Association between prepregnancy body mass index, gestational weight gain, and perinatal outcomes

Öztürk Turhan, Nilgün; KARAKURT, Ferudun; KARGILI, Ayşe; UYRA, Erkmen Nilgün; GÜMÜŞ, İnegöl İlknur

Association between prepregnancy body mass index, gestational weight gain, and perinatal outcomes

İnegöl İlknur GÜMÜŞ, (Fatih Üniversitesi, Tıp Fakültesi, Obstetrik ve Jinekoloji Anabilim Dalı, Ankara, Türkiye)

Ferudun KARAKURT, (Fatih Üniversitesi, Tıp Fakültesi, Endokrinoloji ve Metabolizma Anabilim Dalı, Ankara, Türkiye)

Ayşe KARGILI, (Fatih Üniversitesi, Tıp Fakültesi, Endokrinoloji ve Metabolizma Anabilim Dalı, Ankara, Türkiye)

Nilgün Öztürk TURHAN, (Fatih Üniversitesi, Tıp Fakültesi, Obstetrik ve Jinekoloji Anabilim Dalı, Ankara, Türkiye)

Erkmen Nilgün UYRA (Fatih Üniversitesi, Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Ankara, Türkiye)

Turkish Journal of Medical Sciences

1 2

Yıl: 2010 Cilt: 40 Sayı: 3 Sayfa Aralığı: 365 - 370 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Association between prepregnancy body mass index, gestational weight gain, and perinatal outcomes

Öz:

Amaç: Gebelik öncesi vücut kitle indeksinin (VKİ) ve gebelikte kilo alımının perinatal sonuçlara etkisini araştırmak. Yöntem ve gereç:Hastanemizde takip olan ve tek bebek doğuran 537 gebe çalışmaya alındı. VKİ’ne göre hastalar 3 gruba ayrıldı. Grup 1: Normal (VKİ: 20-24,9 kg/m2 ) (n = 394); Grup 2: Kilolu (VKİ: 25-29,9 kg/m2 ) (n = 112); Grup 3: Obez (VKİ > 30 kg/m2 ) (n = 31). Gebelikte kilo alımına göre ise hastalar 2 gruba ayrıldı. Group A; 8-15,9 kg kilo alımı (n = 326), Group B; >16 kg kilo alımı (n = 211). Gruplar maternal data ve perinatal sonuçlar açısından karşılastırıldı.Bulgular: VKİ’ne göre obez gebelerde preeklampsi (P = 0,005), gestasyonel diabetes mellitus ve hipertansiyon (P < 0,001), makrozomi (P = 0,041), omuz distosisi (P = 0,003), sezaryen ile doğum (P = 0,01) daha sık rastlandı. Yenidoğan yoğun bakıma kabul sıklığı grup 1, 2 ve 3’de %13,6, %6,4 ve %12,9 olarak tespit edildi. (P = 0,041). Gebelikte kilo alımına göre grup B’de (>16 kg) bebek doğum kilosu ve makrozomi anlamlı olarak yüksek bulundu (P < 0,05).Sonuç: Yüksek VKİ ile artmış gestasyonel diabetes mellitus riski, hipertansiyon, makrozomi, omuz distosisi ve sezaryen ile doğum riski arasinda ilişki tespit edildi. İri bebek gebelikte fazla kilo alımından daha çok etkilenmiş olarak bulundu. Gebelik öncesi, kilosu fazla olan hastalara kilo verilmesi ve gebelik boyunca daha az kilo alımı tavsiye edilebilir.

Anahtar Kelime:

Konular: Cerrahi

Gebelik öncesi vücut kitle indeksi ve gebelikte kilo alımı ile perinatal sonuçlar arasındaki ilişki

Öz:

