Skip to Main content Skip to Navigation
Master Thesis

Impact de l’IMC pré-gestationnel et de la prise de poids maternelle sur le déroulement de la grossesse et son issue : étude monocentrique chez 710 femmes obèses

Abstract : This retrospective observational study included 710 obese women who delivered at the Pitié Salpêtrière Hospital (Paris) between 01/01/2010 and 31/12/2013. The objective was to evaluate the characteristics and outcome of pregnancy in obese women, and to compare these data according to pre-gestational BMI and maternal weight gain during pregnancy. Rates of gestational diabetes and preeclampsia were increased in case of obesity; rates of gestational diabetes and pregnancy-induced hypertension increased with maternal BMI. Obese women had more induction of labour and more elective cesarean deliveries before the onset of labour, which increased with BMI. The overall cesarean delivery rate was increased; it was even higher in case of diabetes or excessive weight gain during pregnancy. Maternal BMI did not change the mode of delivery. Maternal obesity increased birth weight. BMI category did not change the rates of SGA or macrosomia. Compared to the general population, obesity was associated to more macrosomia and identical SGA rates. SGA was more frequent if weight gain was less than 5kg; a weight gain higher than 9kg increased the risk of macrosomia, even without diabetes. Neonatal complications were not influenced by maternal obesity. There was an increased rate of postpartum hemorrhage in obese women. This should encourage professionals to offer pregestational counselling and a specialized antenatal care. Weight loss prior to pregnancy and respect of optimal weight gain during pregnancy are essential.
Complete list of metadatas

Cited literature [47 references]  Display  Hide  Download

https://dumas.ccsd.cnrs.fr/dumas-01128909
Contributor : Université Paris Descartes - Scd <>
Submitted on : Tuesday, March 10, 2015 - 3:36:03 PM
Last modification on : Friday, March 27, 2020 - 2:30:52 AM
Long-term archiving on: : Thursday, June 11, 2015 - 11:20:50 AM

Licence


Distributed under a Creative Commons Attribution - NonCommercial - NoDerivatives 4.0 International License

Identifiers

  • HAL Id : dumas-01128909, version 1

Citation

Alice Choisi. Impact de l’IMC pré-gestationnel et de la prise de poids maternelle sur le déroulement de la grossesse et son issue : étude monocentrique chez 710 femmes obèses. Médecine humaine et pathologie. 2014. ⟨dumas-01128909⟩

Share

Metrics

Record views

231

Files downloads

447