Pregnancy outcome of the Obese in Ilorin
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Date
2011
Journal Title
Journal ISSN
Volume Title
Publisher
International Society for Obstetric Medicine & The Royal Society of Medicine U.K.
Abstract
Background: Obesity is a nutritional disorder that is fast becoming a public health issue in the developing world. It is associated with increased incidence of maternal complications and adverse perinatal outcome.
Methods and results: This is a case-control study of obesity in pregnancy carried out in the maternity wing of University of Ilorin Teaching Hospital, Nigeria. The subjects and controls were 156 obese and 80 non-obese women booked at this hospital for antenatal care. The controls were matched for age and parity. Obesity occurred more commonly among the well educated (P ¼ 0.00) and those in social classes I and II (P ¼ 0.00).
The occurrence of other medical conditions was not significantly different. The obese women also had more caesarean sections (P ¼ 0.00), more assisted vaginal deliveries (P ¼ 0.00) and fewer spontaneous vaginal deliveries (P ¼ 0.00) than the non-obese parturients. The mean birth weight of infants of the obese mothers was 4.06+0.13 kg (mean+SD) while the mean for the controls was 3.36+ 0.49 kg. The difference was statistically significant (P ¼ 0.000). Also, the obese parturients had more macrosomic babies (defined as birth weight .4.2 kg) than the non-obese (P ¼ 0.00). The risks of perinatal asphyxia, birth trauma, neonatal admission and low birth weight were not increased among obese women in this study.
Conclusion: This study suggests that in our community, obesity occurs more commonly among women of high socioeconomic status and is a risk factor for maternal and fetal complications.
Description
Keywords
complications, Obesity, high-risk pregnancy, maternal-fetal medicine
Citation
Adesina, KT, Aderibigbe, S Fawole, A Ijaiya, M, Olarinoye A. (2011): Pregnancy outcome of the Obese in Ilorin. Obstetric Medicine.4(4);160-163.