Complications during pregnancy, labor and puerperium in women with increased BMI at pregnancy term

• Authors: Ozren Mamula , Neda Severinski , Mihaela Mamula , Srećko Severinski
• Languages of publication: EN

Abstracts

EN

The aim of this study was to analyse perinatal complications in woman with increased BMI at pregnancy term. Study included 23190 women who gave singleton birth during a 10-year period in our institution. Maternal databases were reviewed for pregnancy, labor and delivery complications and early maternal postpartum morbidity. Women with increased BMI at pregnancy term had a significantly higer incidence of postterm pregnancy, gestational diabetes, pregnancy-induced hypertension and third trimester hemorrhage, compared to normal weight women (p 0.000). Women with increased BMI had significantly more labor induction with prostaglandins (p 0.001 and 0.000) and elective caesarean (p 0.025 and 0.000). Also, overweight and obese women had higher incidence of operative delivery: caesarean section (p 0.000) and vacuum extraction (p 0.000). The incidences of postpartum febrility (p 0.057, 0.000, 0.002) and trombophlebits (p 0.013) were also significantly higher. We can conclude that prepregnancy normal weight women with increased BMI during pregnancy need special follow-up and counseling in pregnancy and delivery.

Keywords

EN

Obesity; Pregnancy; Labor; Complication

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2009
• Volume: 4
• Issue: 1
• Pages: 71-75

Dates

published

1 - 3 - 2009

online

11 - 2 - 2009

Contributors

author

Ozren Mamula

• Department of Gynecology and Obstetrics, Clinical Hospital Rijeka, School of Medicine, University of Rijeka, 51000, Rijeka, Croatia

author

Neda Severinski

• Department of Gynecology and Obstetrics, Clinical Hospital Rijeka, School of Medicine, University of Rijeka, 51000, Rijeka, Croatia

author

Mihaela Mamula

• Department of Radiology, Clinical Hospital Rijeka, School of Medicine, University of Rijeka, 51000, Rijeka, Croatia

author

Srećko Severinski

• Department of Radiology, Clinical Hospital Rijeka, School of Medicine, University of Rijeka, 51000, Rijeka, Croatia

