2012, Number 1
Comparative clinical evaluation among newborns of obese and eutrophic mothers
Ortega GLL, López SJ, Sánchez VA, Magaña LG, Guzmán SA, Angulo CE, Gutiérrez PJA
Language: Spanish
References: 12
Page: 12-16
PDF size: 65.04 Kb.
ABSTRACT
Introduction: Obesity during pregnancy is linked to obstetric and fetal, causing them to increase morbidity and mortality during pregnancy and the neonatal period. It is unclear whether obesity directly causes such damage or if the mechanism is related factors. In Mexico the prevalence of overweight and obesity in women aged 20 to 49 years ranges from 30 to 45% in the state of Jalisco average women who are overweight is 36%. In the newborn is not known in depth the impact of the damage occurred by maternal obesity. There are reviews of meta-analysis showing that maternal obesity increases the number of cesarean deliveries and infants born with low Apgar scores, increased obstetric trauma, more difficult to feed and require more neonatal intensive care. In the central-western Mexico do not know the impact of maternal obesity in infants, so we decided to investigate this phenomenon in our environment.Material and methods: Transversal analytical study that included 200 pregnant women, to compare, pregnancy, childbirth and the health of the newborn of obese mothers with those well-nourished mothers. Involving the variables investigated were maternal anthropometric characteristics and clinics, they were also rated the characteristics of the newborn. The data processing system was by SSPS 15.0.
Results: There was a significant difference in children of obese mothers in the following variables BMI, pre-pregnancy weight. In the group of obese mothers, there was a greater number of children admitted to the NICU. The most prevalent diseases were congenital malformations, respiratory distress, sepsis and neonatal metabolic disorders.
Conclusions: Maternal obesity is associated with other diseases as a greater number of mothers with gestational diabetes, hypertension and preeclampsia and the highest number of infant malformations, respiratory distress, sepsis and metabolic disorders. Obesity in Mexican women during pregnancy is a phenomenon that should be studied in greater depth and scientific rigor in order to establish a clear risk factors for the mother and child and establish preventive measures.
REFERENCES