Outcome of Pregnancy in Patients with Pre-Pregnancy Obesity in Douala, Cameroon (original) (raw)
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Maternal obesity in early pregnancy and subsequent pregnancy outcome in a Nigerian population
African Journal of Reproductive Health
Despite a rising prevalence worldwide, there is limited data on pregnancy outcome among African women with prepregnancy or early pregnancy obesity. This was a case-control study to determine the prevalence of maternal obesity in early pregnancy and compare the subsequent pregnancy outcome between 201 women with obesity and 201 non-obese controls in a University Teaching Hospital in Nigeria. The prevalence of obesity in early pregnancy was 9.63%. Obesity was significantly associated with advanced maternal age and parity > or =1. It was also a risk factor for pregnancy induced hypertension, admissions during pregnancy, caesarean delivery and associated with 5th minute apgar score < or =3 (0.044). Obesity in early pregnancy is a risk factor for adverse pregnancy outcome among pregnant Nigerian women. This information should be utilised by physicians to improve the outcome of pregnancy and promote safe motherhood.
Prevalence and Risk Factors for Obesity in a Nigerian Obstetric Population
American Journal of Health Research, 2014
Background: An obese pregnant woman is at increased risk of pregnancy complications with resultant adverse pregnancy outcomes. This study was undertaken to ascertain the magnitude of this nutritional disorder and its predictive factors among an obstetric population in Nigeria. Materials and methods: A descriptive study of pregnant women who registered for antenatal care within the first trimester in a private University Teaching Hospital over a 7-month period. They were interviewed to document the requisite data, their weights and heights were also taken. Body mass index obesity and obesity were classified based on the WHO criteria. Data was analyzed using SPSS version 16 for windows (SPSS Inc., Chicago, IL, USA). Results: The mean weight and height of the women were 71.2 ± 14.9 Kg and 1.59 ± 0.06 meters respectively. The prevalence of obesity was 33.1%. Thirty two women (60.4%) had mild obesity, 16 (30.2%) had moderate obesity while 5 (9.4%) had severe or morbid obesity. Also, 32.5% (52/160) of the study population were overweight while 34.4% (55/160) had normal BMI. Maternal age > 35 years (P = 0.04, OR 3.9, 95% CI 1.01-8.15), history of previous delivery (P = 0.03, OR 4.8, 95% CI 1.08-5.55) and self-reported satisfactory income (P = 0.03, OR 4.6, 95% CI 1.11-8.86) were significant independent predictive factors of obesity among the study population. Conclusion: Obesity is common in this obstetric population and older women, previous delivery and self-reported satisfactory income were its predictive factors. The need for prenatal health awareness about obesity and identification of these women aimed at instituting early antenatal surveillance and identification of complication(s) is advocated.
Objective: The purpose of this study was to compare maternal weight gain in pregnancy and obstetric outcomes between women with obesity in early pregnancy and those with a normal body mass index (BMI) in early pregnancy. Methods: This was a retrospective cohort study of women with obesity in early pregnancy and those with a normal BMI who were seen at three teaching hospitals in South-East Nigeria. Statistical analysis was performed using Statistical Package for the Social Sciences version 17.0 software, with descriptive and inferential statistics at the 95% level of confidence. Results: The study sample consisted of 648 women (324 obese and 324 healthy-weight). The mean age of the obese women was 26.7 ± 5.1 years and that of the healthy-weight women was 26.6 ± 4.9 years. Although both excessive weight gain (odds ratio [OR] 0.35, 95% confidence interval [CI] 0.23–0.54) and inadequate weight gain (OR 0.08, 95% CI 0.04–0.15) were less common in women with early pregnancy obesity than in healthy-weight women, a significantly higher proportion of obese women with excessive weight gain had adverse fetomaternal outcomes. Also, a significantly higher proportion of obese women had specific complications, such as premature rupture of membranes (OR 2.36, 95% CI 1.12–5.04), gestational hypertension/pre-eclampsia (OR 2.31, 95% CI 1.12–5.04), antepartum hemorrhage (OR 2.78, 95% CI 1.02–7.93), gestational diabetes (OR 4.24, 95% CI 1.62–11.74), cesarean delivery (OR 2.3, 95% CI 1.2–5.44), macrosomia (OR 4.08, 95% CI 1.06–8.41), severe birth asphyxia (OR 2.8, 95% CI 1.2–6.63), abnormal Apgar scores (OR 2.67, 95% CI 1.46–4.93), and newborn special care admissions (OR 1.18, 95% CI 1.0–3.29). Conclusion: Early pregnancy obesity was associated with a wide range of adverse fetomaternal outcomes, and could be a genuine risk factor for increased pregnancy-related morbidity and/or mortality in this population. Interventions to reduce prepregnancy obesity could therefore be useful in this low-resource African setting.
