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Mrazguia C.,Hopital regional Mohamed Tlatli | Mrazguia C.,University of Monastir | Ajili A.,Hopital regional Mohamed Tlatli | Ajili A.,University of Monastir | And 8 more authors.
Medecine Therapeutique Medecine de la Reproduction, Gynecologie et Endocrinologie | Year: 2013

Problem. Obesity is a major public health problem affecting all social classes and all ages, including women of childbearing age. The medical world is alarmed by these health consequences, especially on the prognosis of pregnancy and the newborn. Objectives. To evaluate the impact of obesity on the course of pregnancy and childbirth specifying the maternal and fetal complications. Patients and methods. This is a comparative retrospective study, conducted over a period of six months from 1st July to 31st December, 2010, which includes patients who delivered in our department. Patients responding to the inclusion criteria were divided into two subgroups according to the body mass index (BMI) in early pregnancy: group I: normal weight 18.5≤BMI <25 and group II: BMI ≥30. Results. Four hundred and seventy patients were included, they were divided into two groups (GI: 354 patients, GII: 116 patients). The pregnancy of women in group II was more frequently complicated by gestational hypertension, preeclampsia and gestational diabetes, as well as urinary tract infections. In obese patients were found more anomalies of labor with a higher rate of cesarean section, which was longer and technically more difficult. The postpartum follow-up was marked by the occurrence of infectious complications and maternal bleeding with frequencies that increase with the BMI. Newborns of women in group II were more frequently macrosomic and they presented more complications such as neonatal respiratory distress and hypoglycemia. Conclusion. Obesity is a serious problem in obstetrics. It has negative impacts on the health of the mother and baby throughout pregnancy, childbirth and the postpartum period. Care of obese pregnant women should be early and adapted to each case.

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