MATERNAL OBESITY INCREASES RISK OF PREECLAMPSIA AND DIABETES MELLITUS
Background: Obesity in pregnant women has been linked to negative outcomes for both the mother and the fetus. Gestational diabetes, preeclampsia, and postpartum haemorrhage are all threats for mothers during pregnancy. These may also affect labor outcomes because fat accumulation in the pelvis makes...
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| Format: | Article |
| Language: | English |
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Faculty of Medicine, Universitas Airlangga
2021-06-01
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| Series: | Majalah Biomorfologi |
| Subjects: | |
| Online Access: | https://e-journal.unair.ac.id/MBIO/article/view/27011 |
| _version_ | 1797508428754583552 |
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| author | Naura Ega Kahayani Hermanto Tri Joewono Rio Wironegoro |
| author_facet | Naura Ega Kahayani Hermanto Tri Joewono Rio Wironegoro |
| author_sort | Naura Ega Kahayani |
| collection | DOAJ |
| description | Background: Obesity in pregnant women has been linked to negative outcomes for both the mother and the fetus. Gestational diabetes, preeclampsia, and postpartum haemorrhage are all threats for mothers during pregnancy. These may also affect labor outcomes because fat accumulation in the pelvis makes obese pregnant women more likely to have a caesarean section. Objective: To analyze the outcome of maternal obesity in pregnancy in 2017. Materials and Methods: This was an analytic cross-sectional, observational study in pregnant women with obesity in Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, within the period of January 1st – December 31st 2017 using medical records. Sample size was determined using cross-sectional sample size calculation with the result of n=162. After receiving approval of ethical clearance, medical records were collected and analyzed. The statistical analysis was done using chi-square test. Results: From a total of 162 subjects, most of the patients were 21-34 y/o (56.8%), under graduate (90.7%) and 58% of the subjects worked. Proportion of grade I, II and III were 60.5%, 22.2%, and 17.3%, and 67% suffered from complications such as PE, DM, PE with DM with percentages as follows: 56.2%, 4.9%, and 6.2%. Neonatal complications were preterm 42.6%, macrosomia 4.3%, stillbirth 4.9%, and low Apgar score 48.1%. No association was identified between maternal age and complications in grade I (p=0.764) and grade III (p=0.716). Obesity grades I and III had correlation with complications (p=0.035). Conclusion: No significant association was found between age and complications in grade III obesity, while there was significant correlation between obesity levels (grade I and grade III) and complications. |
| first_indexed | 2024-03-10T05:02:57Z |
| format | Article |
| id | doaj.art-37e83e862a3248d4925999f957880c04 |
| institution | Directory Open Access Journal |
| issn | 0215-8833 2716-0920 |
| language | English |
| last_indexed | 2024-03-10T05:02:57Z |
| publishDate | 2021-06-01 |
| publisher | Faculty of Medicine, Universitas Airlangga |
| record_format | Article |
| series | Majalah Biomorfologi |
| spelling | doaj.art-37e83e862a3248d4925999f957880c042023-11-23T01:35:58ZengFaculty of Medicine, Universitas AirlanggaMajalah Biomorfologi0215-88332716-09202021-06-01312444810.20473/mbiom.v31i2.2021.44-4822103MATERNAL OBESITY INCREASES RISK OF PREECLAMPSIA AND DIABETES MELLITUSNaura Ega Kahayani0Hermanto Tri Joewono1https://orcid.org/0000-0003-4943-6369Rio Wironegoro2Medical Program, Faculty of Medicine, Universitas Airlangga, SurabayaDepartment of Obstetrics and Gynecology, Faculty of Medicine, Universitas AirlanggaDepartment of Internal Medicine, Faculty of Medicine, Universitas Airlangga; Indonesian Society of Internal Medicine (PAPDI)Background: Obesity in pregnant women has been linked to negative outcomes for both the mother and the fetus. Gestational diabetes, preeclampsia, and postpartum haemorrhage are all threats for mothers during pregnancy. These may also affect labor outcomes because fat accumulation in the pelvis makes obese pregnant women more likely to have a caesarean section. Objective: To analyze the outcome of maternal obesity in pregnancy in 2017. Materials and Methods: This was an analytic cross-sectional, observational study in pregnant women with obesity in Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, within the period of January 1st – December 31st 2017 using medical records. Sample size was determined using cross-sectional sample size calculation with the result of n=162. After receiving approval of ethical clearance, medical records were collected and analyzed. The statistical analysis was done using chi-square test. Results: From a total of 162 subjects, most of the patients were 21-34 y/o (56.8%), under graduate (90.7%) and 58% of the subjects worked. Proportion of grade I, II and III were 60.5%, 22.2%, and 17.3%, and 67% suffered from complications such as PE, DM, PE with DM with percentages as follows: 56.2%, 4.9%, and 6.2%. Neonatal complications were preterm 42.6%, macrosomia 4.3%, stillbirth 4.9%, and low Apgar score 48.1%. No association was identified between maternal age and complications in grade I (p=0.764) and grade III (p=0.716). Obesity grades I and III had correlation with complications (p=0.035). Conclusion: No significant association was found between age and complications in grade III obesity, while there was significant correlation between obesity levels (grade I and grade III) and complications.https://e-journal.unair.ac.id/MBIO/article/view/27011obesity in pregnancymaternal and perinatal outcomematernal obesitymaternal healthmaternal mortalitydiabetes preeclampsiahealth risk |
| spellingShingle | Naura Ega Kahayani Hermanto Tri Joewono Rio Wironegoro MATERNAL OBESITY INCREASES RISK OF PREECLAMPSIA AND DIABETES MELLITUS Majalah Biomorfologi obesity in pregnancy maternal and perinatal outcome maternal obesity maternal health maternal mortality diabetes preeclampsia health risk |
| title | MATERNAL OBESITY INCREASES RISK OF PREECLAMPSIA AND DIABETES MELLITUS |
| title_full | MATERNAL OBESITY INCREASES RISK OF PREECLAMPSIA AND DIABETES MELLITUS |
| title_fullStr | MATERNAL OBESITY INCREASES RISK OF PREECLAMPSIA AND DIABETES MELLITUS |
| title_full_unstemmed | MATERNAL OBESITY INCREASES RISK OF PREECLAMPSIA AND DIABETES MELLITUS |
| title_short | MATERNAL OBESITY INCREASES RISK OF PREECLAMPSIA AND DIABETES MELLITUS |
| title_sort | maternal obesity increases risk of preeclampsia and diabetes mellitus |
| topic | obesity in pregnancy maternal and perinatal outcome maternal obesity maternal health maternal mortality diabetes preeclampsia health risk |
| url | https://e-journal.unair.ac.id/MBIO/article/view/27011 |
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