PREGNANCY AND LABOR COURSE IN OBESE PATIENTS

Abstract

A prospective, cohort study of the pregnancy and labor course in obese patients was carried out during the 2009 - 2011 period. Depending on the extent of obesity, all pregnant females were divided into three subgroups. The first subgroup comprised patients with grade I obesity (BMI - 30-34.9, n = 60), second group included patients with grade 2 obesity (BMI - 35-39.9, n = 28), and the third group included patients with grade 3 obesity (BMI - 40 and over, n = 12). All patients received complex clinical and laboratory examination. It was found that regardless of obesity grade, in the 3rd trimester every other patient develops gestosis, and every third patient develops threat of preterm labor. Females with grade 3 obesity are at a higher risk of development of not only complications of pregnancy, but also of unfavorable perinatal outcomes at that. These results and results of laboratory examinations confirm that obesity is the unfavorable background for pregnancy progression.