Issue maternof?tale de la grossesse chez la femme obèse à l’h?pital gynéco-obstétrique et pédiatrique de Yaoundé, Cameroun

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• 作者：P. Ahounkeng Nanda ; E. T. Mboudou ; P. Foumane…
• 关键词：Obésité ; Macrosomie ; Césarienne ; Score d’Apgar ; Obesity ; Macrosomia ; Caesarian section ; Apgar score
• 刊名：Revue de m篓娄decine p篓娄rinatale
• 出版年：2015
• 出版时间：June 2015
• 年：2015
• 卷：7
• 期：2
• 页码：110-116
• 全文大小：448 KB
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• 作者单位：P. Ahounkeng Nanda (1)
  E. T. Mboudou (2)
  P. Foumane (2)
  J. Dohbit Sama (2)
  P. Tiomela Douanla (2)
  G. M. Nnang (2)
  
  1. Maternité du centre hospitalier de l’ouest guyanais Frank Joly, 16 boulevard du Général de Gaulle, F-97320, Saint-Laurent-Du-Maroni, France
  2. Service de gynécologie et obstétrique, h?pital gynéco-obstétrique et pédiatrique de Yaoundé, Yaoundé, Cameroun
  
• 刊物主题：Obstetrics/Perinatology; Pediatrics; Imaging / Radiology; Intensive / Critical Care Medicine;
• 出版者：Springer Paris
• ISSN：1965-0841

文摘

Abstract More than 25% of Cameroonians are obese. However, data and complications related to obesity during pregnancy are not known in our environment. Objectives The aim of our study was to describe the materno-foetal outcome of pregnancy in obese women at the Gyneco-Obstetric and Pediatric Hospital of Yaounde, in Cameroon. Methodology It was a descriptive and transversal study over 2 months. Patients in labour or in post-partum were grouped together in body mass index (BMI) classes and according to a BMI of > 30 kg/m2 or ?30 kg/m2. Pregnancy and delivery procedure were analyzed in order to bring out complications due to obesity. Results Our sample was made of 231 patients. The obesity frequency was 16% in the beginning of pregnancy, and 48.9% at delivery. The average birth weight was 3,353 g for the new born babies of obese mothers compared with 3,099 g for those of non-obese women (P = 0.001). Macro-somia rate and the gap between the estimated foetal weight and the effective birth weight were significantly higher in obese women than in those who were not obese. The frequency of cephalo-pelvic disproportion was 6.7% for the obese parturient compared with 0.9% for non-obese parturient (P = 0.024). A caesarian section was carried out for 25.7% of the obese women and 11.9% of non-obese women (P = 0.007). However, there was no significant difference between obese and non-obese women concerning high blood pressure appearance during pregnancy, induction and stimulation of labour, post-partum haemorrhage and poor Apgar score at birth. Conclusion Obesity is a source of macrosomia, cephalopelvic disproportion and caesarian section without any modification in the Apgar score at birth.