Pregnant Women with Morbid Obesity: Pregnancy and Perinatal Outcomes

Ester Ortiz Murillo

Authors

Ester Ortiz Murillo

Keywords:

obesity, morbid obesity, pregnancy complications, maternal outcomes, perinatal outcomes

Abstract

The aim of this study is to evaluate obstetric complications and perinatal outcomes in pregnant women with morbid obesity (BMI ≥ 40.0 kg/m²) compared to pregnant women with normal weight (BM I 18.5-24.9 kg/m²). It is a retrospective case-control study undertaken by the Department of Obstetrics at Hospital Universitario Doctor Peset, Valencia (Spain) between May 2008 and July 2016. A total of 50 patients were included in each study group. Morbidly obese pregnant patients had a higher rate of nulliparity (P = 0.03), chronic hypertension (P = 0.008), preeclampsia (P = 0.03), gestational diabetes (P = 0.013) and delivery by caesarean section (P = 0.04) compared to control patients with normal weight. A closer monitoring of morbidly obese pregnant women is recommended to prevent, reduce and properly handle the complications that may arise during pregnancy, both for the mother and the fetus.

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How to Cite

Pregnant Women with Morbid Obesity: Pregnancy and Perinatal Outcomes. (2018). Global Journal of Medical Research, 18(E3), 1-5. https://medicalresearchjournal.org/index.php/GJMR/article/view/1508

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References

M Agha, R Agha, J Sandell (2014) Interventions to reduce and prevent obesity in pre-conceptual and pregnant women: a systematic review and metaanalysis. 9(5), e95132.

Dagfinn Aune, Ola Saugstad, Tore Henriksen, Serena Tonstad (2014) Maternal Body Mass Index and the Risk of Fetal Death, Stillbirth, and Infant Death. 311(15), 1536.

F Basterra-Gortari, Juan Beunza, Maira Bes-Rastrollo, Estefanía Toledo, Martín García-López, Miguel Martínez-González (2011) Increasing Trend in the Prevalence of Morbid Obesity in Spain: From 1.8 to 6.1 per Thousand in 14 Years. 64(5), 424-426.

Sohinee Bhattacharya, Doris Campbell, William Liston, Siladitya Bhattacharya (2007) Effect of Body Mass Index on pregnancy outcomes in nulliparous women delivering singleton babies. 7(1), 168.

A Bianco, S Smilen, Y Davis, S Lopez, R Lapinski (1998) Pregnancy outcome and weight gain recommendations for the morbidly obese woman. 91(1), 97-102.

Marie Blomberg (2013) Maternal Obesity, Mode of Delivery, and Neonatal Outcome. 122(1), 50-55.

Susan Chu, Shin Kim, Joseph Lau, Christopher Schmid, Patricia Dietz, William Callaghan, Kathryn Curtis (2007) Maternal obesity and risk of stillbirth: a metaanalysis. 197(3), 223-228.

Joan Crane, Phil Murphy, Lorraine Burrage, Donna Hutchens (2013) Maternal and Perinatal Outcomes of Extreme Obesity in Pregnancy. 35(7), 606-611.

F Denison, J Price, C Graham, S Wild, W Liston (2008) Maternal obesity, length of gestation, risk of postdates pregnancy and spontaneous onset of labour at term. 115(6), 720-725.

J Drife (2005) Why mothers die. 35(4), 332-336.

H Ehrenberg, L Dierker, C Milluzzi, B Mercer (2002) Prevalence of maternal obesity in an urban center. 187, 1189.

Mariel Finucane, Gretchen Stevens, Melanie Cowan, Goodarz Danaei, John Lin, Christopher Paciorek, Gitanjali Singh, Hialy Gutierrez, Yuan Lu, Adil Bahalim, Farshad Farzadfar, Leanne Riley, Majid Ezzati (2011) National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9·1 million participants. 377(9765), 557-567.

Romy Gaillard, Eric Steegers, Albert Hofman, Vincent Jaddoe (2011) Associations of maternal obesity with blood pressure and the risks of gestational hypertensive disorders. The Generation R Study. 29(5), 937-944.

T Gross, R Sokol, K King (1980) Obesity in pregnancy: risks and outcome. 56, 446.

Ravindu Gunatilake, Jordan Perlow (2011) Obesity and pregnancy: clinical management of the obese gravida. 204(2), 106-119.

J Kristensen, M Vestergaard, K Wisborg, U Kesmodel, N Secher (2005) Prepregnancy weight and the risk of stillbirth and neonatal death. 112(4), 403-408.

Torben Larsen, Henrik Sørensen, Mette Gislum, Søren Johnsen (2007) Maternal smoking, obesity, and risk of venous thromboembolism during pregnancy and the puerperium: A population-based nested case-control study. 120(4), 505-509.

Francis Nuthalapaty, Dwight Rouse (2016) The Impact of Obesity on Obstetrical Practice and Outcome. 47(4), 898-913.

T O'brien, J Ray, W Chan (2003) Maternal body mass index and the risk of preeclampsia: a systematic overview. 14, 368.

Heather Robinson, Colleen O'connell, K Joseph, N Mcleod (2005) Maternal Outcomes in Pregnancies Complicated by Obesity. 106(6), 1357-1364.

Rcog (2010) A Note to Future Clinicians.

R Scott‐pillai, D Spence, C Cardwell, A Hunter, V Holmes (2013) The impact of body mass index on maternal and neonatal outcomes: a retrospective study in a UK obstetric population, 2004-2011. 120(8), 932-939.

N Sebire, M Jolly, J Harris, J Wadsworth, M Joffe, R Beard, L Regan, S Robinson (2001) Maternal obesity and pregnancy outcome: a study of 287 213 pregnancies in London. 25(8), 1175-1182.

Katherine Stothard, Peter Tennant, Ruth Bell, Judith Rankin (2009) Maternal Overweight and Obesity and the Risk of Congenital Anomalies. 301(6), 636.

M Torloni, A Betrán, B Horta, M Nakamura, A Atallah, A Moron, O Valente (2009) Prepregnancy BMI and the risk of gestational diabetes: a systematic review of the literature with meta‐analysis. 10(2), 194-203.

Anjel Vahratian, Jun Zhang, James Troendle, David Savitz, Anna Siega-Riz (2004) Maternal Prepregnancy Overweight and Obesity and the Pattern of Labor Progression in Term Nulliparous Women. 104(5, Part 1), 943-951.

Hayfaa Wahabi, Amel Fayed, Rasmieh Alzeidan, Ahmed Mandil (2014) The independent effects of maternal obesity and gestational diabetes on the pregnancy outcomes. 14(1), 47.

Joshua Weiss, Fergal Malone, Danielle Emig, Robert Ball, David Nyberg, Christine Comstock, George Saade, Keith Eddleman, Suzanne Carter, Sabrina Craigo, Stephen Carr, Mary D'alton (2004) Obesity, obstetric complications and cesarean delivery rate-a population-based screening study. 190(4), 1091-1097.

Who (2014) WHO Global Database on Body Mass Index (BMI): an interactive surveillance tool for monitoring nutrition transition. 9(5), 658-658.

Katherine Wolfe, Rocco Rossi, Carri Warshak (2011) The effect of maternal obesity on the rate of failed induction of labor. 205(2), 128.e1-128.e7.