Maternal and Neonatal Outcome in Pregnant Women with Obesity in a Single Tertiary Referral Hospital in January - December 2017

Authors

  • Dian Puspita Virdayanti Obgyn FK Unair
  • Khanisyah Erza Gumilar Universitas Airlangga

DOI:

https://doi.org/10.33086/iimj.v1i2.1616

Keywords:

Keywords: Obesity, maternal, neonatal

Abstract

Background: Maternal obesity is defined when BMI is above 30. It is now considered one of the most commonly occurring risk factors seen in obstetric practice and it increased risks of specific complications, and to medical, surgical and technical challenges in providing safe maternity care. Objectives: This study aims to review maternal dan neonatal outcomes and complications from pregnant women with obesity in Soetomo General Hospital on January - December 2017. Methods: Retrospective cross-sectional study by using medical record data of Dr. Soetomo General Hospital on January - December 2017. Results: There were 297 (21,5%) of maternal obesity from 1384 deliveries, in which the majority age range from 20-34 years old and multiparity. The most BMI category was BMI class 1 (61%). Caesarean section (77,4%) in this study became a major proportion in mode of delivery. In our study, the incidence of hypertension in pregnancy was high (45,4%), while the incidence of severe preeclampsia were 20,9%. The incidence of gestational diabetes were 7,1%, and pregestational diabetes were 3,4%. In our cases, there were 294 cases (94,2%) of livebirth, while there were four stillbirth cases. The incidence of intrauterine fetal death were four cases. There were 11 cases of macrosomia, 7 in 11 came from mother with obesity class III. Other neonatal complications are intrauterine growth restriction which were 26 cases and 18 cases congenital malformation. Conclusion: Most maternal complications in obese pregnant women are severe preeclampsia with mode of delivery by cesarean section. Gestational diabetes cases were found mostly in maternal obesity class I, while pregestational diabetes cases were found mostly in maternal obesity class II. Most neonatal Apgar score in our study were between 7-10, while most of congenital malformation was omphalocele

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References

Badan Penelitian dan Pengembangan Kesehatan Kementrian Kesehatan RI. Penyajian Pokok-Pokok Hasil Riset Kesehatan Dasar 2013. http://kesga.kemkes.go.id/images/pedoman/Data%20Riskesdas%202013.pdf

Bhattacharya S, Campbell DM, Liston WA, Bhattacharya S. Effect of Body Mass Index on pregnancy outcomes in nulliparous women delivering singleton babies. BMC Public Health. 2007;7(1):168. doi:10.1186/1471-2458-7-168

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;91:60-4

Cedergren MI. Maternal morbid obesity and the risk of adverse pregnancy outcome. Obstet Gynecol 2004;103:219–24

Chodankar R, Midleton G, Lim C, Mahmood T. Obesity in pregnancy. Obstetrics, Gynaecology and Reproductive Medicine. 2017. doi.org/10/1016/j.orgm.2017.11.003

Chu SY, Kim SY, Lau J, et al. Maternal obesity and risk of stillbirth: a meta-analysis. Am J Obstet Gynecol 2007;197:223 – 8

Chu SY, Kim SY, Schmid CH, et al. Maternal obesity and risk of caesarean delivery: a meta-analysis. Obes Rev 2007;8:385 – 94

Duckitt K, Harrington D. Risk factors for preeclampsia at antenatal booking: systematic review of controlled studies. Br Med J 2005;330

Fitzsimons KJ, Modder J, Greer IA. Obesity in Pregnancy: Risk and Management. Obstetric Medicine 2009;2:52-62. doi: 10.1258/om.2009.090009

Gunatilake RP, Perlow JH. Obesity and pregnancy: Clinical management of the obese gravida. American Journal of Obstetric and Gynecology 2011;204(2),106-119. doi: 10.1016/j.ajog.2010.10.002

Heslehurst N, Ells LJ, Simpson H, Batterham A, Wilkinson J, Summerbell CD. Trends in maternal obesity incidence rates, demographic predictors, and health inequalities in 36,821 women over a 15-year period. BJOG 2007;114:187 – 94

