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Master Thesis

Surpoids, obésité, obésité morbide et grossesse

Abstract : Objective : The present study had for objective to analyze the effects on labor, delivery, afterbirth and neonatal status of maternal overweight and obesity.

Methods : We realised a retrospective study during year 2008, in the Obstetrics Department of the Angers CHU. The exclusions criterias were multiple pregnancy, uterine scar, non-cephalic presentation, women under 1 meter 50, women under 18 years old and more than 40 years old. Women were categorized in three groups chosen by the Body Mass Index: a group overweight (25 ≤ BMI < 30), a group obesity (30 ≤ BMI < 40) and a group morbid obesity (BMI ≥ 40).

Results: We observed in obese patients an increase in risk of gravidic hypertension, a reduced risk of premature delivery along with an increased risk of post-term deliveries. Women in overweight have a frequency of labor induction more important. We observed an increase of the caesarean rate with the BMI. The numbers of anomaly with the artificial placental delivery are significantly higher in obese patients. The average weight of the child is higher and the risk of macrosomia is multipliated by 3,34 [1,93-5,69]. For the afterbirth, we must be vigilant for the caesarean scar.

Conclusion: This study tends to confirm that a high BMI before the pregnancy is responsible for obstetrical complications that before can cause difficulties to the maternal and foetus prediction. These pregnancies should be considered as risk. An early, adapted and multidisciplinary medical care is mandatory.

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https://dumas.ccsd.cnrs.fr/dumas-00542417
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Submitted on : Thursday, December 2, 2010 - 3:25:41 PM
Last modification on : Friday, May 10, 2019 - 1:26:01 PM
Long-term archiving on: : Thursday, March 3, 2011 - 2:58:49 AM

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Sophie Bernard. Surpoids, obésité, obésité morbide et grossesse. Gynécologie et obstétrique. 2010. ⟨dumas-00542417⟩

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