页数:5
相关论文
共 7 条
[1]   Pregnancy complications and outcomes among overweight and obese nulliparous women [J].
Baeten, JM ;
Bukusi, EA ;
Lambe, M .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2001, 91 (03) :436-440
[2]   The role of maternal body mass index in outcomes of vaginal births after cesarean [J].
Bujold, E ;
Hammoud, A ;
Schild, C ;
Krapp, M ;
Baumann, P .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2005, 193 (04) :1517-1521
[3]   Mode of delivery for the morbidly obese with prior cesarean delivery: Vaginal versus repeat cesarean section [J].
Chauhan, SP ;
Magann, EF ;
Carroll, CS ;
Barrilleaux, PS ;
Scardo, JA ;
Martin, JN .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2001, 185 (02) :349-353
[4]  
Garrow J. S., 1983, Nutrition Abstracts and Reviews, A, V53, P697
[5]   The effect of the increasing prevalence of maternal obesity on perinatal morbidity [J].
Lu, GC ;
Rouse, DJ ;
DuBard, M ;
Cliver, S ;
Kimberlin, D ;
Hauth, JC .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2001, 185 (04) :845-849
[6]   Maternal obesity and pregnancy outcome: a study of 287 213 pregnancies in London [J].
Sebire, NJ ;
Jolly, M ;
Harris, JP ;
Wadsworth, J ;
Joffe, M ;
Beard, RW ;
Regan, L ;
Robinson, S .
INTERNATIONAL JOURNAL OF OBESITY, 2001, 25 (08) :1175-1182
[7]   Obesity, obstetric complications and cesarean delivery rate - A population-based screening study [J].
Weiss, JL ;
Malone, FD ;
Emig, D ;
Ball, RH ;
Nyberg, DA ;
Comstock, CH ;
Saade, G ;
Eddleman, K ;
Carter, SM ;
Craigo, SD ;
Carr, SR ;
D'Alton, ME .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2004, 190 (04) :1091-1097