Objectives. To evaluate the impact of the body mass index (BMI) before pregnancy and the weight gain during pregnancy, on the occurrence of maternal and neonatal morbidity in the Moroccan population, as well as to analyze the quality of the weight gain depending on the BMI. Methods. A study was carried out over a period of one year from October 1, 2010 to October 1, 2011, using data collected from a descriptive-transversal study. We recruited nondiabetic women without several HTAs, delivering singletons from 37 completed weeks up to 42 weeks gestation. Results. Total of 1408 were analyzed. The risks of moderate hypertension, macrosomia, dystocia, and resort to cesarean section were higher among overweight or obese women, as well as among women whose weight gain was >16 kg. The differences were significant <0.05. Conclusion. This study demonstrates that overweight women before pregnancy and weight gain during pregnancy are associated with higher risks of maternal and neonatal complications. These data provide ideas on prevention opportunities.

No abstract

Background/Aims Eclampsia is a major cause of maternal mortality worldwide. Simulation is an innovative pedagogical method to teach eclampsia management, while objective structured clinical examinations are effective in assessing midwifery students’ clinical skills. This study’s aim was to determine the impact of simulation and objective structured clinical examinations in teaching eclampsia management, and explore students’ satisfaction and self‑confidence. Methods This repeated measures study involved 31 second year midwifery students who participated in an objective structured clinical examination before and after a simulation on eclampsia management, and evaluated their experience using the National League for Nursing student satisfaction and self‑confidence learning scale. Results The mean post‑simulation score was significantly higher than pre‑simulation (P<0.001). The students showed significantly high levels of satisfaction. Conclusions Joining simulation and objective structured clinical examinations is effective in teaching and assessing student midwives on the management of eclampsia.

Introduction l’objectif de de cette étude est de déterminer les complications périnatales associées aux grossesses rapprochées. Méthodes il s’agit d’une étude cas-témoin rétrospective menée du 1 er juin 2020 au 1 er juin 2021 au centre hospitalier provincial de Settat. Au total, 670 patients ont été recrutés. Six cent trente personnes ont été réparties en deux groupes. Un groupe de patientes avec des intervalles intergénésique <9 mois (N = 443) et un groupe témoin >9 mois (N = 187). Résultats la prématurité, la dénutrition et l'anémie p<0,05 étaient les principales complications et les principaux facteurs de risque de grossesse imminente étaient l'âge >35 ans (OR = 19,079 (4,98; 73,06) p<0,005) et le milieu rural (OR = 0,468)) (0,28; 0,78) p<0,005), niveau socio-économique bas (OR = 3,465 (2,06; 5,81) p<0,005); absence de prescriptions contraceptives postnatales (OR = 15,77 [7,31; 33,99]; p<0,005); absence d´allaitement avant la grossesse (OR = 49,462 [15,78; 155,03]; p<0,05). Conclusion des soins préventifs et ciblés sont nécessaires en matière de planification familiale pour éviter les complications périnatales.