Aim:We aimed to investigate the effects of prepregnancy body mass index (BMI) and excess gestational weight gain on maternal-fetal outcomes. Materials and methods: Obstetrics records of 537 singleton pregnants delivered at our institution were reviewed. According to BMI, the patients were divided into 3 groups, namely, Group 1: normal (BMI 20-24.9 kg/m2 ) (n = 394); Group 2: overweight (BMI 25-29.9 kg/m2 ) (n = 112); Group 3: Obese (BMI > 30 kg/m2 ) (n = 31). According to gestational weight gain, the subjects divided into 2 categories, namely, Group A: 8-15.9 kg weight gain (n = 326); Group B: >16kg weight gain (n = 211). The groups were compared on maternal data and perinatal outcomes.Results: Based on the BMI, obese pregnants faced the highest risk of preeclampsia (P = 0.005), gestational diabetes mellitus and hypertension (P < 0.001), macrosomia (P = 0.041), shoulder dystocia (P = 0.003), and cesarean delivery (P = 0.01). Rates of babies admitted to the neonatal intensive care unit were 13.6%, 6.4%, and 12.9% in group 1, 2, and 3, respectively (P = 0.041). According to gestational weight gain, macrosomia and birthweight were significantly higher in group B (>16kg weight gain) (P < 0.05).Conclusion: Increasing BMI is associated with increased risk of gestational diabetes mellitus, hypertension, macrosomia, shoulder dystocia, and cesarean delivery. High birthweight was affected by high gestational weight gain. Before pregnancy, women with high BMI should be advised to lose weight and not to gain much weight during pregnancy.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	GÜMÜŞ İ, KARAKURT F, KARGILI A, Öztürk Turhan N, UYRA E (2010). Association between prepregnancy body mass index, gestational weight gain, and perinatal outcomes. , 365 - 370.
Chicago	GÜMÜŞ İnegöl İlknur,KARAKURT Ferudun,KARGILI Ayşe,Öztürk Turhan Nilgün,UYRA Erkmen Nilgün Association between prepregnancy body mass index, gestational weight gain, and perinatal outcomes. (2010): 365 - 370.
MLA	GÜMÜŞ İnegöl İlknur,KARAKURT Ferudun,KARGILI Ayşe,Öztürk Turhan Nilgün,UYRA Erkmen Nilgün Association between prepregnancy body mass index, gestational weight gain, and perinatal outcomes. , 2010, ss.365 - 370.
AMA	GÜMÜŞ İ,KARAKURT F,KARGILI A,Öztürk Turhan N,UYRA E Association between prepregnancy body mass index, gestational weight gain, and perinatal outcomes. . 2010; 365 - 370.
Vancouver	GÜMÜŞ İ,KARAKURT F,KARGILI A,Öztürk Turhan N,UYRA E Association between prepregnancy body mass index, gestational weight gain, and perinatal outcomes. . 2010; 365 - 370.
IEEE	GÜMÜŞ İ,KARAKURT F,KARGILI A,Öztürk Turhan N,UYRA E "Association between prepregnancy body mass index, gestational weight gain, and perinatal outcomes." , ss.365 - 370, 2010.
ISNAD	GÜMÜŞ, İnegöl İlknur vd. "Association between prepregnancy body mass index, gestational weight gain, and perinatal outcomes". (2010), 365-370.

APA	GÜMÜŞ İ, KARAKURT F, KARGILI A, Öztürk Turhan N, UYRA E (2010). Association between prepregnancy body mass index, gestational weight gain, and perinatal outcomes. Turkish Journal of Medical Sciences, 40(3), 365 - 370.
Chicago	GÜMÜŞ İnegöl İlknur,KARAKURT Ferudun,KARGILI Ayşe,Öztürk Turhan Nilgün,UYRA Erkmen Nilgün Association between prepregnancy body mass index, gestational weight gain, and perinatal outcomes. Turkish Journal of Medical Sciences 40, no.3 (2010): 365 - 370.
MLA	GÜMÜŞ İnegöl İlknur,KARAKURT Ferudun,KARGILI Ayşe,Öztürk Turhan Nilgün,UYRA Erkmen Nilgün Association between prepregnancy body mass index, gestational weight gain, and perinatal outcomes. Turkish Journal of Medical Sciences, vol.40, no.3, 2010, ss.365 - 370.
AMA	GÜMÜŞ İ,KARAKURT F,KARGILI A,Öztürk Turhan N,UYRA E Association between prepregnancy body mass index, gestational weight gain, and perinatal outcomes. Turkish Journal of Medical Sciences. 2010; 40(3): 365 - 370.
Vancouver	GÜMÜŞ İ,KARAKURT F,KARGILI A,Öztürk Turhan N,UYRA E Association between prepregnancy body mass index, gestational weight gain, and perinatal outcomes. Turkish Journal of Medical Sciences. 2010; 40(3): 365 - 370.
IEEE	GÜMÜŞ İ,KARAKURT F,KARGILI A,Öztürk Turhan N,UYRA E "Association between prepregnancy body mass index, gestational weight gain, and perinatal outcomes." Turkish Journal of Medical Sciences, 40, ss.365 - 370, 2010.
ISNAD	GÜMÜŞ, İnegöl İlknur vd. "Association between prepregnancy body mass index, gestational weight gain, and perinatal outcomes". Turkish Journal of Medical Sciences 40/3 (2010), 365-370.