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2015, Number 3

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Rev Cuba Endoc 2015; 26 (3)

Obesity frequency and its relationship with some maternal and perinatal complications in a native community

Valdés RE, Bencosme RN

Language: Spanish
References: 24
Page: 238-245
PDF size: 126.66 Kb.


ABSTRACT

Background: obesity represents a high risk both for the mother at the time of pregnancy and for her offspring.
Objective: to determine the frequency of pregestational obesity and its association to maternal and perinatal complications in a native community.
Methods: a descriptive cross-sectional study was conducted in 166 pregnant women from the Miskita ethnic community called “El Muelle” located in Puerto Cabezas, Nicaragua in 2013. The primary data was taken from their obstetric clinical histories that had been prepared for each of them for the follow-up at the health post.
Results: forty of the pregnant women (24.1 %) started their pregnancy as obese persons. Twenty six (15.6 %) had 1st degree obesity; 10 (6.1 %) with 2nd degree and four (2.4 %) had 3rd degree. Generally speaking, 87.5 % of the pregnant women with pregestational obesity presented with some maternal or perinatal complication whereas this situation was observed in 59.5 % of non-obese women (OR: 4.76, CI 1.74-12.96, p= 0.0011). Obesity significantly increased the risk of gestational diabetes mellitus (OR: 5.03, CI: 2.03-12.4, p= 0.0002), macrosomy (OR: 8.06, CI: 2.56-25.36, p= 0.0001) and cesarean section (OR: 5.13, CI: 1.53- 17.22, p= 0.0040).
Conclusions: obesity frequency in the obstetric population of "El Muelle" native community is high and increases the risk of maternal and perinatal complications such as gestational diabetes mellitus, macrosomy and cesarean section delivery.


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