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Titolo:
PREGNANCY OUTCOME AND WEIGHT-GAIN RECOMMENDATIONS FOR THE MORBIDLY OBESE WOMAN
Autore:
BIANCO AT; SMILEN TW; DAVIS Y; LOPEZ S; LAPINSKI R; LOCKWOOD CJ;
Indirizzi:
NYU,MED CTR,DEPT OBSTET & GYNECOL,550 1ST AVE NEW YORK NY 10016 MT SINAI MED CTR,DEPT OBSTET & GYNECOL NEW YORK NY 10029
Titolo Testata:
Obstetrics and gynecology
fascicolo: 1, volume: 91, anno: 1998,
pagine: 97 - 102
SICI:
0029-7844(1998)91:1<97:POAWRF>2.0.ZU;2-0
Fonte:
ISI
Lingua:
ENG
Soggetto:
MATERNAL OBESITY; BIRTH-WEIGHT; INFANT; COMPLICATIONS; MACROSOMIA; WOMEN;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
21
Recensione:
Indirizzi per estratti:
Citazione:
A.T. Bianco et al., "PREGNANCY OUTCOME AND WEIGHT-GAIN RECOMMENDATIONS FOR THE MORBIDLY OBESE WOMAN", Obstetrics and gynecology, 91(1), 1998, pp. 97-102

Abstract

Objective: To compare pregnancy outcomes between morbidly obese and nonobese women and to determine the effect of gestational weight gain on pregnancy outcome in morbidly obese women. Methods: A retrospective cohort study was conducted comparing 613 morbidly obese and 11,313 nonobese women who were delivered of a singleton live birth. Morbid obesity was defined as a body mass index greater than 35. The incidence of selected perinatal and neonatal outcomes was assessed for the two groups. Multiple logistic regression analysis was used to evaluate the association between morbid obesity and various measures of outcome while controlling for potential confounders. A subanalysis of the morbidly obese patients was performed to assess the effect of gestational weightgain on pregnancy outcome. Results: Morbidly obese patients were morelikely to experience pregnancy complications including diabetes, hypertension, preeclampsia, and arrest-of-labor disorders; however, these were not affected by gestational weight gain. Morbidly obese patients were more likely to experience fetal distress and meconium and to undergo cesarean delivery than their nonobese counterparts (P < .05). Weight gains of more than 25 lb were associated strongly with birth of a large for gestational age (LGA) neonate (P < .01); however, poor weightgain did not appear to increase the risk of delivery of a low birth weight neonate. Conclusion: Gestational weight gain was not associated with adverse perinatal outcome, but it did influence neonatal outcome. To reduce the risk of delivery of an LGA newborn, the optimal gestational weight gain for morbidly obese women should not exceed 25 lb.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 24/09/20 alle ore 10:57:52