Implications of Early Pregnancy Obesity on Maternal, Fetal and Neonatal Health Retrospective cohort study from Oman
Journal Title: Sultan Qaboos University Medical Journal - Year 2018, Vol 18, Issue 1
Abstract
Objectives: This study aimed to determine the prevalence of early pregnancy obesity among Omani women and to review maternal antenatal complications, intrapartum and postpartum events and neonatal complications among such women in comparison to women of normal weight. Methods: This retrospective cohort study included 2,652 pregnant Omani women who delivered at the Royal Hospital, Muscat, Oman, between November 2011 and April 2012. The patients’ electronic medical records were reviewed for antenatal, intrapartum and postpartum data. Body mass index was measured during the first trimester (≤12 gestational weeks) and classified according to the World Health Organization categories. Maternal and neonatal complications were compared between obese women and those of normal weight. Obstetric outcomes in uncomplicated pregnancies were also compared. Results: In the study cohort, there were 901 (34%) obese women and 912 (34.4%) women of normal weight; of these, 440 (48.8%) and 672 (73.7%) had uncomplicated pregnancies, respectively. Obese women had a significantly increased incidence of gestational diabetes (relative risk [RR]: 2.23; 95% confidence interval [CI]: 1.70–2.92; P <0.01), gestational hypertension (RR: 3.04; 95% CI: 1.63–5.65; P <0.01), Caesarean delivery (RR: 1.48; 95% CI: 1.08–2.03; P <0.01), postpartum haemorrhage (RR: 2.10; 95% CI: 1.11–4.10; P = 0.01) and fetal macrosomia (RR: 2.71; 95% CI: 1.21–6.09; P <0.01). Conclusion: Approximately one-third of the studied Omani women were obese. These women had a significantly increased risk of various maternal antenatal complications, intrapartum and postpartum events and neonatal complications.
Authors and Affiliations
Anita Zutshi, Jayasree Santhosh, Julie Sheikh, Fareeha Naeem, Ahmed Al-Hamedi, Shahla Khan, Eishthiag Al-Said
Keywords
Related Articles
- EP ID EP22857
- DOI 10.18295/squmj.2018.18.01.008
- Views 352
- Downloads 16
Recurrent Dermatofbrosarcoma Protuberans with Pigmentation and Myoid Differentiation
Dermatofbrosarcomas protuberans (DFSP) are rare low-grade tumours with various subtypes and usually occur among middle-aged adults. However, myoid differentiation is very rare. We report a 44-year-old woman who presente...
Synovial Haemangioma of the Elbow A rare paediatric case and imaging dilemma
Synovial haemangiomas are rare benign vascular proliferations arising in synovium-lined surfaces. While the knee is by far the joint most commonly involved, this condition can also occur in the elbow. We report an eigh...
Underwater Acoustic Source Localisation Among Blind and Sighted Scuba Divers Comparative study
Objectives: Many blind individuals demonstrate enhanced auditory spatial discrimination or localisation of sound sources in comparison to sighted subjects. However, this hypothesis has not yet been confrmed with regards...
Psychological Health of First-Year Health Professional Students in a Medical University in the United Arab Emirates
Objectives: Te aim of this study was to assess the psychological health of frst-year health professional students and to study sources of student stress. Methods: All frst-year students (N = 125) of the Gulf Medical Un...
Shigellosis Outbreak in Al Batinah South Governorate, Oman Case-control study
Objectives: An outbreak of acute gastroenteritis due to Shigella flexneri occurred in August 2012 in the catchment area of the Wadi Sahtan Health Center in Rustaq, Al Batinah South Governorate, Oman. Te aim of this st...