Maternal Obesity: A Global Health Problem and It's Implications on Maternal and Fetal Health

Journal of Family and Reproductive Health Pub Date : 2012-01-14 DOI:10.4172/2161-038X.1000103

A. Hashmi, J. Soomro, Z. Iqbal, T. Soomro, K. Saleem

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引用次数: 5

Abstract

Objective: To compare maternal complications and labor outcome in obese and non-obese women. Materials and methods: It is a retrospective comparative study conducted at the Department of obstetrics and gynecology, Unit 1, Civil Hospital, Karachi from December 2008 to December 2009. A sample size of 220 gravid women is selected by Non Probability Convenience sampling technique. In these 110 obese women as cases was compared with 110 non-obese women as controls, booked at <20 weeks of gestation. Data were collected regarding maternal complication, mode of delivery and neonatal outcome by trained medical officers. Data were entered and analyzed by SPSS version 11.0 through descriptive analysis, chi-square test and independent sample t test. The p-value of <0.05 was considered significant. Results: Pregnancy induced hypertension was present in 9 (8.2%) women in control group and 21 (19.1%) in cases ( p =0.01). Gestational diabetes was seen in one (0.9%) in control compared to 8 (7.3%) in obese women ( p =0.01). Obese women were found to be at increased risk of caesarean section [17 (15.5%) Vs. 39 (35.4%), p =0.002]. Apgar score at 1 and 10 minute were lower in cases compared to controls ( p =0.0001). Conclusion: Obese women are at increased risk of pregnancy induced obesity and associated with an increased risk of hypertension, gestational diabetes mellitus, thromboembolic disease and urinary tract infection.

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产妇肥胖:一个全球性的健康问题及其对母婴健康的影响

目的:比较肥胖和非肥胖妇女的产妇并发症和分娩结局。材料与方法:回顾性比较研究于2008年12月至2009年12月在卡拉奇民用医院第一单元妇产科进行。采用非概率方便抽样技术，选取220名孕妇作为样本。在这110名肥胖妇女作为病例与110名非肥胖妇女作为对照，记录在妊娠<20周。由训练有素的医务人员收集有关产妇并发症、分娩方式和新生儿结局的数据。数据输入采用SPSS 11.0版本进行描述性分析、卡方检验和独立样本t检验。p值<0.05为显著性。结果:妊娠高血压对照组9例(8.2%)，妊娠高血压组21例(19.1%)(p =0.01)。对照组有1例(0.9%)患妊娠糖尿病，而肥胖妇女有8例(7.3%)患妊娠糖尿病(p =0.01)。肥胖妇女剖宫产的风险增加[17(15.5%)比39 (35.4%)，p =0.002]。与对照组相比，1分钟和10分钟Apgar评分较低(p =0.0001)。结论:肥胖妇女妊娠性肥胖的风险增加，并与高血压、妊娠糖尿病、血栓栓塞性疾病和尿路感染的风险增加相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Family and Reproductive Health

自引率

0.00%

发文量

审稿时长

5 weeks

期刊介绍： The Journal of Family & Reproductive Health (JFRH) is the quarterly official journal of Vali–e–Asr Reproductive Health Research Center. This journal features fulllength, peerreviewed papers reporting original research, clinical case histories, review articles, as well as opinions and debates on topical issues. Papers published cover the scientific and medical aspects of reproductive physiology and pathology including genetics, endocrinology, andrology, embryology, gynecologic urology, fetomaternal medicine, oncology, infectious disease, public health, nutrition, surgery, menopause, family planning, infertility, psychiatry–psychology, demographic modeling, perinatalogy–neonatolgy ethics and social issues, and pharmacotherapy. A high scientific and editorial standard is maintained throughout the journal along with a regular rate of publication. All published articles will become the property of the JFRH. The editor and publisher accept no responsibility for the statements expressed by the authors here in. Also they do not guarantee, warrant or endorse any product or service advertised in the journal.