Maternal and fetal effects of obesity
Yıl 2002,
Cilt: 33 Sayı: 4, 17 - 22, 01.05.2002
Sultan Tokuroğlu
Bülent Tandoğan
Selçuk Özden
Vedat Dayıcıoğlu
Öz
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
Kaynakça
- 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
Obezitenin anne ve fetus üzerine etkisi
Yıl 2002,
Cilt: 33 Sayı: 4, 17 - 22, 01.05.2002
Sultan Tokuroğlu
Bülent Tandoğan
Selçuk Özden
Vedat Dayıcıoğlu
Öz
Amaç: Gebelerde obezitenin olası olumsuz etkilerinin araştırılması Materyal ve Metod: Bu çalışma 161 obez gebe ve 161 kontrol olmak üzere 322 gebe olgu üzerinde prospektif kontrollü olarak yapıldı. Bulgular: Obez grupta Kronik hipertansiyon %11.2, Diabetes Mellitus %4.4, Gestasyonel Diabetes Mellitus %4.3, Preeklampsi %6.2, IUGG %4.3 olarak bulundu. Bu sonuçlar kontrol grubuna göre anlamlı düzeyde yüksekti. (p
Kaynakça
- 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