- ISSN: 0253-8253
- E-ISSN: 2227-0426
-
oa The Effect of Obesity in Pregnancy on Perinatal Outcome in Qatar
- Source: Qatar Medical Journal, Volume 2002, Issue 2, نوفمبر ٢٠٠٢, 16
-
- ٠١ نوفمبر ٢٠٠٢
ملخص
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.