Heslehurst N, Rankin J, Wilkinson JR, Summerbell CD. A nationally representative study of maternal obesity in England, UK: trends in incidence and demographic inequalities in 619 323 births, 1989-2007. Int J Obes (Lond). 2010;34(3):420-8. doi:10.1038/ijo.2009.250

Jolly MC, Sebire NJ, Harris JP, Regan L, Robinson S. Risk factors for macrosomia and its clinical consequences: a study of 350,311 pregnancies. Eur J Obstet, Gynecol Reprod Biol 2003;111:9 – 14

Kanagalingam MG, Forouhi NG, Greer IA, Sattar N. Changes in booking body mass index over a decade: retrospective analysis from a Glasgow Maternity Hospital. BJOG 2005;112:1431 – 3

Lauenborg J, Hansen T, Jensen DM, et al. Increasing incidence of diabetes after gestational diabetes: A long-term follow-up in a Danish population. Diab Care 2004;27:1194 – 9

Lewis G, ed. Confidential Enquiry into Maternal and Child Health. Saving Mothers’ Lives – Reviewing Maternal Deaths to Make Motherhood Safer 2003 – 2005. London: CEMACH, 2007

McIntyre HD, Gibbons KS, Flenady VJ, Callaway LK. Overweight and obesity in Australian mothers: epidemic or endemic? Med J Aust. 2012;196(3):184-88. doi: 10.5694/mja11.11120

National Institute for Health and Clinical Excellence. Obesity. Guidance on the Prevention, Identification, Assessment and Management of Overweight and Obesity in Adults and Children. London: National Institute for Health and Clinical Excellence (NICE), 2006

Nohr EA, Bech BH. Prepregnancy obesity and fetal death. ObstetGynecol. 2008;106:250-259

O’Brien TE, Ray JG, Chan W-S. Maternal body mass index and the risk of preeclampsia: a systematic overview. Epidemiology 2003;14:368–74

Phalen, A. G., & Kirkby, S. The 5- minute APGAR score. Journal of Perinatal Neonatal Nursing 2012,166-171.

Rajasingam D, Seed PT, Briley AL, Shennan AH, Poston L. A prospective study of pregnancy outcome and biomarkers of oxidative stress in nulliparous obese women. Am J Obstet Gynecol. 2009;200(4):395. e1–e9.

Ramachenderan J, Bradford J, McLean M. Maternal obesity and pregnancy complications: a review. Aust N Z J Obstet Gynaecol. 2008;48(3):228-35. doi:10.1111/j.1479-828X.2008.00860.x

Ramsay JE, Greer I, Sattar N. ABC of obesity. Obesity and reproduction. Br Med J 2006;333:1159 – 62

Sebire NJ, Jolly M, Harris JP, Wadsworth J, Joffe M, Beard RW, et al. Maternal obesity and pregnancy outcome: a study of 287,213 pregnancies in London. Int J Obes Relat Metab Disord. 2001;25(8):1175-82. doi:10.1038/sj.ijo.0801670

Stirrat L, Reynolds RM. Effects of maternal obesity on early and long-term outcomes for offspring. Research and Reports in Neonatology. 2014;4 43-53

Villamor E, Cnattingius S. Interpregnancy weight change and risk of adverse pregnancy outcomes: a population- based study. Lancet. 2006;368(9542):1164-70. doi:10.1016/s0140-6736(06)69473-7

World Health Organization. Obesity: Preventing and managing the global epidemic. Geneva: World Health Organization, 2000.

Yu CK, Teoh TG, Robinson S. Obesity in pregnancy. BJOG. 2006;113(10):1117-25. doi: 10.1111/j.1471-0528.2006.00991.x

Zhu T, Tang J, Zhao F, Qu Y, Mu D. Association between maternal obesity and offspring Apgar score or cord pH: a systematic review and meta-analysis. Scientific reports 2015,5:18386. Doi:10.1038/srep18386

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Published

2020-09-01

How to Cite

Virdayanti, D. P., & Gumilar, K. E. (2020). Maternal and Neonatal Outcome in Pregnant Women with Obesity in a Single Tertiary Referral Hospital in January - December 2017. International Islamic Medical Journal, 1(2), 59–67. https://doi.org/10.33086/iimj.v1i2.1616

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