1887
Volume 2002, Issue 2
  • ISSN: 0253-8253
  • E-ISSN: 2227-0426

Abstract

To determine the prevalence of obesity amongst pregnant women in Qatar and to compare pregnancy complications and perinatal outcome among obese and non-obese women, a retrospective controlled study was conducted at the Women's Hospital, Doha, during the period from 1st January to the end of June 2001. We compared 75 obese and 75 non-obese women matched for age and parity.

Maternal demografic variables included maternal age, parity, race and body mass index. The antepartum variables were gestational diabetes, pregnancy-induced hypertension (PIH), abruptio placentae and intrauterine growth restriction. Intrapartum variables were preterm labor; mode of delivery and meconium in labor. Neonatal variables included low birth weight, macrosomia, low Apgar score, stillbirth and admission to the Neonatal Intensive Care Unit (NICU).

Compared to non-obese women, obese pregnant women had significantly adverse perinatal outcomes including gestational diabetes (34.7% vs. 12%, P < 0.001), PIH (16% vs. 2.7%, P = 0.012), macrosomia (20% vs. 6.7%, P = 0.031), cesarean section (29.3% vs. 13.3%, P = 0.038) and admission to NICU (17.3 vs. 5.3%, p = 0.039). Other adverse outcomes were higher in the obese group but the differences were not statistically significant.

Obesity in pregnancy appears to be an independent risk factor for adverse perinatal outcome. Maternal obesity may be one of the most important preventable risk factors for perinatal morbidity and mortality.

Loading

Article metrics loading...

/content/journals/10.5339/qmj.2002.2.16
2002-11-01
2019-10-16
Loading full text...

Full text loading...

References

  1. 1. Weiss   JL., , Malone   FD. . Caring for obese obstetric patients. . Contemporary OB/GYN June . 2001; ; : 3– 20 .
    [Google Scholar]
  2. 2. Musaiger   AO. . Risk factors for cardiovascular disease in the United Arab Emirates. . Int J Food Sci Nutr . 1998; ; : S65– S70 .
    [Google Scholar]
  3. 3. Garrow   JS. . Indices of adiposity. . Nutr Abstr Rev Ser . 1983; ;A53: : 697– 708 .
    [Google Scholar]
  4. 4. Cunningham   FG., , MacDonald   PC., , Grant   FC. . Appleton and Lange. Gastrointestinal Disorder (Chapter 51). . Williams obstetrics . , 19th edition. . 1160: : 1166;   1993; .
    [Google Scholar]
  5. 5. Kumari   AS. . Pregnancy outcome in women with morbid obesity. . Int J Gynecol Obstet . 2001; ;73: : 101– 106 .
    [Google Scholar]
  6. 6. Perlow   JH., , Morgan   MA., , Montgomery   D., , Towers   CV., , Porto   M. . perinatal outcome in pregnancy complicated by massive obesity. . Am J Obstet Gynecol . 1992; ;167: : 958– 962 .
    [Google Scholar]
  7. 7. Frentzen   BH., , Dimperio   DL., , Cruz   AC. . Maternal weight gain: effect on infant birth weight among overweight and averageweight low-income women. . Am J Obstet Gynecol . 1988; ;59: : 1114– 1117 .
    [Google Scholar]
  8. 8. Isaacs   JD., , Magenn   EF., , Martine   RW., , Chauhan   SP., , Morrison   JC. . Obstetric challenges of massive obesity complicating pregnancy. . J Perinato . 1994; ;14: 1 : 10– 14 .
    [Google Scholar]
  9. 9. Isseh   N., , Hamsho   MA. . Diabetes and pregnancy in Qatar. . Diabetes Insight.   1997; ; : 9– 13 .
    [Google Scholar]
  10. 10. Garbaciak   JA Jr.., , Richter   M., , Miller   S., , Barton   JJ. . Maternal weight and pregnancy complications. . Am J Obstet Gynecol . 1885; ;152: : 238– 245 .
    [Google Scholar]
  11. 11. Edwards   LE., , Hellerstedt   WL., , Alton   IR., , Story   M., , Himes   JH. . Pregnancy complication and birth outcomes in obese and normal weight women: Effects of gestational weight change. . Obstet Gynecol . 1996; ;86: : 389– 394 .
    [Google Scholar]
  12. 12. Frentzen   BH., , Dimperio   DL., , Cruz   AC. . Maternal weight gain: Effect on infant birth weight among overweight and averageweight low-income women. . Am J Obstet Gynecol.   1988; ;154: : 1114– 1117 .
    [Google Scholar]
  13. 13. Bianco   AT., , Smilen   SW., , Davis   Y., , Lopez   S., , Lapinski   R., , Lockwood   CJ. . Pregnancy outcome and weight gain: recommendations for the morbidly obese woman. . Obstet Gynecol.   1998; ;91: : 97– 102 .
    [Google Scholar]
  14. 14. De Groot   LC. . High maternal body weight and pregnancy outcome. . Nutr Rev . 1999; ;57: 2 : 62– 64 .
    [Google Scholar]
  15. 15. Johnson   JW., , Longmate   JA., , Frentzen   B. . Excessive maternal weight and pregnancy outcome. . Am J Obstet Gynecol . 1992; ;167: 2 : 353– 370 .
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journals/10.5339/qmj.2002.2.16
Loading
  • Article Type: Research Article
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error