Original scientific paper

https://doi.org/10.21860/medflum2018_207354

Body mass index, weight gain during pregnancy and pregnancy outcomes

Massimo Bembić ; Medicinski fakultet Sveučilišta u Rijeci, Rijeka
Marko Samardžija ; Medicinski fakultet Sveučilišta u Rijeci, Rijeka
Tea Štimac ; Klinika za ginekologiju i porodništvo, Klinički bolnički centar Rijeka, Rijeka

Abstract

Aim: To evaluate the occurrence of macrosomia, type of birth, gestational diabetes mellitus and gestational hypertension relative to weight gain during pregnancy.
Patients and methods: We collected data from the Department of Gynaecology and Obstetrics at the University Hospital Rijeka. Retrospective cohort study included 3433 pregnant women with body mass index higher than 25 kg/m2 and singleton term pregnancies over a period of five years. Women were divided between overweight and obese pregnant women. Each group contained subgroups of those who gained more and less than 15 kilograms. Macrosomia, type of birth, gestational diabetes mellitus and hypertension were analyzed. Statistical analysis was performed in Rgui using X2 test, with a statistical significance level of p <0.05.
Results: The occurrence of macrosomia relative to weight gain during pregnancy in the group of overweight pregnant women was significant (p<0,01), while there was no significant occurrence in the group of obese women (p=0,06). There was a significant occurrence of cesarean section relative to weight gain (P = 0,025) in the group of overweight woman. However, there was no such occurrence in the group of obese women (P = 0,064). The occurrence of gestational diabetes mellitus and gestational hypertension relative to weight gain was not significant in either group.
Conclusion: In the group of overweight pregnant woman the occurrence of macrosomia and cesarean section was significant in relation to weight gain during pregnancy, while in obese pregnant women such occurrence was not observed. The occurrence of gestational diabetes mellitus and gestational hypertension was not significant in relation to weight gain during pregnancy.

Keywords

Cesarean section; Gestational diabetes mellitus; Gestational hypertension; Macrosomia; Pregnancy

Hrčak ID:

207354

URI

https://hrcak.srce.hr/207354

Publication date:

1.12.2018.

Article data in other languages: croatian

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