THE IMPACT OF MATERNAL OBESITY ON MOTHER AND NEONATAL HEALTH: AC0HORT STUDY IN ZAGAZIG UNIVERSITY HOSPITALS | ||||
Zagazig University Medical Journal | ||||
Article 89, Volume 26, Issue 5, September 2020, Page 832-839 PDF (638.17 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/zumj.2019.11615.1198 | ||||
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Authors | ||||
Nashwa mohammed ashour 1; shereen mohammed bahgat2; moustafa mohammed zaiton3; hosnia mohammed ragab4 | ||||
1family medicine resident doctor,faculty of medicine, zagazig university | ||||
2lecturer of family medicine, faculty of medicine, zagazig university | ||||
3professor of obstetric and gynecology, faculty of medicine, zagazig university | ||||
4professor and head of public health and community medicine, faculty of medicine, zagazig university | ||||
Abstract | ||||
Background: Obesity would increase the possibility of unfavorable effects on maternal and fetal outcomes. So, it is important to investigate the relationship between maternal obesity and its possible effects and determinants. Subject & Methods: A cohort study was conducted on 104 pregnant women at the 3rd trimester attending antenatal clinic of zagazig university hospital for routine antenatal care. Data was collected by semi-structured interview, follow up sheet in the 3rd trimester, as well as labor, and delivery sheets and neonatal assessment sheet. Results: Findings of the study revealed that, women aged ≥ 30 years old tend to be obese (p = 0.005). Multipara has 3 times risk of obesity (Relative risk (RR) = 3.0, 95 % Confidence Interval (CI) = 2.27-15.0) than primipara. Obese women had 2 times risk to have miscarriage than non-obese (RR =2.2, 95 % CI = 1.18-8.21). Obese pregnant women were liable to pregnancy complication such as gestational hypertension, gestational diabetes and preeclampsia (p = 0.03). Also they had 6 times risk to have cesarean delivery (RR =5.5, 95 % CI = 1.17-3.55) than non-obese women. Fetal macrosomia are more common among babies born to obese mothers (p < /p> | ||||
Keywords | ||||
Maternal obesity; Pregnancy complications; fetal macrosomia and APGAR scoring | ||||
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