Abdulbari ALTIN, Reyhan GÜNDÜZ, Fatih Mehmet FINDIK, Rezan BUĞDAY, Senem YAMAN TUNÇ, Talip GÜL

MATERNAL AND NEONATAL OUTCOMES OF CESAREAN SECTION IN OBESE AND MORBID OBESE TERM PREGNANT WOMEN

Objectives: To compare preoperatively, intraoperatively and postoperatively the maternal and ne-onatal outcomes of normal-weight, obese and morbid obese pregnant women who delivered by cesarean section in our clinic. Methods: This study retrospectively included 151 singleton pregnancies delivered at ≥37 weeks of gestation by cesarean section. Demographic, clinical and neonatal results of the patients were not-ed and compared between the groups. Results: Among the pregnant women included in this study, length of postoperative hospital stay and presence of chronic diseases were determined to be significantly higher in the morbid obese group compared with other groups (p<0.05). In the morbid obese group, the average infant birth weight and the number of infants monitored due to respiratory distress as a neonatal complication were determined to be significantly higher (p<0.05). The presence of pregnancy complications, particularly the presence of gestational diabetes mellitus and preeclampsia were found to be signif-icantly higher in the morbid obese group (p<0.05). Conclusions: We determined that the incidence of maternal and neonatal complications increases as the body mass index (BMI) increases. Therefore, it is evident that monitoring the BMI and pre-venting obesity would be effective in avoiding complications.

Keywords:

Cesarean section, maternal obesity, maternal complication, neonatal complication,

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1. Flegal, K.M., Carroll, M.D., Kuczmarski, R.J., et al. ‘Overweight and obesity in the United States: prevalence and trends, 1960–1994’, Int J Obes Relat Metab Disord, 22, 39–47, 1998.
2. Obezite Tanı ve Tedavi Kılavuzu, Türkiye Endokrinoloji ve Metabolizma Derneği, 978, 31-5-6, 2018.
3. Andreyeva, T., Sturm, R., Ringel, J.S., ‘Moderate and severe obesity have large differences in health care costs’, Obes Res., 12(12), 1936-43, 2004.
4. Özkan Sevencan, N., Ertınmaz Özkan, A., ‘Bir Üniversite Hastanesinin 3 Yıllık Obezite ve Diyabet Prevalansı: Erişkin ve Çocukluk Çağı Verilerinin Retrospektif Analizi’, Türk Diyab Obez., 1, 31-36, 2019.
5. Müftüoğlu, S., Küçükağdaş, Ş., ‘Assessment of Appetite Control and Food Craving Status of Individuals after Bariatric Surgery’, Bes Diy Derg., 47(2), 30-39, 2019.
6. Cogswell, M.E., Serdula, M.K., Hungerford, D.W., et al. ‘Gestational weight gain among av-erage-weight and overweight women- what is excessive?’, Am J Obstet Gynecol., 172, 705–12, 1995.
7. Yogev, Y., Catalano, P.M., ‘Pregnancy and obesity’, Obstet Gynecol Clin North Am., 36, 285–300, 2009.
8. Institute of Medicine (United States), Nutrition during pregnancy, ‘Report of the committee on nutritional status during pregnancy and lactation, food and nutrition Board’, Washington DC: National Academy Press., pp: 1-233, 1999.
9. Sebire, N.J., Jolly, M., Harris, J.P., et al. ‘Maternal obesity and pregnancy outcome: a study of 287,213 pregnancies in London’, Int J Obes Relat Metab Disord., 25(8), 1175-1182, 2001.
10. Melchor, I., Burgos, J., Campo, A.D., Aiartzaguena, A., Gutiérrez, J., Melchor, J.C., ‘Effect of maternal obesity on pregnancy outcomes in women delivering singleton babies: a histori-cal cohort study’, J. Perinat. Med., 47(6), 625–630, 2019.
11. Taşdemir, D., Karaman, E., Yıldız, A., Han, A., Karaman, Y., Talay, H., ‘The Effect of Obesity on Maternal and Fetal Outcomes in Term Pregnant Women: A Case-Control Study’, İKSST Derg, 7(2), 73-78, 2015.
12. Shao, Y., Qiu, J., Huang, H., et al. ‘Pre-pregnancy BMI, gestational weight gain and risk of preeclampsia: a birth cohort study in Lanzhou, China’, BMC Pregnancy Childbirth., 17(1), 400, 2017.
13. Vegel, A.J., Benden, D.M., Borgert, A.J., Kallies, K.J., Kothari, S.N., ‘Impact of Obesity on Cesarean Delivery Outcomes’, WMJ, 116(4), 206-209, 2017.
14. Pallasmaa, N., Ekblad, U., Aıtokallıo-Tallberg, A., et al. ‘Cesarean delivery in Finland: ma-ternal complications and obstetric risk factors’, Acta Obstet Gynecol Scand., 89, 896-902, 2010.
15. Başer, E., Aydoğan Kırmızı, D., Onat, T., Kara, M., Yalvaç, ES., ‘The Effect Of Body Mass Index On Pregnancy And Neonatal Results’, Bozok Med J., 9(3), 76-80, 2019.