Preview

Obstetrics, Gynecology and Reproduction

Advanced search

PREGNANCY AND LABOR COURSE IN OBESE PATIENTS

Full Text:

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.

About the Authors

I. O. Makarov
I.M. Sechenov Moscow State Medical University (MSMU), Moscow
Russian Federation


E. I. Borovkova
I.M. Sechenov Moscow State Medical University (MSMU), Moscow
Russian Federation


M. Yu. Bairamova
I.M. Sechenov Moscow State Medical University (MSMU), Moscow
Russian Federation


References

1. Bellver J, Melo, MA, Bosch, E. Obesity and poor reproductive outcome: the potential role of the endometrium. Fertil Steril 2007; 88:446.

2. Calandra C, Abell DA, Beischer NA. Maternal obesity in pregnancy. Obstet Gynecol 1981; 57:8.

3. Chen A, Feresu SA, Fernandez C. Maternal obesity and the risk of infant death in the United States. Epidemiology 2009; 20:74.

4. Dashe JS, McIntire DD, Twickler DM. Effect of maternal obesity on the ultrasound detection of anomalous fetuses. Obstet Gynecol 2009; 113:1001.

5. Ehrenberg HM, Iams JD, Goldenberg RL Maternal Obesity, Uterine Activity, and the Risk of Spontaneous Preterm Birth. Obstet Gynecol 2009; 113:48.


For citation:


Makarov I.O., Borovkova E.I., Bairamova M.Yu. PREGNANCY AND LABOR COURSE IN OBESE PATIENTS. Obstetrics, Gynecology and Reproduction. 2011;5(1):22-28. (In Russ.)

Views: 175


ISSN 2313-7347 (Print)
ISSN 2500-3194 (Online)