“…This is due to the fact that maternal fat storage is correlated with BMI and neonatal birth weight (23). Sukalich et al and Cedergren et al reported that increasing maternal BMI was proportionate to the increase in the neonate's birth weight (3,24). This is in line with the results of our study, which also showed a correlation between the neonatal birth weight and maternal BMI during pregnancy.…”
Background: An increase in maternal body mass index (BMI) before pregnancy can cause overweight during pregnancy, and negatively affect both the mother and the fetus. Non-stress test (NST) is the most common way to evaluate the fetus during pregnancy. Objectives: This study aimed to evaluate the correlation between maternal BMI and NST parameters as well as the pregnancy outcomes in nulliparous women. Materials and Methods: This case-control study, comprised 67 nulliparous women with the gestational age of 24-28 weeks, selected by simple random sampling, who were admitted to Shooshtari and Hafez hospitals from 2011 to 2012. The case group included 35 pregnant women with BMI greater than 26. The control group consisted of 32 pregnant women with BMI lower than 26. NST was applied to groups and evaluated reactive and non-reactive parameters, basal fetal heart rate, and number of accelerations. Chi-square test was used to examine the reactive and non-reactive parameters and type of delivery. Other variables were statistically analyzed using 1-way analysis of variance (ANOVA). Results: Our results indicated that the frequency of NST reactive and non-reactive parameters was 41%, 59% in the case group, respectively and 55%, 45% in the control group, respectively. Besides, a significant difference was found between the case and the control group regarding reactive parameters (P = 0.02). However, no significant difference was observed between the two groups concerning the mean of basal fetal heart rate (P = 0.3). However, the number of accelerations in the case group was significantly lower than that of the control group (P = 0.001). Significant increases were found in the case group regarding the mean of post-delivery weight (P = 0.02), BMI after delivery (P = 0.005), neonatal birth weight (P = 0.001), gestational age (P = 0.001), and caesarian section (CS) delivery (P = 0.01). Conclusions: This study revealed that the increase in maternal BMI was accompanied by a decrease in non-reactive parameters of NST and the number of accelerations of the fetal heart rate which is the most important index for fetal health. Also, a significant increase was observed regarding maternal BMI one month after delivery, neonatal birth weight, gestational age, and CS delivery.
“…This is due to the fact that maternal fat storage is correlated with BMI and neonatal birth weight (23). Sukalich et al and Cedergren et al reported that increasing maternal BMI was proportionate to the increase in the neonate's birth weight (3,24). This is in line with the results of our study, which also showed a correlation between the neonatal birth weight and maternal BMI during pregnancy.…”
Background: An increase in maternal body mass index (BMI) before pregnancy can cause overweight during pregnancy, and negatively affect both the mother and the fetus. Non-stress test (NST) is the most common way to evaluate the fetus during pregnancy. Objectives: This study aimed to evaluate the correlation between maternal BMI and NST parameters as well as the pregnancy outcomes in nulliparous women. Materials and Methods: This case-control study, comprised 67 nulliparous women with the gestational age of 24-28 weeks, selected by simple random sampling, who were admitted to Shooshtari and Hafez hospitals from 2011 to 2012. The case group included 35 pregnant women with BMI greater than 26. The control group consisted of 32 pregnant women with BMI lower than 26. NST was applied to groups and evaluated reactive and non-reactive parameters, basal fetal heart rate, and number of accelerations. Chi-square test was used to examine the reactive and non-reactive parameters and type of delivery. Other variables were statistically analyzed using 1-way analysis of variance (ANOVA). Results: Our results indicated that the frequency of NST reactive and non-reactive parameters was 41%, 59% in the case group, respectively and 55%, 45% in the control group, respectively. Besides, a significant difference was found between the case and the control group regarding reactive parameters (P = 0.02). However, no significant difference was observed between the two groups concerning the mean of basal fetal heart rate (P = 0.3). However, the number of accelerations in the case group was significantly lower than that of the control group (P = 0.001). Significant increases were found in the case group regarding the mean of post-delivery weight (P = 0.02), BMI after delivery (P = 0.005), neonatal birth weight (P = 0.001), gestational age (P = 0.001), and caesarian section (CS) delivery (P = 0.01). Conclusions: This study revealed that the increase in maternal BMI was accompanied by a decrease in non-reactive parameters of NST and the number of accelerations of the fetal heart rate which is the most important index for fetal health. Also, a significant increase was observed regarding maternal BMI one month after delivery, neonatal birth weight, gestational age, and CS delivery.
“…Par contre, Ducarme et al (2007) en France ont retrouvé que la prévalence d'accouchement prématuré augmentait avec l'IMC. Concernant le risque de dépassement de terme, d'autres études ont montré qu'il était plus élevé chez les patientes obèses (Weiss et al, 2004 ;Sukalich et al,2006).…”
Section: Pathologies De La Grossesse Et Caractéristiques De L'accouchunclassified
Introduction:The World Health Organization considers for many years obesity as a pandemic which affects as well the developed countries as the developing ones.The consequences of the overweight on the medical, gynaeco-obstetrical, and surgical plan are no longer demonstrating. Objective:The current paper aims to study the influence of the weight of the mother on the evolution of the pregnancy with the pregnant women in the town of Parakou. Material and methodologicalapproaches: It was about a descriptive transversal study for an analytical purpose with forecast data collection. It has been conducted on a period of six (06) months going from 23rd of February to 31st of August 2015 and had covered 272 pregnant women in the town of Parakou.The sampling probabilistic method has been used according to the survey technique. Results:The average age of the surveyed women was about 26, 1± 5, 8 years old with the extremes of 14 and 51 years old. The predominance of the overweight and the obesity with the pregnant women in Parakou was respectively about 34, 9% and 15, 8%. The diabetes pregnant woman, the exceeding of term and the macrosomy were statistically associated with obesity. The diabetes pregnant women, the exceeding of term, the resuscitation at birth were statistically associated with overweight. Conclusion: The fight against overweight is one of the great challenges of this century. It has some consequences on obstetrical plan. A planning of pregnancies with the patients of overweight would then permit a clear improvement of the undertaking of their social securitywithin the maternities and an improvement of the maternal, perinatal and neonatal indicators.
“…Weight gain in the decade before pregnancy is a recognised predictor of pregnancy complications and of high infant birthweight (8) . However, pre-pregnancy weight gain does not have to happen in adulthood as the effects of excess bodyweight on pregnancy risks can be found among women in their teenage years (9) . Table 1 shows the effect of excess maternal bodyweight among teenagers…”
The recent rise in the prevalence of obesity in the UK population includes women of
reproductive age and children. For both groups there are specific health concerns
consequent on excess bodyweight, including obstetric complications, fetal growth
abnormalities and a range of obesity co-morbidities seen in children that were rarely
found in young people a generation earlier. This paper identifies some of the issues which
challenge policy-makers: guidelines for gestational weight gain and for weight loss after
pregnancy; inequalities and interventions in pregnancy; interventions to prevent child
obesity; and the role of individuals, government and the commercial sector in implementing
policies for promoting healthy weight.
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