<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0138-6557</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina Militar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cub Med Mil]]></abbrev-journal-title>
<issn>0138-6557</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0138-65572019000300005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Impacto del sobrepeso y la obesidad sobre la morbilidad materna y perinatal]]></article-title>
<article-title xml:lang="en"><![CDATA[Impact of overweight and obesity on maternal and perinatal morbidity]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Segura Fernández]]></surname>
<given-names><![CDATA[Anadys Beatriz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[León Cid]]></surname>
<given-names><![CDATA[Iraisa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sotolongo Xiquez]]></surname>
<given-names><![CDATA[Daineris]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guillén Segura]]></surname>
<given-names><![CDATA[Eimy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Militar Central "Dr. Luís Díaz Soto"  ]]></institution>
<addr-line><![CDATA[Habana del Este, la Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<volume>48</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0138-65572019000300005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0138-65572019000300005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0138-65572019000300005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: En la actualidad la obesidad es una de las pandemias de más rápido crecimiento en el mundo, lo cual conlleva a un incremento de la morbilidad materna y perinatal.  Objetivo:  Determinar el posible impacto del sobrepeso y la obesidad sobre la morbilidad materna y perinatal.  Métodos:  Se realizó un estudio descriptivo de corte transversal. El universo estuvo constituido por todas las gestantes, cuyo parto ocurrió en el Hospital Militar Central &#8220;Dr. Luis Díaz Soto&#8221;, desde el 2013 al 2016. Se clasificaron las gestantes según el índice de masa corporal realizado en el primer trimestre del embarazo en normopeso, sobrepeso y obesa.  Resultados: Se incluyeron 2074 casos, 57,18 % normopeso, 23,96 % sobrepeso y 18,85 % obesas. Las gestantes con sobrepeso y obesidad presentaron más complicaciones durante el embarazo que las gestantes normopeso, dado por la diabetes gestacional, enfermedad hipertensiva, parto pretérmino y la anemia. El índice de cesárea primitiva fue superior en las pacientes con exceso de peso, motivada por el fallo de inducción y el estado fetal intranquilizante.  Conclusiones:  El exceso de peso en el embarazo se observó con elevada frecuencia y se asoció a mayor morbilidad, en particular con respecto a la diabetes gestacional, los trastornos hipertensivos, el parto pretérmino y la anemia. La cesárea fue la vía de parto más frecuente en estos casos, motivado por el fallo de inducción y el estado fetal intranquilizante.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Currently obesity is one of the fastest growing pandemics in the world, which leads to an increase in maternal and perinatal morbidity.  Objective:  To determine the impact of overweight and obesity on maternal and perinatal morbidity.  Methods:  A descriptive cross-sectional study was carried out. The universe was constituted by all the pregnant women, whose delivery occurred in the Central Military Hospital "Dr. Luis Díaz Soto", from 2013 to 2016. The pregnant women were classified according to the body mass index performed in the first trimester of pregnancy in normal weight, overweight and obese.  Results:  We included 2074 cases, 57.18% normal weight, 23.96% overweight and 18.85% obese. Pregnant women with overweight and obesity had more complications during pregnancy than normal-weight pregnant women, due to gestational diabetes, hypertensive disease, preterm delivery and anemia. The rate of primitive caesarean section was higher in patients with excess weight, motivated by the induction failure and the unstable fetal state.  Conclusions:  Excess weight in pregnancy was observed with high frequency and was associated with higher morbidity, particularly with respect to gestational diabetes, hypertensive disorders, preterm delivery and anemia. Caesarean section was the most frequent delivery way in these cases, motivated by the failure of induction and the unstable fetal state.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[obesidad gestacional]]></kwd>
<kwd lng="es"><![CDATA[morbilidad materna]]></kwd>
<kwd lng="es"><![CDATA[cesárea]]></kwd>
<kwd lng="es"><![CDATA[sobrepeso gestación]]></kwd>
<kwd lng="en"><![CDATA[gestational obesity]]></kwd>
<kwd lng="en"><![CDATA[maternal morbidity]]></kwd>
<kwd lng="en"><![CDATA[caesarean section]]></kwd>
<kwd lng="en"><![CDATA[overweight gestation]]></kwd>
</kwd-group>
</article-meta>
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