Open Journal of Obstetrics and Gynecology, 2021
Background: Maternal obesity and its associated health complications increase; however, area-specific data is lacking in Ghana. We attempted to assess the prevalence and adverse effects of maternal obesity in Ghana. Methods: Study population were women booking to, and gave birth to infants in Cape Coast Metropolitan Hospital, Ghana, during February 2018 to January 2019 (n = 510). Body mass index (BMI) during the first trimester was identified and analyzed in relation with outcomes/complications. Results: Incidence of maternal obesity (overweight/obese, BMI ≥ 25) was 37.3%. Of them, 34.4% had maternal complications such as postpartum haemorrhage, foetal distress, and cephalo-pelvic disproportion (in this order). The caesarian rate was 20.5%. Among the non obese women only 20% had maternal complications and the caesarian section rate was 16.2%. Obesity was positively correlated with maternal age and parity but was not with low socioeconomic status. Obese women were more likely to have obstetric complications. Conclusions: Obese women were more likely to suffer obstetric complications and to have cesarean. Although present data was a confirmation of the existing data in other parts of the world, we believe that these data may be useful in making area-specific health policy.
Obesity in Pregnancy – Implications on Pregnancy Events
Open Access Macedonian Journal of Medical Sciences
BACKGROUND: Overweight and obesity are serious health problems in most developed countries. The percentage of young women with excessive weight who get pregnant continues to grow every year. This raises a concern about the risks of the mother and the baby during pregnancy and after birth. AIM: This study aims to determine health risk for overweight mothers and especially the risk for preterm birth. MATERIALS AND METHODS: This is a prospective and retrospective study taking place in the outpatient clinic of the University Hospital “Maichin Dom”. Our study included 105 pregnant women with BMI ≥25 kg/m2 as a case group and 91 pregnant women with BMI within normal limits as a control group. RESULTS: Mean BMI in the case group was 34.79 ± 3.71 kg/m2 and 20.20 ± 2.24 kg/m2 in the control group. Among 105 women in the case group, we registered 24.8% (n = 26) who gave birth before term. Preterm births among 91 women in the control group were registered in 17.6% (n = 16) patients. We found a...
Early pregnancy body mass index and obstetric outcomes in Ibadan
Tropical Journal of Obstetrics and Gynaecology
Introduction: Obesity in pregnancy has been associated with adverse pregnancy outcomes. In this study, we estimate the prevalence of early pregnancy obesity and the impact on materno-fetal outcomes. Materials and Methods: A cohort of 176 pregnant women were purposively recruited before 20 weeks. Women <18 years, with multiple pregnancies or chronic medical conditions, were excluded from the study. Body mass index (BMI) grouping was done at the first clinic. Data were presented as means (standard deviation) and proportions and differences compared using Chi-square or ANOVA. Results: Early pregnancy weight of 173 women followed up from booking to delivery showed 41.2%, 24.3%, and 32.2% were normal weight, overweight, and obese, respectively. At recruitment, the mean age, mean BMI, and mean gestational age were 31.7 ± 4.4 years, 27.1 ± 5.3 kg/m 2 , and 14.4 ± 3.2 weeks, respectively. Compared to normal weight women, the obese were older (31.1 ± 4.0 vs. 32.8 ± 4.1, P = 0.06) and of higher parity >2 (19.2% vs. 36.9%, P = 0.17). Compared to those with normal BMI, occurrence of gestational diabetes mellitus (1.3% vs. 10.53%) and preeclampsia (6.9% vs. 14.0%) were more in obese women whereas overweight women had higher occurrence of pregnancy-induced hypertension (6.9% vs. 16.3%) and preeclampsia (6.9% vs. 13.95%). At delivery, compared to normal weight, obese women had more cesareans (57.5% vs. 69.7%), more deliveries <37 weeks (20.6% vs. 41.07%), more babies <2.5 kg (13.7% vs. 25.0%), acrosomic (9.6% vs. 12.5%), and more special care baby unit admissions (4.1% vs. 10.7%). Conclusion: Even in low-resource setting, obesity in pregnancy is not uncommon. Affected women would benefit from prepregnancy interventions.
