Effects Of Maternal Body Mass Index In The Early Weeks Of Pregnancy On Unfavorable Maternal Perinatal Outcomes

Abstract

Aim: The aim of this study was to investigate the association in pregnancy between increased body mass index BMI and unfavorable maternal perinatal outcomes.Material and Methods: The medical records of 329 pregnant women who delivered singleton infants from January 2013 to July 2014 at our clinic were retrospectively evaluated. The pregnant women were grouped into 4 groups according to BMI measurements: Group 1, BMI ≤ 19.9 underweight , Group 2, 20-24.9 normal weight , Group 3, 25-29.9 over weight , Group 4, ≥ 30 or more. Increased BMI and pregnancy outcomes according to gestational diabetes mellitus, pre-eclampsia, requirement of blood transfusion and fetal birth weight were compared.Results: In all 329 participants, no association was determined between increased BMI and both fetal birth weight and risk of developing gestational diabetes mellitus. A positive correlation was determined between the risk of developing pre-eclampsia and requirement of blood transfusion and increased BMI.Conclusion: Increased maternal BMI index can be considered to be related to increased pre-eclampsia and a need for blood transfusion during delivery. The refore, physicians should recommend that women of reproductive age who are planning to get pregnant should attain ideal weight in the pre-pregnancy period to avoid obesity-related maternal problems.

Keywords

• Body mass index,maternal outcome,pregnancy

Gebeliğin İlk Haftalarındaki Maternal Vücut Kitle İndeksinin Olumsuz Maternal Perinatal Sonuçlara Etkisi

Abstract

Amaç: Bu çalışmanın amacı gebelikteki kötü maternal perinatal sonuçlar ve artmış vücut kitle indeksi BMI arasında ilişkiyi araştırmaktır.Gereç ve Yöntemler: Kliniğimizde Ocak 2013 - Temmuz 2014 tarihlerinde tekil doğum yapan 329 gebe kadının tıbbi kayıtları retrospektif olarak değerlendirildi. Gebe kadınlar BMI’ ne göre 4 gruba ayrıldı: grup 1-BMI 19.9 veya daha az düşük kilolu , grup 2-BMI 20-24.9 normal kilolu , grup 3- BMI 25-29.9 aşırı kilolu , grup 4- BMI 30 veya daha fazla. Artmış BMI ile gestasyonel diabetes mellitus, preeklampsi, kan transfüzyon ihtiyacı gelişimi ve fetal doğum ağırlıkları karşılaştırıldı.Bulgular: 329 hastada, artmış BMI ̓nin hem fetal doğum ağırlığı ve gestasyonel diabetes mellitus gelişme riski arasında ilişki saptanmadı. Preeklampsi gelişme riski ve kan transfüzyon ihtiyacı ile artmış BMI arasında pozitif korelasyon bulundu.Sonuç: Artmış BMI, artmış preeklampsi gelişme insidansı ile ve doğum sırasında kan transfüzyonu ihtiyacıyla ilişkilendirilebilir. Bu nedenle, klinisyenler gebelik planlayan üreme çağı kadınlara gebelikte obezite ilişkili maternal problemlerden sakınmak için gebelik öncesinde ideal kilolarına ulaşmalarını önermelidir.

Keywords

• Vücut kitle indeksi,maternal sonuç,gebelik

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