RESEARCH OF CHARACTERISTICS AND OUTCOME OF OBESE PREGNANCY WOMEN AT CAN THO OBSTETRICS AND GYNECOLOGY HOSPITAL IN 2020-2022

Nguyễn Xuân Mỹ1,, Nguyễn Hữu Dự1, Ngũ Quốc Vĩ1
1 Can Tho University of Medicine and Pharmacy

Main Article Content

Abstract

Background: The rate of obese pregnant women is increasing, which causes many dangerous complications for mother and fetus. In order to understand the characteristics of obese pregnant to make recommendations beneficial to pregnant women as well as reduce possible complications during pregnancy. Objectives: To determine the characteristics of obese pregnant and evaluate the pregnancy outcomes of obese pregnant. Subjects and methods: Cross-sectional study on 76 obese pregnant women. Then, monitor and evaluate the clinical, subclinical symptoms and outcomes of pregnant women at the time of hospital admission and delivery. Results: There were 76 obese pregnant women, of which 59 were class I obesity   (77,63%) and 17 were class II obesity (22,37%). The rates of obese pregnant in women of reproductive age was the most common (69,73%). The percentage of obese pregnant women living in urban areas was higher than that of women living in rural areas (65,79% versus 34,21%). In the group of class II obesity, the rate of weight gain > 12 kg was higher than the weight gain group ≤ 12 kg. The rate of obese pregnant women who are not screened for gestational diabetes in the first trimester is high (46,16%). The percentage of obese pregnant women who had cesarean section was significantly higher than vaginal delivery (85,53% versus 14,47%). The percentage of newborns being cared for in the neonatal department is low (3,95%). There were 2 cases of complications after pregnancy termination, complications were postpartum hemorrhage and postoperative infection. Conclusion: the percentage of pregnant women who are obese tends to increase and is a problem of today's society

Article Details

References

1. Bộ Y tế (2016), “Đái tháo đường thai kỳ”, Hướng dẫn quốc gia về các dịch vụ chăm sóc sức khỏe sinh sản, tr 139-140.
2. Nguyễn Thị Màu (2018), Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và đánh giá kết quả kết thúc thai kỳ ở các sản phụ và béo phì tại Bệnh viện Phụ Sản Cần Thơ năm 2017 - 2018, Luận văn tốt nghiệp bác sĩ đa khoa
3. Vũ Văn Tâm, Lưu Vũ Dũng (2017), “Tỷ lệ đái tháo đường thai kỳ ở phụ nữ có yếu tố nguy cao và mức độ ảnh hưởng tới thai phụ, thai nhi ở Bệnh viện Phụ sản Hải Phòng”
4. Brunner S, Stecher L, Ziebarth S, et al (2015). Excessive gestational weight gain prior to glucose screening and the risk of gestational diabetes: a meta-analysis. Diabetologia. 2015; 58(10):2229-2237. doi:10.1007/s00125-015-3686-5
5. Iñigo Melchor (2019), Effect of maternal obesity on pregnancy outcomes in women delivering singleton babies: a historical cohort study, J. Perinat. Med. 2019, https://doi.org/10.1515/jpm-2019-0103 Received
6. Johannes Stubert (2018), The Risks Associated With Obesity in Pregnancy Dtsch Arztebl Int 2018; 115: 276-83. DOI: 10.3238/arztebl.2018.0276
7. John T. Queenan (2021), MD Protocols for High‐Risk pregnancies An Evidence‐Based Approach 2021 John Wiley & Sons Ltd.