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Master Thesis

Complications périnatales associées à l'obésité sévère

Abstract : Objectives : The severe obesity affects more and more young women in childbearing age and constitutes a real public health issue in maternity hospital. The main objective is to analyze the perinatal complications associated to the severe obesity. The second objective is to assess the impact of pregnancy weight gain occurred by of these complications. methods : We made a retrospective and comparative case/control study on 171 patients who gave birth at the maternity hospital St. Vincent de Paul between January 1, 2004 and July 31, 2009. 87 patients having a BMI ≥ 35 composed the case. The control group was constituted by 84 patients with a normal BMI and selected according the same age and parity . Results : Labour induction was more frequent for patients with severe obesity (52% vs. 21%, OR 4 [1.9-8.2]). The same is true for the high caesarians rate performed during labor (32% vs. 14% OR 2.5 [1.1-5.8]) and for the mother's morbidity increase. We noticed that macrosomia was more frequent for their child (13% vs. 2%, OR 6.33 [1.4-29.6]) and that the néonatal morbidity increased (25% vs. 8%, OR 3.7 [1.5-9.3]). Conclusion : Pregnancy for women with severe obesity is a risky pregnancy. A limitation of the weight gain during pregnancy by these patients decreases the incidence of complications in particular by reducing the risk of macrosomia. The medical care of these pregnancies has to be done within a multidisciplinary team, in which the midwife has an important role of information, prevention and support for these women.
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Submitted on : Wednesday, May 25, 2011 - 2:19:47 PM
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  • HAL Id : dumas-00595734, version 1


Réana Cassam Chenaï. Complications périnatales associées à l'obésité sévère. Gynécologie et obstétrique. 2010. ⟨dumas-00595734⟩



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