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.
Feng N, Huang XK. Effect of pre-pregnancy body mass index and gestational weight gain on perinatal outcomes. Int J Clin Exp Med 2021;14.
Champion ML, Harper LM. Gestational Weight Gain: Update on Outcomes and Interventions. Curr Diab Rep 2020;20. https://doi.org/10.1007/s11892-020-1296-1.
Paredes-Díaz SE, Neglia-Cermeño CS, Vidal-Cabrera E del P, Lescano-Pereda LG, Meneses-La-Riva ME, Barrera MJ. Eating Habits, Nutritional Status in Pregnant Women and Weight of Newborns, La Libertad - Peru. Academic Journal of Interdisciplinary Studies 2023;12. https://doi.org/10.36941/ajis-2023-0036.
Cheng ZH, Wei YM, Li HT, Yu HZ, Liu JM, Zhou YB. Gestational Diabetes Mellitus as an Effect Modifier of the Association of Gestational Weight Gain with Perinatal Outcomes: A Prospective Cohort Study in China. Int J Environ Res Public Health 2022;19. https://doi.org/10.3390/ijerph19095615.
Xu MY, Guo YJ, Zhang LJ, Lu Q Bin. Effect of individualized weight management intervention on excessive gestational weight gain and perinatal outcomes: A randomized controlled trial. PeerJ 2022;10. https://doi.org/10.7717/peerj.13067.
Yurtcu E, Mutlu S, Ozkaya E. The Effects of Pre-Pregnancy Body Mass Index and Weight Gain During Pregnancy on Perinatal Outcomes: A Retrospective Cohort Study. Gynecology Obstetrics & Reproductive Medicine 2021. https://doi.org/10.21613/gorm.2021.1149.
Feghali MN, Catov JM, Zantow E, Mission J, Caritis SN, Scifres CM. Timing of gestational weight gain and adverse perinatal outcomes in overweight and obese women. Obstetrics and Gynecology 2019;133. https://doi.org/10.1097/AOG.0000000000003234.
Shay LA, Sangi-Haghpeykar H, Aagaard KM, Mastrobattista J. 682 Everything in moderation: impact of extremes of BMI & gestational weight gain on perinatal outcomes. Am J Obstet Gynecol 2021;224. https://doi.org/10.1016/j.ajog.2020.12.706.
Xu MY, Guo YJ, Zhang LJ, Lu Q Bin. Effect of individualized weight management intervention on excessive gestational weight gain and perinatal outcomes: A randomized controlled trial. PeerJ 2022;10. https://doi.org/10.7717/peerj.13067.
Hasan SMT, Khan MA, Ahmed T. Institute of medicine recommendations on the rate of gestational weight gain and perinatal outcomes in rural Bangladesh. Int J Environ Res Public Health 2021;18. https://doi.org/10.3390/ijerph18126519.
Hasan SMT, Ahmed SI, Khan MA, Sarker SA, Ahmed T. Achieving optimal gestational weight gain, birth weight, and perinatal outcomes among pregnant women at risk of hypertension: Protocol for a pilot randomized controlled trial. JMIR Res Protoc 2020;9. https://doi.org/10.2196/16676.
Delfino E, Peano L, Wetzl RG, Giannì ML, Netto R, Consales A, et al. Newborn Weight Loss as a Predictor of Persistence of Exclusive Breastfeeding up to 6 Months. Front Pediatr 2022;10. https://doi.org/10.3389/fped.2022.871595.
Chen CN, Chen HS, Hsu HC. Maternal prepregnancy body mass index, gestational weight gain, and risk of adverse perinatal outcomes in Taiwan: A population-based birth cohort study. Int J Environ Res Public Health 2020;17. https://doi.org/10.3390/ijerph17041221.
Almeida NB, de Menezes RCE, dos Santos Sobral K, Gomes JF, Longo-Silva G, da Silveira JAC. Pre- And perinatal factors associated with weight gain among preschool children enrolled at day care centers. Revista Paulista de Pediatria 2020;38. https://doi.org/10.1590/1984-0462/2020/38/2019060.
