Comparative study of gestational results between two groups of overweight pregnants
Keywords:
obesity, pregnancy complications, perinatal results, delivery, newborn infantAbstract
evaluated by mean, standard deviation and then compared by Qui-squared and Student-t tests. Overweihgt women were older and had high parity. They had, also, clinical and obstetric history worse than patients that had weight between 80-99. They had high prevalence of clinical diseases (45.2%) and obstetric complications (37.8%). One half of overweight patients had got more than 20 kg and the body mass index was, on avarage, over 40 kg/m2. These patients had high incidence of hypertensive disease (37.9%), diabetes (10.0%), infectious disease (8.2%) and cesarean section was the most frequent form of labor (48.3%). Among overweight patients, there was high incidence of premature infants (8.0%) and neonatal depression. The weight mean among newborn infants was 116 g higher and one third of them were big for gestational age. Pregnancy in overweight patients had high risk and should be evaluated in specialized centers that could give them adequate obstetric, anesthetic and neonatal assistance.
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References
BEATTIE, P .G. et al. Risk factors for wound infection following caesarian section. Aust N Z J Obstet Gynaecol, Melbourne, v.34, n.4, p.398-402, 1994.
GALTIER-DEREURE, F., BOULOT, P. Obstetrical complications ofmaternal overweight. Contracept FertilSex, v.22, n.2,p.113-116, 1994.
GALTIER-DEREURE,F.eta1. before_pregnancy: complications and cost. Int J Obes RelatMetabDis, v. 19, n.7, p.443-448, 1995.
GRIO,R.,PORPIGLIA,M. Obesity: internai medicine, obstetric and gynecological problems related to overweight. Panminerva Med, Torino, v.36, n.3, p.138-141,1994.
HOOD, D. D., DEWAN, D.M. Anestetic and obstetric outcome in morbidly obese parturients. Anesthesiology, Philadelphia, v.79, n.6, p. 1210-1218, 1993.
JOHNSON, S. R. et al. Maternal obesity and pregnancy. Surg Gynaecol Obstet, Chicago, v. 164, n.5,p.431-437, 1987.
KARIM, S.A. et al. Macrossomia: maternal and fetal outcome. Asia Oceania J Obstet Gynaecol, Tokyo,v.20, n.1,p.73-76, 1994.
LUBCHENCO, L.O., Neonatal mortality rate: relationship to birth weight and gestational age.JPediatr, St Louis, v.81 , n.4, p.814-822, 1972.
MAZZAFERRI, E.L. Obesidade. In: MAZZAFERRI, E.L Endocrinologia. Rio de Janeiro : Guanabara Koogan, 1978. 384p.
MESHARI,A.A., DE-SILVA, S., RAHMAN, I. Fetal macrossomia-maternal risks and fetal outcome. Int J Gynaecol Obstet, Limerick, v. 32, n.3, p.215-222, 1990.
NAEF, R.W. et al. Prediction of hemorrhage at cesarean delivery. Obstet Gynaecol, New York, 1994.
NAEYE, R.L. Maternal body weight and pregnancy outcome. Am J Clin Nutr, Bethesda, v.52, n.2, p.273-279, 1990.
NOCON, J.J. et al. Shoulder distocia: na analysis of risks and obstetric maneuvers. Am J Obstet Gynecol, St Louis, v. 168 (6 Pt 1), p. 1732-1737, 1993. (Discussion).
PASSINI Jr, R. Associação entre trabalho materno e resultados gestacionais. Campinas, 1996. 168p. Tese (Doutorado em Tocoginecologia) - Faculdade de Ciéncias Médicas, Universidade Estadual de Campinas, 1996.
PARROT, T. et al. Infection following caesarean section. J Hosp Infect, New York, v.13, n.4, p.349-354, 1989.
PELLE, H. et al. Wound infection after cesarean section. Infect Control, v.7, n.9, p.456-461, 1986.
PERLOW, J.H., MORGAN, M.A. Massive maternal obesity and perioperative cesarean morbidity. Am J Obstet Gynecol, St Louis, v. 170, n.2, p.560-565, 1994.
PONGTHAI, S. Labour and delivery of obese parturients. J Med Assoc Thai, Bangkok, v. 73 (Supplement 1), p.52S-56S, 1990.
PORTO, C.C. et al. Sistema cardiovascular. In: PORTO, C.C. Semiologia médica. 2.ed. Rio de Janeiro: Guanabara Koogan, 1994. 1442p.
RAHMAN, J., NARAYANSINGH, G.V. ROOPNARINESINGH, S. Fetal outcome among obese parturients. Int J Gynaecol Obstet, Limerick, v.31, n.3, p.227-230, 1990.
RANTA, P. et al. The effect of maternal obesity on labour and labour pain. Anaesthesia, London, v.50, n.4,p.322-326, 1995.
ROSSNER, S., OHLIN, A. Maternal body weight and relation to birth weight. Acta Obstet Gynaecol Scand, Stockholm, v.69, n.6, p.475-478, 1990.
ROSSO, P. A new chart to monitor weight gain during pregnancy. Am J Clin Nutr, Bethesda, v.41, n.3, p.644-652, 1985.
SHAW, G.M., VELIE, E.M., SCHAFFER, D. Risk of neural tube defect-affected pregnancies among obese women. JAMA, Chicago, v.275, n. 14, p.1093-1096, 1996.
SZILAGYI, A. et al. Screening for diabetes in obese pregnant women. Orv Hetil, Budapest, v. 131, n.29, p1585-1588, 1990.
TILTON, Z. et al. Complications and outcome of pregnancy in obese women. Nutrition, London, v.5, n.2, p.95-99, 1989.
TOMODA, S. et al. Effects of obesity on pregnant women: maternal hemodynamic change. Am J Perinatol, New York, v. 3, n.2, p.73-78, 1996.
WERLER, M.M. et al. Prepregnant weight in relation to risk of neural tube defects. JAMA, Chicago, 1996.