References

• [1] Baeten J.M., Bukusi E.A., Lambe M., Pregnancy complications and outcomes among overweight and obese nulliparous women, Am. J. Public Health, 2001, 91, 436–440 http://dx.doi.org/10.2105/AJPH.91.3.436[Crossref]
• [2] Kumari A.S., Pregnancy outcome in women with morbid obesity, Int. J. Gynaecol. Obstet., 2001, 73, 101–107 http://dx.doi.org/10.1016/S0020-7292(00)00391-X[Crossref]
• [3] Michlin R., Oettinger M., Odeh M., Khoury S., Ophir E., Barak M., et al., Maternal obesity and pregnancy outcome, Isr. Med. Assoc. J., 2000, 2, 10–13
• [4] Sebire N.J., Jolly M., Harris J.P., Wadsworth J., Joffe M., Beard R.W., et al., Maternal obesity and pregnancy outcome: a study of 287,213 pregnancies in London., Int. J. Obes. Relat. Metab. Disord., 2001, 25, 1175–1182 http://dx.doi.org/10.1038/sj.ijo.0801670[Crossref]
• [5] Nucci L.B., Schmidt M.I., Duncan B.B., Fuchs S.C., Fleck E.T., Santos Britto M.M., Nutritional status of pregnant women: prevalence and associated pregnancy outcomes, Rev. Saude Publica, 2001, 35, 502–507 http://dx.doi.org/10.1590/S0034-89102001000600002[Crossref]
• [6] Djrolo F., Megnigbeto Obey A., De Souza J., Takpara I., Santos P., Alihonou E., Influence of maternal weight on pregnancy outcome in Cotonou (Benin), J. Gynecol. Obstet. Biol. Reprod., 2002, 31, 243–247
• [7] Ogunyemi D., Hullett S., Leeper J., Risk A., Prepregnancy body mass index, weight gain during pregnancy, and perinatal outcome in a rural black population, J. Matern. Fetal. Med., 1998, 7, 190–193 http://dx.doi.org/10.1002/(SICI)1520-6661(199807/08)7:4<190::AID-MFM5>3.0.CO;2-D[Crossref]
• [8] Morin K.H., Perinatal outcomes of obese women: a review of the literature, J. Obstet. Gynecol. Neonatal. Nurs., 1998, 27, 431–440 http://dx.doi.org/10.1111/j.1552-6909.1998.tb02667.x[Crossref]
• [9] Bianco A.T., Smilen S.W., Davis Y., Lopez S., Lapinski R., Lockwood C.J., Pregnancy outcome and weight gain recommendations for the morbidly obese woman, Obstet. Gynecol., 1998, 91, 97–102 http://dx.doi.org/10.1016/S0029-7844(97)00578-4[Crossref]
• [10] Perlow J.H., Morgan M.A., Montgomery D., Towers C.V., Porto M., Perinatal outcome in pregnancy complicated by massive obesity, Am. J. Obstet. Gynecol., 1992, 167, 958–962
• [11] Castro L.C., Avina R.L., Maternal obesity and pregnancy outcomes, Curr. Opin. Obstet. Gynecol., 2002, 14, 601–606 http://dx.doi.org/10.1097/00001703-200212000-00005[Crossref]
• [12] Gross T., Sokol R.J., King K.C., Obesity in pregnancy: risk and outcome, Obstet. Gynecol., 1980, 56, 446–50
• [13] Calandra C., Abell D.A., Beischer N.A., Maternal obesity in pregnancy, Obstet. Gynecol., 1981, 57,8–12
• [14] Jensen H., Agger A.O., Rasmussen K.L., The influence of prepregnancy body mass index on labor complications, Acta Obstet. Gynecol. Scand., 1999, 78, 799–802 http://dx.doi.org/10.1034/j.1600-0412.1999.780911.x[Crossref]
• [15] Ekblad U., Grenman S., Maternal weight, weight gain during pregnancy and pregnancy outcome, Int. J. Gynaecol. Obstet., 1992, 39, 277–283 http://dx.doi.org/10.1016/0020-7292(92)90258-K[Crossref]
• [16] Mitchell M.C., Lerner E., A comparison of pregnancy outcome in overweight and normal weight women, J. Am. Coll. Nutr., 1989, 8, 617–624 [Crossref]
• [17] Steinfeld J.D., Valentine S., Lerer T., Ingardia C.J., Wax J.R., Curry S.L., Obesity-related complications of pregnancy vary by race, J. Matern. Fetal. Med., 2000, 9, 238–241 http://dx.doi.org/10.1002/1520-6661(200007/08)9:4<238::AID-MFM10>3.0.CO;2-5[Crossref]
• [18] Goldenberg R.L., Tamura T., Prepregnancy weight and pregnancy outcome, JAMA, 1996, 275, 1127–1128 http://dx.doi.org/10.1001/jama.275.14.1127[Crossref]
• [19] Getahun D., Kaminsky L.M., Elsasser D.A., Changes in prepregnancy body mass index between pregnancies and risk of primary cesarean delivery, Am. J. Obstet. Gynecol., 2007, 197, 376 e1-376 -7 http://dx.doi.org/10.1016/j.ajog.2007.06.015[Crossref]
• [20] Edwards L.E., Hellerstedt W.L., Alton I.R., Story M., Himes J.H., Pregnancy complications and birth outcomes in obese and normal-weight women: effects of gestational weight change, Obstet. Gynecol., 1996, 87, 389–394 http://dx.doi.org/10.1016/0029-7844(95)00446-7[Crossref]
• [21] Wolfe H.M., Zador I.E., Gross T.L., Martier S.S., Sokol R.J., The clinical utility of maternal body mass index in pregnancy, Am. J. Obstet. Gynecol., 1991, 164(5 Pt 1), 1306–10
• [22] Samuels-Kalow M.E., Funai E.F., Buhimschi C., Prepregnancy body mass index, hypertensive disorders of pregnancy, and long-term maternal mortality, Am. J. Obstet. Gynecol., 2007, 197, 490. e1-6

Identifiers

DOI

10.2478/s11536-009-0001-1