Koech WA, Lilly CL. Association of county perinatal resources and gestational weight gain in West Virginia, United States. BMC Pregnancy Childbirth 2019;19. https://doi.org/10.1186/s12884-019-2650-7.
Lin L hua, Weng Y lin, Lin Y ying, Huang X xian, Lin Y, Xiu X yan, et al. Examining the effects of second-and third-trimester gestational weight gain rates on the perinatal outcomes among Chinese twin pregnancies: a retrospective cohort study. BMC Pregnancy Childbirth 2022;22. https://doi.org/10.1186/s12884-022-04467-8.
Mosquera PS, Malta MB, de Araújo Damasceno AA, Neves PAR, Matijasevich A, Cardoso MA. Associations of Gestational Weight Gain with Perinatal Outcomes in Western Brazilian Amazon. Matern Child Health J 2022;26. https://doi.org/10.1007/s10995-022-03480-9.
Perumal N, Wang D, Darling AM, Wang M, Liu E, Fawzi W. Associations Between Gestational Weight Gain Adequacy and Perinatal Outcomes in Tanzania. Curr Dev Nutr 2021;5. https://doi.org/10.1093/cdn/nzab045_059.
Gonzalez-Ballano I, Saviron-Cornudella R, Esteban LM, Sanz G, Castán S. Pregestational body mass index, trimester-specific weight gain and total gestational weight gain: how do they influence perinatal outcomes? Journal of Maternal-Fetal and Neonatal Medicine 2021;34. https://doi.org/10.1080/14767058.2019.1628942.
Kütüphaneme Ekle
Perinatal Weight Gain and its Effect on Pregnancy and Neonatal Results
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.
Kahraman kılavuz for proofreading. Kahraman Kılavuz(https://orcid.org/0000-0002-6625-4105)
Kaynakça
Feng N, Huang XK. Effect of pre-pregnancy body mass index and gestational weight gain on perinatal outcomes. Int J Clin Exp Med 2021;14.
Champion ML, Harper LM. Gestational Weight Gain: Update on Outcomes and Interventions. Curr Diab Rep 2020;20. https://doi.org/10.1007/s11892-020-1296-1.
Paredes-Díaz SE, Neglia-Cermeño CS, Vidal-Cabrera E del P, Lescano-Pereda LG, Meneses-La-Riva ME, Barrera MJ. Eating Habits, Nutritional Status in Pregnant Women and Weight of Newborns, La Libertad - Peru. Academic Journal of Interdisciplinary Studies 2023;12. https://doi.org/10.36941/ajis-2023-0036.
Cheng ZH, Wei YM, Li HT, Yu HZ, Liu JM, Zhou YB. Gestational Diabetes Mellitus as an Effect Modifier of the Association of Gestational Weight Gain with Perinatal Outcomes: A Prospective Cohort Study in China. Int J Environ Res Public Health 2022;19. https://doi.org/10.3390/ijerph19095615.
Xu MY, Guo YJ, Zhang LJ, Lu Q Bin. Effect of individualized weight management intervention on excessive gestational weight gain and perinatal outcomes: A randomized controlled trial. PeerJ 2022;10. https://doi.org/10.7717/peerj.13067.
Yurtcu E, Mutlu S, Ozkaya E. The Effects of Pre-Pregnancy Body Mass Index and Weight Gain During Pregnancy on Perinatal Outcomes: A Retrospective Cohort Study. Gynecology Obstetrics & Reproductive Medicine 2021. https://doi.org/10.21613/gorm.2021.1149.
Feghali MN, Catov JM, Zantow E, Mission J, Caritis SN, Scifres CM. Timing of gestational weight gain and adverse perinatal outcomes in overweight and obese women. Obstetrics and Gynecology 2019;133. https://doi.org/10.1097/AOG.0000000000003234.
