VÜCUT KİTLE İNDEKSİNİN GEBELİK VE NEONATAL SONUÇLARA ETKİSİ The Effect Of Body Mass Index On Pregnancy And Neonatal Results

Yıl 2019, Cilt: 9 Sayı: 3, 76 - 80, 16.09.2019

Emre Başer , Demet Aydoğan Kırmızı Taylan Onat Mustafa Kara Ethem Serdar Yalvaç

Öz

ÖZET

Amaç: Bu çalışmanın amacı diyabetik olmayan gebelerin vücut kitle indeksinin maternal ve fetal sonuçlara

etkisini değerlendirmektir.

Yöntem: Çalışmaya Ocak 2016- Aralık 2017 tarihleri arasında Bozok Üniversitesi Tıp Fakültesi Kadın Hastalıkları

ve Doğum Kliniğinde doğum yapan ve dosya kayıtlarına tam olarak ulaşılan 37 hafta üstü, 360 gebe dahil

edilmiştir. Gebeler vücut kitle indeksi <30 ve ?30 olanlar olarak ikiye ayrıldı. Gebeliğinde diyabetes mellitus ve

hipertansiyon gibi komplikasyon gelişen kadınlar ve 37 hafta altı gebeler çalışma dışı bırakılmıştır. İstatistiksel

analizler Statistical Package for Social Sciences (SPSS Inc; Chicago, IL, USA) versiyon 20.0 yazılımı kullanılarak

yapılmıştır.

Bulgular: Çalışmaya dahil edilen hastaların yaş ortalamaları 28.24±5.74, VKİ ortalamaları 30,49±4,85, son adet

tarihine göre gebelik haftası ortalamaları 38.39±2.22 idi. Obez olan ve olmayan gruplar arasında makrozomik

fetus, ikiz gebelik ve sezaryen oranlarında istatistiksel olarak anlamlı fark saptandı (sırasıyla p=0.007, p=0.041,

p=0.046).

Sonuç: Çalışmamızda diyabetik olmayan gebelerde obezitenin sezaryen oranlarını artırdığı, yenidoğanda pH

değerlerinin düşmesine neden olduğu ve özellikle makrozomi insidansını artırdığı saptanmıştır.

Anahtar Kelimeler: Vücut kitle indeksi; Gebelik; Neonatal sonuçlar

ABSTRACT

Objective: The aim of this study was to evaluate the effect of Body Mass Index in non-diabetic pregnant

women on maternal and fetal outcomes.

Method: Between January 2016- December 2017, 360 pregnant women who were delivered in the term in

our clinic and whose records were fully accessible were included in the study. The study groups were divided

into two as < 30 and ? 30 according to BMI. Pregnant women who had complications such as diabetes mellitus

and hypertension and pregnant women under 37 weeks of gestation were excluded from the study. Statistical

analysis was performed using the Statistical Package for Social Sciences (SPSS Inc; Chicago, IL, USA) version

20.0 software.

Results: The mean age of the patients included in the study was 28.24 ± 5.74, their average BMI was 30.49 ±

4.85 and the mean gestational week according to the last menstrual period was 38.39 ± 2.22. A statistically

significant difference was found between obese and non-obese groups in terms of the macrosomic fetus, twin

pregnancy and cesarean rates (p = 0.007, p = 0.041, p = 0.046, respectively).

Conclusions: In our study, it was found that obesity increased cesarean rates in non-diabetic pregnant women,

decreased the pH values in newborn and increased the incidence of macrosomia.

Keywords: Body mass index; Pregnancy; Neonatal results

Anahtar Kelimeler

VÜCUT KİTLE İNDEKSİNİN GEBELİK VE NEONATAL SONUÇLARA ETKİSİ The Effect Of Body Mass Index On Pregnancy And Neonatal Results

Kaynakça

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