dc.contributor | Universidade Estadual Paulista (Unesp) | |
dc.date.accessioned | 2018-12-11T17:05:20Z | |
dc.date.available | 2018-12-11T17:05:20Z | |
dc.date.created | 2018-12-11T17:05:20Z | |
dc.date.issued | 2016-08-27 | |
dc.identifier | Reproductive Health, v. 13, n. 1, 2016. | |
dc.identifier | 1742-4755 | |
dc.identifier | http://hdl.handle.net/11449/173418 | |
dc.identifier | 10.1186/s12978-016-0206-0 | |
dc.identifier | 2-s2.0-84984600106 | |
dc.identifier | 2-s2.0-84984600106.pdf | |
dc.identifier | 6758680388835078 | |
dc.identifier | 1884059321499759 | |
dc.identifier | 0000-0003-4074-252X | |
dc.description.abstract | Background: Overweight and obesity are associated with pregnancy complications and adverse perinatal outcomes, posing short and long-term risks for maternal and child health. This study evaluated maternal, delivery and neonatal outcomes in pregnancies complicated by overweight and obesity. Methods: This prospective cross-sectional study included 258 pregnant women. According to prepregnancy body mass index (BMI), participants were classified as normal weight, overweight, or obese. Data were analyzed using the chi-square test and analysis of variance followed by the Tukey test. Logistic regression was performed to calculate odds ratios and 95 % confidence intervals (p < 0.05). Results: Most women ≥ 35 years old were overweight (22.7 %) and obese (27.6 %). Prepregnancy diabetes was significantly associated with obesity (15.7 %, p < 0.000). Obese women showed the lowest weight gain (9.6 ± 7.5Kg). Overweight and obese women practiced physical exercise more frequently (p = 0.010) than normal weight women. A greater proportion of obese mothers (13.4 %) had large for gestational age babies (p = 0.021), with higher thoracic circumference (33.6 ± 2.0 cm) and abdominal circumference (31.6 ± 2.3 cm). Obesity increased the risk of developing hypertension (OR = 7.0; 3.1-15.9), hyperglycemic disturbances (OR = 5.5; 2.9-10.6) and HbA1c ≥ 6.5 % (OR = 3.7; 1.2-11.1). The infants born to obese mothers had longer hospital stay (3.9 ± 3.9 days) (p = 0.005). Conclusion: Our results confirm that obesity in pregnancy can lead to adverse outcomes, and underscore the importance of identifying and treating inadequate weight status during pregnancy. | |
dc.language | eng | |
dc.relation | Reproductive Health | |
dc.relation | 1,228 | |
dc.rights | Acesso aberto | |
dc.source | Scopus | |
dc.subject | Maternal outcomes | |
dc.subject | Obesity | |
dc.subject | Overweight | |
dc.subject | Perinatal outcomes | |
dc.subject | Pregnancy | |
dc.title | Maternal and fetal outcomes in pregnancies complicated by overweight and obesity | |
dc.type | Artículos de revistas | |