Obezitenin anne ve fetus üzerine etkisi

Sultan Tokuroğlu; Bülent Tandoğan; Selçuk Özden; Vedat Dayıcıoğlu

doi:10.16948/zktb.19946

Maternal and fetal effects of obesity

Year 2002, Volume: 33 Issue: 4, 17 - 22, 01.05.2002

Sultan Tokuroğlu Bülent Tandoğan Selçuk Özden Vedat Dayıcıoğlu

Abstract

Objective: To determine the possible negative effects of obesity in pregnancy Materials and Methods: In this prospective controlled study, we investigated the effects of obesity in 161 obese pregnant women and 161 control pregnant women. Results: Chronic hypertension %11.2, Diabetes Mellitus %4.4, Gestational Diabetes %4.3, Preec lamp-sia %24.2, IUGR %4.3 were found in obese pregnant women. These results were significantly higher than control group (p

Keywords

Obesity, Prospective Studies, Fetus, Mothers, Pregnancy, Morbidity, Mortality

References

1. Gross T, Sokol RS, King K. Obesity in pregnancy: Risks and outcome. Obstet Gynecol 1980;56:446-450
2. Johnson J, Longmate JA, Frentzen B. Excessive maternal weight and pregnancy outcome. Am J Obstet Gynecol 1992;167:353-372
3. Edwards LE, Dickers WF, Alton LR, Hadanson EY. Pregnancy in the massively obese: Course out¬ come and obesity prognosis of infant. Am J Obstet Gynecol 1978;131:479-483
4. Perlow JH, Morgan MA, Montgomery DM, Towers CV, Porto M.Perinatal outcome in pregnancy com¬ plicated by massive obesity. Am J Obstet Gynecol 1992;167:958-962
5. Perlow JH, Morgan MA. Massive maternal obesity and perioperative cesarean morbidity. Am J Obstet Gynecol 1994;170:560-565
6. Nielsen TF, Hokegard KH. Postoperative cesarean section morbidity: a prospective study. Am J Obstet Gynecol 1983;146:911-916
7. Crone SS, Wojtowycz MA, Dye TD, Aubry RH, Artal R. Association between prepregnancy obesity and risk of cesarean delivery. Obstet Gynecol 1997;389:213-216
8. Bianco AT, Smilen SW, Davis Y, Lopez, .Lapinski R, Lockwood CJ. Pregnancy outcome and weight gain recommendations for the morbidly obese woman. Obstet Gynecol 1998;91:97-102
9. Cnattingius S, Bergstorm R, Lipworth L, Kramer MS. Prepregnancy weight and the risk of adverse pregnancy outcomes. N Engl J Med 1998; 338: 147-152
10. Kliegman RM, Gross T. Perinatal problems of the obese mothers and her infant. Obstet Gynecol 1985;66:299-305
11. Johnson SR, Kolberg BT, Vasner MW, Railsback LD. Maternal obesity and pregnancy. Surg Gynecol Obstet 1987;164:431-437
12. Spellacy WN, Miller S, Winegar A,Peterson PQ
Macrosomia-maternal characteristics and infant complications. Obstet Gynecol 1985;66:58-61
13. Calandra C, Abell DA, Beischer NA. Maternal obesity in pregnancy. Obstet Gynecol 1981;57:8-12
14. Wolfe HM, Gross ,TL, Sokol RJ, Bottoms SF, Thomson KL. Determinants of morbidity in obese women delivered by cesarean. Obstet Gynecol 1988 ;71:69I-696, 15. Harrison GG, Udall JN, Morrow G. Maternal obesity, weight gain in pregnancy and infant birth weight. Am j Obstet Gynecol 1980; 136:411-412
16. KHegmen R, Gross T, Morton S, et al
Intrauterine growth and postnatal fasting metabolism in infants of obese mothers. J Pediatr 1984;104:601-607
17. GarbaciakA, Richter M, Miller S, Barton JJ
Maternal weight and pregnancy complication. Am J Obstet Gynecol 1985;152:238-245
18. Mitchell MC,Lerner E. Comparison of pregnan¬ cy outcome in overweight and normal weight worn- ens. J Am Coll Nutr 1989;8:617-624
19. Speroff L. Obesity, (in) Speroff L, Glass HR, Kase GN (eds) Clinical Gynecologic Endocrinology and Infertility, Baltimore, Williams&Wilkins, 1994 ;651-666
20. Gross TL. Operative considerations in the obese pregnant patient. 1983; Clin Perinatal 10:411-422
21. Larsen CE, Serdulla Mk, Sullivan KM
Macrosomia: Influence of maternal overweight among a low income population. Am J Obstet Gynecol 1990;162:490-494
22. Edwards Si, Hellerstedt W, Altan F, Story M, Himes SJ. Pregnancy complications and birth outcomes in obese and normal weight women:Effects of gestational weight change. Obstet Gynecol 1996;87:389-394
23. Castro LC, Avina LR. Maternal obesity and pregnancy outcomes. Curr Opin Obstet Gynecol 2002;14:601-606