2013, Number 2
<< Back Next >>
Revista Cubana de Obstetricia y Ginecología 2013; 39 (2)
Perinatal outcomes in pregnant women with low weight prior pregnancy
Hernández NJ, Valdés YM, Chong LL, González MIM, García SMM
Language: Spanish
References: 24
Page: 76-86
PDF size: 75.22 Kb.
ABSTRACT
Introduction: default malnutrition is critical in the gestational period since it
results adversely for maternal, fetal and newborn health.
Objective: to determine the perinatal outcome in pregnant women with low weight
prior pregnancy in Santa Cruz del Norte for 2 years.
Methods: we performed a prospective observational analytical study from July
2009 to June 201. Our universe was 152 pregnant women with low weight when
recruiting, a sample of 112 pregnant women were chosen to formed the study
group and a control group of normal-weight 219 patients was formed randomly
from the medical practices following multiple criteria. The data were collected by
the review of clinical and obstetric records and they were processed using
descriptive and inferential statistics.
Results: significantly, patients with low pre-pregnancy weight were observed to
have preterm labor (20.5 %), premature rupture of membranes (17.9 %),
insufficient weight gain (43.8 %), growth restriction (14.3 %), congenital
malformations (2.7 %), preterm delivery (6.3 %), and low birth weight (8.9 %).
Respiratory distress was a significant complication in newborns (10.7 %), and
endometritis and urinary sepsis in the postpartum women (16.1 % and 5.4 %
respectively).
Conclusions: nutritional disorders at the beginning of pregnancy bring an increase
in maternal and perinatal morbidity, since the risk of obstetrical, fetal, postnatal
and newborn conditions increased.
REFERENCES
Bolet Astoviza M. Algunos problemas filosóficos de la nutrición: la ética en la atención nutricional del paciente. Rev Cubana Med Gen Integr. [en línea] 2004 [acceso 15 Ago 2012];20(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864- 21252004000100009&lng=es
Restrepo S, Mancilla L, Manjarrés L, Parra B. Evaluación de una intervención alimentaria en gestantes. Rev Chilena Nutr. 2010;37:18-31.
Gil Almira A. Variación del peso materno en el embarazo. Medisan. [en línea] 2010 [acceso 15 Ago 2012];14(1). Disponible en: http://bvs.sld.cu/revistas/san/vol_14_1_10/san12110.htm
West KP, Christian P. Antenatal micronutrients in undernourished people. Lancet. 2008;371(9611):452-4.
Restrepo SL, Mancilla LP, Parra BE, Manjarrés LM, Zapata NJ, Restrepo O, et al. Evaluación del estado nutricional de mujeres gestantes que participaron de un programa de alimentación y nutrición. Rev Chil Nutr. 2010;37(1):18-30.
Rosell Juarte E, López Montero M, Trufero Cánovas N. Efectos del bajo peso materno preconcepcional sobre el embarazo y el parto. ACM. [en línea] 2006 [acceso 15 Ago 2012];10(4). Disponible en: http://www.amc.sld.cu/amc/2006/v10n4-2006/2113.htm
Painter RC, Westendorp RGJ, de Rooij SR, Osmond C, Barker DJP, Roseboom TJ. Increased reproductive success of women after prenatal undernutrition. Hum Reprod. 2008;23(11):2591-5.
Park JH, Lee BE, Park HS, Ha EH, Lee SW, Kim YJ. Association between prepregnancy body mass index and socioeconomic status and impact on pregnancy outcomes in Korea. J Obstet Gynaecol Res. 2011;37(2):138-45.
Rodríguez Domínguez PL, Martín Ojeda V. Implicaciones obstétricas de la desnutrición materna. Rev Med Electrón. 2011;33(4):448-55.
Mumford SL, Siega-Riz AM, Herring A, Evenson KR. Dietary restraint and gestational weight gain. J Am Diet Assoc. 2008;108(10):1646-53.
Amaro HF, Rosell JE, Virilla TE, Cardoso NO, Labrada SC. Algunos factores de riesgo y complicaciones del embarazo asociados a la malnutrición materna por defecto. Tokogin Práct. 2002;61(664):407-10.
Faúndes A, Passini R, Luiz J, Juan A, Gama JC, Aristodermo J. Estudio de diversas formas de evaluación del peso materno como indicadores del peso del recién nacido. Rev Cubana Obstet Ginecol. 2002;18(1):25-38.
Harnisch JM, Harnisch PH, Harnisch DR. Family medicine obstetrics: pregnancy and nutrition. Prim Care. 2012;39(1):39-54.
Addo VN. Body Mass Index, Weight Gain during Pregnancy and Obstetric Outcomes. Ghana Med J. 2010;44(2):64-9.
Carmichael SL, Yang W, Herring A, Abrams B, Shaw GM. Maternal Food Insecurity Is Associated with Increased Risk of Certain Birth Defects. J Nutr. 2007;137(9):2087-92.
Wang T, Zhang J, Lu X, Xi W, Li Z. Maternal early pregnancy body mass index and risk of preterm birth. Arch Gynecol Obstet. 2010 Nov 11. [Epub ahead of print]
Murrin C, Segonds-Pichon A, Fallon UB, Hannon F, Bury G, Loftus BG, et al. Self-reported pre-pregnancy maternal body mass index and infant birth-weight. Ir Med J. 2007;100(8):20-3.
Pérez Guirado NM, Presno Labrador C, Sarmiento Brooks G. Algunos factores de riesgo asociados al recién nacido con bajo peso. Rev Cubana Med Gen Integr. 2005; 21(3-4).
Gala Vidal H, Crespo Mengana E, García Díaz RC, Bertrán Bahades J, Valón Rodríguez AO. Factores de riesgo asociados al bajo peso al nacer en una comunidad venezolana. Medisan. [en línea] 2010 [acceso 15 Ago 2012];14(2). Disponible en: http://bvs.sld.cu/revistas/san/vol_14_2_10/san11210.htm
Guevara Cosme JA, Montero Hechavarría E, Fernández Miralles RM, Cordero Isaac R, Villamil Blanco Y. Factores de riesgo del bajo peso al nacer en el hospital materno de Palma Soriano durante un trienio. Medisan. [en línea] 2009 [acceso 15 Ago 2012];13(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029- 30192009000200009&lng=es
Puig Vega A, Hernández Cabrera J, Sierra Velázquez M, Crespo Hernández T, Suárez Ojeda R. Desnutrición materna y su relación con algunos resultados perinatales. Rev Cubana Obstet Ginecol. [en línea] 2003 [acceso 15 Ago 2012]; 29(1). Disponible en: http://scielo.sld.cu/scielo.php? script=sci_arttext&pid=S0138-600X2003000100003&lng=es&nrm=iso
Campbell DM, Bhattacharya S, Liston WA, Bhattacharya S. Effect of Body Mass Index on pregnancy outcomes in nulliparous women delivering singleton babies. BMC Public Health. 2007;7:168-71.
Tsai IH, Chen CP, Sun FJ, Wu CH, Yeh SL. Associations of the pre-pregnancy body mass index and gestational weight gain with pregnancy outcomes in Taiwanese women. Asia Pac J Clin Nutr. 2012;21(1):82-7.
Amann-Gassner U, Hastreiter L. Nutrition during pregnancy. MMW Fortschr Med. 2012;154(2):49-52.