Adverse fetomaternal outcome among pregnant overweight women

Awan, Shazia; Bibi, Seema; Makhdoom, Asadullah; Farooq, Sumaiya; Sm, Tahir; Qazi, Roshan Ara

doi:10.12669/pjms.312.6530

Cited by 8 publications

(14 citation statements)

References 15 publications

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“…P<0.003 which was stastically significant. This was similar to that reflected by Awan et al [36] study in which 27% of overweight/obese pregnant mothers developed pre eclampsia, p< 0.009.  The incidence of GDM in overweight/obese group 2.7% of mothers, & in normal weight group, 1.3%, p> 0.011 statistically insignificant.…”

Section: Introductionsupporting

confidence: 92%

“… 25.3% of mothers in overweight/obese group had PROM, 9.3% of patients in the normal weight group had PROM, p< 0.001 statistically significant. In a similar study Awan et al [36] [41] he studied the normal and obese population a total of 29, 224 women with singleton pregnancies between 2004 and 2008 of whom induction of labour of normal weight mothers was 42.26% and obese group mothers was 52.11% which was significant with p< 0.001. In a similar study by Awan et al [36] revealed in which 26.7% of overweight/obese pregnant mothers required Induction of labor p< 0.001.…”

Section: Introductionmentioning

confidence: 94%

“… The incidence of GDM in overweight/obese group 2.7% of mothers, & in normal weight group, 1.3%, p> 0.011 statistically insignificant. Awan et al [36] in his study in which 24% of overweight/obese pregnant mothers developed GDM. The p< 0.009 which was statestically significant.…”

Section: Introductionmentioning

confidence: 94%

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Comparative study of feto maternal out come in overweight/obese and normal weight pregnancy

Kanakannavar¹,

Chandrakanth²,

Km³

2020

Int. J. Clin. Obstet. Gynaecol.

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Introduction:The latest reports of the World Health Organization (WHO) [1] indicate that in 2005, approximately 1.6 billion people were overweight and at least 400 million adults were obese, a major contributor to global burden of chronic disease and disability. Increasing rates of overweight/obesity among pregnant women are of significant public health concern with various implications for prenatal care and supervision of delivery. Therefore, the present study is to determine the adverse materno fetal outcome in overweight and obese women delivering singleton babies. Obesity has become a major health problem all over the world in endemic proportions and it is rising worldwide including in women of reproductive age. According to WHO World statistics Report 2012, globally one in six adults are obese and nearly 2.8 million individuals die each year due to overweight or obesity. Due to the increased risk of morbidity and mortality, Obesity is now recognized as a disease in its own right. WHO describes obesity as a 'killer disease' comparing it with HIV. Obesity is expressed as the body mass index or Quetelet's index. The rate of obesity in pregnant women is rising and consequently obesity related problems. Maternal overweight/obesity has been reported as a risk factor for various antepartum, intrapartum, intrapartum, post partum complications like gestational diabetes mellitus, gestational hypertension, pre eclampsia, antepartum hemorrhage, associated with risk of post-term delivery and greater need for induction of labor (IOL), postpartum hemorrhage, operative vaginal delivery, increased emergency cesarean delivery and total operative time, increased blood loss, multiple epidural placements and complications from difficult or failed intubations, increased infection rates, and prolonged hospitalization and neonatal complications like fetal macrosomia, shoulder dystocia, respiratory distress, NICU admissions and foetal anomalies like neural tube defects and still birth. Obesity is detrimental to the accuracy of obstetrical ultrasound examination. Obesity and hypertension are common co-factors in causing peri partum heart failure. The increased risks of complications in overweight/obese women during during pregnancy and delivery coupled with rising epidemic among women emphasise the need for specialists involved in identifying and treating overweight/obese women and to be aware of the risks, complications and their management. Second-trimester dilatation and evacuation was reported to take longer and be more difficult in women whose BMI was 30 kg/m 2 or greater. Obese women are less likely to breast feed than normal-weight women. Postpartum depression was significantly increased in obese women in relation to the degree of obesity. Overweight and obesity are emerging problems in India. 13% of women and 9% of men are overweight or obese. The NFHS-4 (2015-16) of India [2] reports an increasing prevalence (20.7%) of overweight or obesity among women aged 15 to 49 years (ranging from 31.3% in urban areas to 15% in rural ar...

