2021, Number 3
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Revista Cubana de Obstetricia y Ginecología 2021; 47 (3)
Maternal and perinatal outcomes in overweight and obese nulliparous patients
Millán VMM, Sánchez ACE, Ferrer FAM, Beritán TA, Ríos QR
Language: Spanish
References: 20
Page: 1-11
PDF size: 464.15 Kb.
ABSTRACT
Introduction: Obesity and overweight are a modern epidemic and their incidence seems to be increasing. The pregnancies of these patients are classified as high-risk pregnancies due to the number of associated complications.
Objective: To describe the maternal and perinatal results in nulliparous overweight and obese pregnant women.
Methods: An observational, descriptive and cross-sectional study of 173 women was carried out. These subjects ended their pregnancy at Carlos Manuel de Céspedes Hospital from July 1, 2020 to March 31, 2021.
Results: Patients aged between 25 and 34 years (72.9%) and obese type I (42.8%) predominated. The rate of premature births was high (13.3%), as was the rate of cesarean section (42.8%) and the frequency of failed induction (36.1%). The main maternal complications were hypertensive disorders (41.51%) and gestational diabetes (21.04%). A high number of newborns were admitted to neonatal intensive care (36.52%), 24.72% had macrosomia, and 17.9% had respiratory distress.
Conclusions: There was high frequency of maternal and perinatal complications in obese and overweight pregnant women. The work has made it possible to characterize this health problem locally, in addition to laying the foundations for further studies.
REFERENCES
Barrera H, Germain A. Obesidad y Embarazo en Colombia. Revista Médica Clínica Condes. 2017 [acceso 10/05/2016];23(2):154-158. Disponible en: https://www.clc.cl/Dev_CLC/media/Imagenes/PDF%20revista%20m%C3%A9dica/2012/2%20marzo/Dr_Barrera-8.pdf
Organización Mundial de la Salud. Obesidad y Sobrepeso. España: Organización Mundial de la Salud; 2015 [acceso 10/05/2016]. Disponible en: http://www.who.int/mediacentre/factsheets/fs311/es/
Jarvie E, Ramsay J. Obstetric management of obesity in pregnancy. Seminars in Fetal & Neonatal Medicine. 2018;15(2):83-8.
Jiménez S, Rodríguez A. Sobrepeso y obesidad en embarazadas cubanas. Nutrición Clínica y Dietética Hospitalaria. 2011 [acceso 10/05/2016];31(3):28-34. Disponible en: http://nutricion.org/publicaciones/revista_2011_03/Sobrepesoobesidad.pdf
Alvariñas JH, Salzberg S. Diabetes y embarazo. Separata. Buenos Aires, Argentina: Laboratorios Montpellier S.A.; 2003. p. 2-22.
ALYH Hammad T; NADAA, Mohamed M; Bathgate S. Maternal obesity, associated complications and risk of prematurity. J Perinatol. 2010;30(7):447-51. DOI: http://dx.doi.org/10.1038/jp.2009.117
Wuntakal R, Hollingworth T. The implications of obesity on pregnancy. Reviews. London. Obstetrics, Gynecology And Reproductive Medicine. 2019;19(12):344-9.
Valdez Y, Hernández N. Resultados perinatales en gestantes con trastornos por exceso. Rev Cubana Obstet Ginecol. 2014 [acceso 10/05/2016]. Disponible en: http://bvs.sld.cu/revistas/gin/vol40_1_14/gin03114.htlm
Ordoñez S, Buele L. Incidencia de sobrepeso y obesidad materna y su relación con los principales riesgos obstétricos en mujeres gestantes atendidas en el área de Ginecología del Hospital cantonal de Alamor durante el período Octubre 2011- Julio 2012 [Tesis]. Loja: Universidad Técnica Particular de Loja. Departamento de Ciencias de la Salud; 2013. [acceso 10/05/2016]. Disponible en: http://dspace.utpl.edu.ec/bitstream/123456789/6596/1/Tesis%20.pdf
Lazo P, López M, Vaquen J. Impacto del IMC y la ganancia de peso en los resultados materno – perinatales de una población bogotana [Tesis]. Bogotá: Universidad Nacional de Colombia. Facultad de Medicina; 2017. [acceso 10/05/2016]. Disponible en: http://www.bdigital.unal.edu.co/12634/1/599187.2014.pdf
Cajas G. Obesidad materna y complicaciones materno-fetales [Tesis de Maestría]. Guatemala: Universidad de San Carlos de Guatemala. Facultad de Ciencias Médicas; 2018. [acceso 10/05/2016]. Disponible en: http://www.repositorio.usac.edu.gt/id/eprint/4446 12. Fortner R, Pekow P, Solomon C, Markenson G, Chasan Traber L. Prepregnancy body mass index, gestational weight gain, and risk of hypertensive pregnancy among Latina women. Am J Obstet Gynecol. 2009;200(2):31-7. DOI: http://dx.doi.org/10.1016/j.ajog.2008.08.021
Jarvie E, Ramsay J. Obstetric management of obesity in pregnancy. Semin Fetal Neonatal Med. 2010;15(2):83-8.
Larsen TB, Sorensen HT, Gislum, Johnsen SP. Maternal smoking, obesity, and risk of venous thromboembolism during pregnancy and the puerperium: a population-based nested case-control study. Thromb Res. 2007;120(4):505-9. DOI: http://dx.doi.org/10.1016/j.thromres.2006.12.003
Report of the National High Blood Pressure Education Program Working Group on High Blood Pressure in Pregnancy. Am J Obstet Gynecol. 2017;183:(S1- S22).
CHU; KIM and others. Maternal obesity and risk of cesarean delivery: a metaanalysis. Diagnostic in Obesity Comorbidities. The International Association for the Study of Obesity, obesity reviews 8. Washington 2017. Page 385-94.
Centre for Maternal and Child Enquiries. Maternal obesity in the UK: findings from a national project. Executive Summary and Key Recommendations. London, United Kingdom: CMAC; 2010.
SOGC Clinical Practice Guidelines: Obesity in Pregnancy. No. 239, February 2010. Int J Gynaecol Obstet. 2010 [acceso 10/05/2016];110(2):167-73. Disponible en: https://pubmed.ncbi.nlm.nih.gov
Guía de Práctica Clínica: Obesidad en el Embarazo. Manejo de la obesidad materna antes, durante y después de la gestación, Agosto 2011. Argentina: Hospital Materno Infantil Ramón Sardá; 2011 [acceso 10/05/2016]. Disponible en: https://www.sarda.org.ar/images/Guia_Obesidad_y_Embarazo_Sarda_2011.pdf
Hernández S, Bellart J, Domenech M, Peguero A. Protocolo: Hipertensión y gestación. Hospital Clínic Barcelona: Hospital Universitario; 2021.
Jiménez Acosta S, Rodríguez Suárez A. Sobrepeso y obesidad en embarazadas cubanas. Instituto de Nutrición e Higiene de los Alimentos. Nut Clin Diet Hosp. 2018;31(3):28-34.