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Body Mass Index, Weight Gain during Pregnancy and Obstetric Outcomes.
MedLine Citation:
PMID:  21327006     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To find out the effects of pregnancy weight gain in different body mass index (BMI) groups on maternal and neonatal outcomes in women delivering singletons at term.
DESIGN: Retrospective analysis of clinical records of patients attending antenatal clinics and delivering in hospital from January 1st 1992 to December 31st 2009.
SETTING: A private specialist hospital.
METHODS: The records of patients starting antenatal care in the first trimester, attending at least four clinics and delivering singletons from 37 completed weeks up to 42 weeks gestation were analysed. Patients' booking gestational age, height, weight and obstetric and neonatal outcomes at delivery were noted.
RESULTS: The total number of deliveries was 2,391 out of which 1755 (72.4%) were analysed. The overweight and obese group compared to the normal were significantly older, shorter, weighed more at booking and gained more weight during pregnancy. The overweight or obese were significantly more likely to have induction of labour and be delivered by caesarean section compared to the normal. Maternal and neonatal outcomes which were more significant in the overweight and obese were macrosomia, stillbirth, perineal trauma, post-partum haemorrhage and retained placenta.
CONCLUSIONS: Most deliveries in the two BMI groups resulted in normal weight babies. Overweight and Obesity is associated with significantly increased incidence of adverse maternal and neonatal outcomes. It is recommended that further studies involving larger samples comparable to those done in western countries are carried out.
Authors:
V N Addo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ghana medical journal     Volume:  44     ISSN:  0016-9560     ISO Abbreviation:  Ghana Med J     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2011-02-17     Completed Date:  2011-07-14     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  0073210     Medline TA:  Ghana Med J     Country:  Ghana    
Other Details:
Languages:  eng     Pagination:  64-9     Citation Subset:  -    
Affiliation:
Department of Obstetrics and Gynaecology, Komfo Anokye Teaching Hospital and School of Medical Sciences, College Of Health Sciences, Kwame Nkrumah University of Science and Technology, Private Mail Bag, Kumasi, Ghana.
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