Obesity During Pregnancy in Clinical Practice
Conditions
Keywords
obesity , pregnancy , maternal and fetal outcome
Brief summary
A study will carried out over a period of one year , all obese pregnant women as diagnosed with BMI at the time of 1st ANC visit and before labor ,observation of events during both intra-partum &postpartum periods it will be recorded.outcome will compared with normal other pregnant women
Detailed description
It is known that obesity during pregnancy has drawbacks for both maternal and foetal outcome The aim of this study is to evaluate and measure the proportion of the adverse pregnancy outcomes attributable to maternal obesity and so reaching to recommendations in order to improve the outcomes and wellbeing of these women and their children.patient will be divided into two groups control group with normal BMI and study group and both compared as regard foetal and maternal outcome The assessed fetal variables will be: fetal birthweight & incubators admission. Data will be retrieved from patients before labor and from investigator observation both intrapartum and postpartum.
Interventions
OTHERThe impact of maternal obesity on pregnancy outcomes
observation of maternal obesity effect in foetal and maternal outcome
Sponsors
Minia University
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* obese * pregnant * age 18 -40 * single viable cephalic foetus
Exclusion criteria
less than 18 years more than 40 years associated medical disorders patient refusal non cephalic presentation \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mode of delivery | onset of labor till end | vaginal or Cesarean section |
| shoulder dystocia | 1 minute after delivery of the head | arrest of shoulder more than one minute after delivery of the head |
| foetal macrosomia | at time of labour or elective CS | foetal weight at time of delivery more than 90th percentil |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| postpartum hemorrhage | onset of labor and for 6 weeks after | primary or secondary blood loss through birth canal more than 500cc |
| postpatum maternal infection | end of labor and for 6weeks after | postpartum signs of sepsis |
| neonatal ICU admission | one month after delivery | neonatal ICU admission |
Countries
Egypt
Outcome results
None listed