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Section: Introductionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 94%

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Comparative study of feto maternal out come in overweight/obese and normal weight pregnancy

Kanakannavar¹,

Chandrakanth²,

Km³

2020

Int. J. Clin. Obstet. Gynaecol.

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“…An important factor that helped in the successful outcome in this lady was that the indication of first cesarean section was not a recurrent cause (breech presentation, unless the breech recurred), also the patient was young and of normal body mass index. Body mass index greater than 30 is a predictor of unsuccessful outcome (14) . Advanced maternal age is associated with decreased likelihood of planned vaginal birth after cesarean success (15) .…”

Section: Discussionmentioning

confidence: 99%

Successful Trial of Labor After Primary and Repeated Cesarean Sections: A Case Report

2017

IJMS

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This is a case report of a patient who achieved a successful vaginal birth for five times attended by a traditional birth attendant twice after two cesarean sections and thrice after three cesarean sections.Keywords Vaginal birth after cesarean delivery, VBAC, VBAC delivery, trial of labor after cesarean delivery, prior cesarean delivery, risks for uterine rupture, vaginal delivery Citation Yosra T. Jarjees. Successful trial of labor after primary and repeated cesarean sections: A case report.

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“…The sedentary lifestyle adopted by many pregnant women predisposes them to obesity, hypertension or gestational diabetes mellitus (GDM) [ 5 , 6 , 8 ], and the physiological changes occurring during gestation magnify this risk [ 9 ]. Importantly, overweight or obesity during pregnancy is associated with a significantly higher risk of pre-term delivery [ 10 ], birth-asphyxia-related complications [ 11 ], pre-eclampsia, GDM, prolonged labour, caesarean section, wound infection, postpartum haemorrhage, early neonatal death or neonatal intensive care admission [ 12 – 15 ], and infant mortality [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of supervised aerobic and strength training in overweight and grade I obese pregnant women on maternal and foetal health markers: the GESTAFIT randomized controlled trial

Aparicio

Ocón

Padilla-Vinuesa

et al. 2016

BMC Pregnancy Childbirth

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BackgroundDuring pregnancy, a sedentary lifestyle may have negative consequences on maternal and foetal health status. The main objective of this project is to assess the effects of an exercise intervention in overweight and grade I obese pregnant on maternal and foetal health markers.Methods/designThe present study aims to recruit 60 overweight and grade I obese women interested in participating in an exercise intervention program from the 17th gestational week until delivery. Women will be randomized to either an exercise (three 60-min sessions/week of combined aerobic and strength training and pelvic floor exercises), or usual care (control) group (30 women per group). The primary outcome measures are maternal weight gain, and maternal and neonatal glycaemic profile. Secondary outcome measures are: i) perinatal obstetric records; i) body composition; iii) dietary patterns; iv) physical fitness; v) low-back pain; vi) objectively measured physical activity and sedentary behaviour; vii) haematology and biochemical analyses; viii) oxidative stress; ix) pro- and anti-inflammatory markers; x) bone health biomarkers; xi) sleep quality; xii) mental health, quality of life and positive health.DiscussionThe findings of this project will help to identify strategies for primary prevention and health promotion based on this exercise-based intervention program among overweight and grade I obese pregnant women.Trial registration NCT02582567; Date of registration: 20/10/2015

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Adverse fetomaternal outcome among pregnant overweight women

Cited by 8 publications

References 15 publications

Comparative study of feto maternal out come in overweight/obese and normal weight pregnancy

Comparative study of feto maternal out come in overweight/obese and normal weight pregnancy

Successful Trial of Labor After Primary and Repeated Cesarean Sections: A Case Report

Effects of supervised aerobic and strength training in overweight and grade I obese pregnant women on maternal and foetal health markers: the GESTAFIT randomized controlled trial

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