title

شيوع شاخص توده بدني غير طبيعي در زنان باردار و ارتباط آن با عوارض مادري و نوزادي

عالی جهان, راحله and نخستین, بابک and سلیمی, سوسن and حضرتی, صادق (1390) شيوع شاخص توده بدني غير طبيعي در زنان باردار و ارتباط آن با عوارض مادري و نوزادي. در: دومین کنگره بین المللی و چهارمین کنگره ملی بارداری ایمن و مادران , 26 بهمن 1390, دانشگاه علوم پزشکی شهید بهشتی تهران.

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Title

Prevalence of abnormal maternal body mass index and its association with adverse maternal and prenatal outcome

English Abstract

OBJECTIVE AND AIMS: women with abnormal body mass index before pregnancy are at increased risk for pregnancy complications and adverse neonatal outcomes. The present study aimed to determine association between abnormal maternal body mass index and adverse maternal/ prenatal outcomes Methods: In a retrospective correlational study 8270 pregnant women referred to rural and urban health centers of Ardabil district (from Mar 2009 to Dec 2010) were selected. Data were collected from prenatal healthcare records using a self-designed questionnaire. Women with twin pregnancy, fewer than 18 and above 35 of age, and women with systemic or chronic disease were excluded from the study. The variables examined in this study include, demographic information (e.g. age, social and economy status, and literacy), present pregnancy information (e.g. parity, hemoglobin level, Gestational diabetes, Preeclampsia) and prenatal information (e.g. preterm delivery, low birth weight, and congenital malformation). Data were analyzed through Kruscal wallis, chi- square, and logistic regression using SPSS version16. RESULTS: There was significant difference in the overall mean time to first void between the reflexology (257/23 ± 59/76 minutes) and control (498/03 ± 75/10 minutes) groups (p=0/001). The time to first void did not correlate with intravenous fluid use, length of procedure, body mass index, age, or estimated blood loss. There was significant difference in the overall mean volume of first void between the reflexology (165/66 ± 36/45 ml) and control (406/45 ± 88/56 ml) groups (p<0/001). CONCLUSION: 8.2, 25 and 15.4 % pregnant women were underweight, overweight, and obese, respectively. Obese women were at increased risk for macrosomia (OR= 1/820, CI: 1/345-2/447,p=0/000), unwanted pregnancy (OR= 1/436, CI: 1/198-1/720,p=0/000), pregnancy induced hypertension (OR= 1/633, CI: 1/072-2/486,p=0/022), preeclampsia (OR= 4/666, CI: 2/353-9/2550,p=0/000), and still birth (OR= 2/602, CI: 1/306-5/184,p=0/007). However, the risk of low birth weight delivery in underweight women were 1.6 times higher than the normal cases (OR= 1/674, CI: 0962-2/912, p=0/068

Item Type:Conference or Workshop Item (Poster)
زبان سند : انگلیسی
نویسنده اول :راحله عالی جهان
نویسنده مسئول :صادق حضرتی
کلیدواژه ها (انگلیسی):maternal body mass index, pregnancy, prenatal outcomes, maternal outcomes
Subjects:WA Public Health > WA 400 Occupational Medicin, health and hygiene
WA Public Health > WA 400 Occupational Medicin, health and hygiene
Divisions:Faculty of Health > Department of Environmental health
ID Code:3273
Deposited By: Dr Sadeg Hazrati
Deposited On:17 Jan 1391 08:25
Last Modified:29 Nov 1391 08:17

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