Shay LA, Sangi-Haghpeykar H, Aagaard KM, Mastrobattista J. 682 Everything in moderation: impact of extremes of BMI & gestational weight gain on perinatal outcomes. Am J Obstet Gynecol 2021;224. https://doi.org/10.1016/j.ajog.2020.12.706.
Xu MY, Guo YJ, Zhang LJ, Lu Q Bin. Effect of individualized weight management intervention on excessive gestational weight gain and perinatal outcomes: A randomized controlled trial. PeerJ 2022;10. https://doi.org/10.7717/peerj.13067.
Hasan SMT, Khan MA, Ahmed T. Institute of medicine recommendations on the rate of gestational weight gain and perinatal outcomes in rural Bangladesh. Int J Environ Res Public Health 2021;18. https://doi.org/10.3390/ijerph18126519.
Hasan SMT, Ahmed SI, Khan MA, Sarker SA, Ahmed T. Achieving optimal gestational weight gain, birth weight, and perinatal outcomes among pregnant women at risk of hypertension: Protocol for a pilot randomized controlled trial. JMIR Res Protoc 2020;9. https://doi.org/10.2196/16676.
Delfino E, Peano L, Wetzl RG, Giannì ML, Netto R, Consales A, et al. Newborn Weight Loss as a Predictor of Persistence of Exclusive Breastfeeding up to 6 Months. Front Pediatr 2022;10. https://doi.org/10.3389/fped.2022.871595.
Chen CN, Chen HS, Hsu HC. Maternal prepregnancy body mass index, gestational weight gain, and risk of adverse perinatal outcomes in Taiwan: A population-based birth cohort study. Int J Environ Res Public Health 2020;17. https://doi.org/10.3390/ijerph17041221.
Almeida NB, de Menezes RCE, dos Santos Sobral K, Gomes JF, Longo-Silva G, da Silveira JAC. Pre- And perinatal factors associated with weight gain among preschool children enrolled at day care centers. Revista Paulista de Pediatria 2020;38. https://doi.org/10.1590/1984-0462/2020/38/2019060.
Koech WA, Lilly CL. Association of county perinatal resources and gestational weight gain in West Virginia, United States. BMC Pregnancy Childbirth 2019;19. https://doi.org/10.1186/s12884-019-2650-7.
Lin L hua, Weng Y lin, Lin Y ying, Huang X xian, Lin Y, Xiu X yan, et al. Examining the effects of second-and third-trimester gestational weight gain rates on the perinatal outcomes among Chinese twin pregnancies: a retrospective cohort study. BMC Pregnancy Childbirth 2022;22. https://doi.org/10.1186/s12884-022-04467-8.
Mosquera PS, Malta MB, de Araújo Damasceno AA, Neves PAR, Matijasevich A, Cardoso MA. Associations of Gestational Weight Gain with Perinatal Outcomes in Western Brazilian Amazon. Matern Child Health J 2022;26. https://doi.org/10.1007/s10995-022-03480-9.
Perumal N, Wang D, Darling AM, Wang M, Liu E, Fawzi W. Associations Between Gestational Weight Gain Adequacy and Perinatal Outcomes in Tanzania. Curr Dev Nutr 2021;5. https://doi.org/10.1093/cdn/nzab045_059.
Gonzalez-Ballano I, Saviron-Cornudella R, Esteban LM, Sanz G, Castán S. Pregestational body mass index, trimester-specific weight gain and total gestational weight gain: how do they influence perinatal outcomes? Journal of Maternal-Fetal and Neonatal Medicine 2021;34. https://doi.org/10.1080/14767058.2019.1628942.
Toplam 19 adet kaynakça vardır.
Ayrıntılar
Birincil Dil
İngilizce
Konular
Klinik Tıp Bilimleri (Diğer), Kadın Hastalıkları ve Doğum
Suman K, Gök E, Büyük M, Bütün Z, Bütün P, Suman M. Perinatal Weight Gain and its Effect on Pregnancy and Neonatal Results. Phnx Med J. 2025;7(2):62-5.