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Creado el : 18 Feb 2008
Alterado em : 18 Feb 2008

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Ficha bibliográfica (sin autores) :

Obstetrical complications of morbid obesity. J Gynecol Obstet Biol Reprod (Paris). 2004 Dec;33(8):739-44.

Autores :

Grossetti E, Beucher G, Régeasse A, Lamendour N, Herlicoviez M, Dreyfus M.

Año de publicación :

2004

URL(s) :

http://www.ncbi.nlm.nih.gov/pubmed/15687946?

Résumé (français)  :

Abstract (English)  :

OBJECTIVE: To determine whether morbidly obese women have an increased risk of pregnancy complications and adverse perinatal outcome.

METHODS: In a retrospective study, 2472 women with morbid obesity, defined as a body mass index (BMI) more than 40 were compared with normal weight women (BMI 20-25). Fisher and Student tests were used for statistical analysis.

RESULTS: In the group of morbidly obese mothers (BMI greater than 40) as compared with the normal weight mothers, there was an increased risk of the following outcomes: gravidic hypertension (7.7 vs 0.5%; p<0.05). preeclampsia (11.5 vs 2%; p<0.05), gestational diabetes (15.4 vs 1.8%; p<0.05), cesarean delivery (50 vs 15.4%; p<0.05), and macrosomia (42.3 vs 10.3%; p<0.05). However, we noted a lower rate of prematurity in the obese group (0 vs 11%). Even when morbidly obese women with preexisting diabetes and chronic hypertension were excluded from the analysis, significant differences in the perinatal outcomes still persisted.

CONCLUSION: Morbid obesity appears to be an independent risk factor for perinatal and gestational complications.

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Argument (français) :

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Palabras claves :

➡ cesárea ; diabetes gestacional ; peso de la madre ; edad de la madre ; eclampsia (pre) ; macrosomía

Autor de este registro :

Emmanuelle Phan — 18 Feb 2008