International Journal of Scientific Reports, 2021
Background: Excessive gestational weight gain (EGWG) during pregnancy can lead to adverse outcomes for the mother and/or the new-born. The aim of the study was to determine the prevalence of EGWG as well as its effect on pregnancy outcomes amongst pregnant women at the health district of Dschang in Cameroon. Methods: This was a cross sectional study conducted from January to June 2019 and targeting all consenting pregnant women in Dschang District Hospital. They were administered a prepared questionnaire followed by their body mass index measurements for times at the beginning and the end of gestation to measure GWG. Logistic regression was used to determine the association of the EGWG to some particular pregnancy outcomes, adjusting for other factors with significance set at 5%. Results: A total of 400 women were included in this study with a mean age of 27±5years, 59.2% being married and 34.8% still being students. Also it was noted that 24.8% of these women were obese while 25...
Risk Factors of Obesity on Maternal and Perinatal Outcomes among Pregnant Women
2011
Obesity constitutes a major risk factor for both maternal and fetal complications for mothers includes, hypertensive disorders, gestational diabetes, preeclampsia, eclampsia and higher frequency of cesarean section and fetal complications includes intrauterine death, low Apgar score and macrosomia. This study aimed to assess risk factors of obesity on maternal and perinatal outcomes among pregnant women. Prospective cohort study, the study subjects consisted of four groups; 27 women with normal BMI (group I: BMI 19.1-25 kg/m2), 25 overweight (group II: BMI 25.1-30 kg/m2), 73 obese (group III: BMI 30.1-40 kg/m2) and 25 morbidly obese women (group IV: BMI >40 kg/m2). The study was conducted in obstetric department, labor ward at zagazig university hospital. Women in group III and IV were characterized by higher systolic booking blood pressure and higher diastolic booking blood pressures, with mean differences being 27.9,14.2 respectively. Similar differences were found in booking d...
Maternal Obesity & Feto-Maternal Outcomes
Pakistan BioMedical Journal
Obesity has become a “silent epidemic and its prevalence is increasing in pregnant women. Objective: This study aims to highlight the impact of maternal obesity on the fetal and maternal outcome. Methods: The study was conducted on 320 pregnant women in their first trimester with viable singleton pregnancy at Department of Gynecology & Obstetrics, Liaquat University of Medical & Health Sciences, Jamshoro. The obese group (BMI > 25) of 160 women, were compared for feto-maternal outcome, with parity matched 160 women in non-obese group (BMI < 25). Results: There was increased incidence of antepartum, intrapartum and fetal complications in obese group as compared to non-obese group. Preeclampsia was seen in 42.1% vs 14.1%, GDM in 14.5% vs 10.3%, induction of labor in 31.9% vs 13.3%, in obese as compared to non-obese respectively. Lower segment caesarean second (37.5% vs 13.8%), macrosomia (22.4% vs 1.3%), shoulder dystocia (18.4% vs 3.8%), birth asphyxia (11.8% vs 5.1%) and neonat...
Effects of maternal obesity on fetal weight and obstetric outcomes in an African population
2017
Background: Maternal weight is one of the factors that influence obstetric outcome. Women therefore should enter pregnancy with a weight within the normal body mass index category, and stay within the recommended gestational weight gain guidelines for optimal outcome. The limited data on maternal obesity and its contribution to obstetric outcomes especially in the developing societies provoked the interest in this survey.Objective: To determine the prevalence of first trimester maternal obesity, pattern of gestational weight gain and investigate the effects of maternal obesity on maternal and perinatal outcomes.Methodology: This was a case control study of 282 pregnant women at a second tier missionary hospital in Southern Nigeria between 1st July 2009 and 30th June 2014. EPI INFO software was used for analysis with statistical significance set at P<.05.Results: The prevalence of first trimester maternal obesity in this population was 28.2%. The obese mothers weighed more at book...