Perinatal Kilo Alımının Gebelik Süreci ve Yenidoğan Üzerine Etkileri

Öz

Amaç: Bu çalışmamızda gebelerin vücut ağırlığının boya oranının Vücut Kitle İndeksi (VKİ) ile yeni doğan bebeklerin boy,kilo ve baş çevresi ölçümleri (Antropometrik ölçümler) arasındaki ilişkinin değerlendirilmesi amaçlanmıştır. Yöntem ve Gereç: Ocak 2019 ile Aralık 2021 tarihleri arasında Afyonkarahisar ilinde katılımcı merkezlerde izlenen gebelerin VKİ’si ile aynı hastanede doğum yapan bebeklerinin boy, kilo ve baş çevresi ölçüm kayıtları geriye dönük olarak incelendi . Çalışmamızda Vücut Kitle İndeksi (VKİ) 30 ve üzeri olan gebeler obez gebeler ana grubu; Vücut Kitle İndeksi (VKİ) <30 olan hamile obez olmayan gebeler ise kontrol grubunu oluşturdu. Gruplardan dünyaya gelen yenidoğanlar antropometrik olarak kıyaslandı. Bulgular: Planladığımız üzere çalışmaya dahil olmayı kabul eden 347 gebenin dosya kayıtları çalışmamızda kullanıldı. Obez gebeler ile obez olmayan gebelerden doğan yenidoğanların doğum ağırlıkları karşılaştırıldı. Bu karşılaştırmada obez gebelerin bebeklerinin obez olmayan gebelerin bebeklerine göre belirgin şekilde daha ağır olduğu ve istatisliksel olarak anlamlılık ifade ettiği görüldü (p<0,001). Obez gebelerin bebekleri ile obez olmayan gebelerin bebeklerinin boy ve baş çevresi her grupta benzer olarak değerlendirildi (p=0,735). Sonuç: Obezite çağımızın salgını olarak öne çıkmakta ve toplumumuzun her kesiminden insanı gelecek nesilleri de hayatlarının başında dahi kötü yönde etkilemektedir. Çalışmamızda, gebelikte obezitenin, yenidoğanların doğum ağırlıkları üzerinde anlamlı bir etki yarattığı tespit edilmiştir.Tüm yaş gruplarını etkisi altına alan obezitenin anne ve çocuk sağlığı açısından önemi vurgulanmıştır.

Anahtar Kelimeler

• Doğum
• obezite
• yenidoğan

Perinatal Weight Gain and its Effect on Pregnancy and Neonatal Results

Öz

Objective: The aim of this study was to figure out the relationship between body mass index (BMI) of pregnant women’s body weight and neonatal height, weight, and head circumference (anthropometric measures). Material and Method: Between January 2019 and December 2021, the BMI of pregnant women who received care at participating centers in Afyonkarahisar and the antropometic records were retrospectively studied. In our study, we formed two groups one for BMI over 30 which basically we call the obese group and the other group with a BMI under 30 that we use as a healthy control group. The neonates in the two groups were compared anthropometrically. Results: In this study 347 patients participated. We compared the birth weights of the newborns from each group. This comparison showed that the babies of obese group were significantly heavier than the nonobese, and it was statistically significant (p< 0.001). The size and head circumference of babies born to obese pregnant women and babies born to non-obese pregnant women were similar in each group (p=0.735). Conclusion: Obesity is the epidemic of our time, severely affecting people from all parts of our society and future generations from the earliest years of life. As with all individuals, the family, which is considered the source of a healthy life, and the future members of this family should be kept away from this epidemic as much as possible. Our study has shown that obesity has a negative impact on both the mother and the child.

Anahtar Kelimeler

• pregnancy
• obesity
• newborns

Kaynakça

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