Skip to Main content Skip to Navigation
Master Thesis

Fréquence, prise en charge et issues des femmes enceintes en obésité morbide à l’AP-HP

Abstract : Context: obesity is a major public health problem, known for its adverse health consequences, especially when it is morbid. Pregnant women are not spared and present specific problems during pregnancy and childbirth. Objectives: thus, in a first step, we sought to find out how often and how morbidly obese parturients gave birth in the Paris Public Hospitals (AP-HP). Secondly, we assessed the maternal-fetal morbidity associated with this population, particularly after delivery. We then compared maternal and neonatal morbidity according to the care provided, with the aim of reducing their morbidity. Method: we carried out a descriptive observational study across the 13 maternity hospitals of the AP-HP over the whole year 2017. It includes all women with a pre-conceptional BMI ≥ 40 kg/m² who delivered at term ≥ 22 weeks of amenorrhea (AS) in AP-HP. Results: this is the second part of this study including all AP-HP maternity hospitals. A total of 278 patients were included, an average of 0.7% over the year 2017. They were mostly multiparous and under 35 years of age. We found on the one hand that this population presented over-risks of complications at all levels (maternal, fetal, obstetrical and neonatal). Morbid obesity has a strong impact on the mode of childbirth, leading to an increased caesarean section rate. At the end of childbirth, we have a greatly increased morbidity, mainly in the newborn. This reinforces most of the previous work on this subject. On the other hand, the term and method of delivery may have an influence on maternal and neonatal morbidity. Specialised, multidisciplinary care through reference centres seems to be an interesting prospect to help this already vulnerable population as much as possible.
Complete list of metadata
Contributor : Esf Upd Connect in order to contact the contributor
Submitted on : Friday, January 8, 2021 - 10:41:27 AM
Last modification on : Tuesday, September 28, 2021 - 5:13:48 PM
Long-term archiving on: : Friday, April 9, 2021 - 6:33:14 PM


Files produced by the author(s)


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


  • HAL Id : dumas-03103477, version 1



Estelle Chapron. Fréquence, prise en charge et issues des femmes enceintes en obésité morbide à l’AP-HP. Gynécologie et obstétrique. 2020. ⟨dumas-03103477⟩



Record views


Files downloads