Resumen

SARDINAS BARRIOS, Nicolás; CARVAJAL CARRAZANA, Yarima  y  ESCALANTE PICHARDO, Claudia. Obesity repercussion on obstetric morbidity. Rev Cubana Obstet Ginecol [online]. 2010, vol.36, n.1, pp.9-15. ISSN 0138-600X.

OBJECTIVES: To identify the relationship between obesity and pregnancy complications, to estimate the obesity incidence during pregnancy in patients from the "Juan Gualberto Gómez" University Polyclinic from The Arabos municipality, to measure the weight gain in obese patients and to relate the morbidity during pregnancy, establishing a comparison with control group. METHODS: A retrospective, cross-sectional, analytical and observational study was conducted including all pregnants that gave birth during 2006 and 2007; we achieved a systemic randomized sample in the phase composed 38 pregnants and a common rate of body mass > 29 Kg/m²; a control group was created including 38 patients with a probable ideal BMI. Variables applied were: incidence, mean weight gain and morbidity during pregnancy. For statistical analysis we applied 3.0 Epidat Software. RESULTS: Obesity incidence during pregnancy was of 14.3 % ,a 95 % CI 9,931-18,74. In obese group we noted a great frequency of gravidity hypertensive disease (GHD) with 17 patients, 44.7 % and a 95 % CI 27.6-61.8. Urinary infection: one patient (28,9 %) a 95 % CI 13.2-44,6, + sing 7 patients (18.4 %), a 95 % CI 4.78-32.0, IUGR 4 patients (10.5 %), 95 % IC 2.94-24.8, polyhydramnios 2 patients (5.2 %) a 95 % CI 0.64-17.7 E and gestational diabetes mellitus in a patient (2.6 %) a 95 % CI 0.06-13.8 E. There was a mean exaggerated increase of 2.2 kgs at 30 weeks and 3 Kg at the pregnancy end in obese group. CONCLUSIONS: Obesity, late procreation, gravidic hypertensive disease and exaggerated weight increase have a close relation to cause obstetric morbidity.

Palabras clave : Obesity; nutritional disorders; pregnancy.

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