Effect of Parity, Maternal Age and Obesity on Pregnancy Outcomes among Pregnant Women Attending Suez Canal University Hospital. | ||||
| Suez Canal University Medical Journal | ||||
| Article 7, Volume 27, Issue 7, July 2024, Page 0-0 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/scumj.2024.432655 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Rehab Abdelrazek Mohamed   1; Khaled M. El Nahas1; Abeer Bahaa Ahmed1; Ahmed Hassan2
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| 1Department of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt. | ||||
| 2Department of Obstetrics and Gynecology, Faculty of Medicine, Helwan University, Cairo, Egypt. | ||||
| Abstract | ||||
| Background: Pregnancy is an important event in women’s life. Detection of at-risk women is vital to avoid adverse pregnancy events. Aim: Toevaluate the effect of parity, maternal weight, and weight on pregnancy outcomes. Subjects and methods: This prospective cohort study was conducted at the obstetrics and gynecology department at Suez Canal university hospital from December 2016 to June 2018. All women (800) fulfilling the inclusion and exclusion criteria were included. Eligible women were subjected to detailed history taking (personal, obstetric, and history of medical illness). Examinations, including vital signs, weight, and height, were done. Maternal complications such as anemia, antepartum hemorrhage, pregnancy-induced hypertension, gestational diabetes, preeclampsia/eclampsia, premature rupture of membranes, gestational age at delivery, intrapartum complications, mode of delivery, postpartum hemorrhage, retained placenta, shock, sepsis, and days of hospitalization were reported. Neonatal complications include Apgar score at 5 minutes, meconium staining of amniotic fluid, birth weight, fetal injuries, fetal infection, stillbirth, neonatal death, neonatal intensive care unit (NICU) admission, and duration of admission reported. Results: advanced maternal age was associated with antepartum hemorrhage, preeclampsia, eclampsia, postpartum hemorrhage and days of hospitalization, and prematurity. Maternal BMI ≥ 30 was significantly associated with anemia, gestational hypertension, gestational diabetes mellitus preeclampsia, eclampsia, cesarean delivery, increased days of hospitalization, and prematurity. Grand multiparity was a risk factor for anemia, antepartum hemorrhage, cesarean delivery, low Apgar score, prematurity, and increased days of incubation. Conclusion: Advanced maternal age, multiparity, and maternal obesity were significant risk factors for adverse maternal and neonatal outcomes. | ||||
| Keywords | ||||
| Maternal age; Parity; Obesity; Pregnancy complications | ||||
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