Maternal Obesity in Early Pregnancy and Subsequent Pregnancy Outcome in a Nigerian Population

Ezeanochie M.C, Ande A.B, Olagbuji B.N

Abstract

Despite a rising prevalence worldwide, there is limited data on pregnancy outcome among African women with prepregnancy or early pregnancy obesity. This was a case-control study to determine the prevalence of maternal obesity in early pregnancy and compare the subsequent pregnancy outcome between 201 women with obesity and 201 non-obese controls in a University Teaching Hospital in Nigeria. The prevalence of obesity in early pregnancy was 9.63%. Obesity was significantly associated with advanced maternal age and parity ≥1. It was also a risk factor for pregnancy induced hypertension, admissions during pregnancy, caesarean delivery and associated with 5th minute apgar score ≤3 (0.044). Obesity in early pregnancy is a risk factor for adverse pregnancy outcome among pregnant Nigerian women. This information should be utilised by physicians to improve the outcome of pregnancy and promote safe motherhood (Afr J Reprod Health 2011; 15[4]: 55-59).

 

Résumé

Obésité maternelle en début de grossesse et la conséquence éventuelle de la grossesse chez une population Nigériane. Malgré une prévalence qui augmente partout dans le monde, il existe des données limitées sur les conséquences de grossesse parmi les femmes africaines qui souffrent de l’obésité avant la grossesse ou en début de la grossesse.  Il s’agit d’une étude de cas témoin menée dans un Centre Hospitalier Universitaire au Nigéria pour déterminer la prévalence de l’obésité en début de la grossesse et pour comparer la conséquence éventuelle de la grossesse  chez 201 femmes obèses et 201 femmes témoins qui ne sont pas obèses,  La prévalence de l’obésité en début de la grossesse était 9,63%.  L’obésité était significativement liée à l’ag maternel avancé et la parité>1.  Elle était un facteur du risque de l’hypertension provoquée  par la grossesse, les admission pendant la grossesse, l’accouchement à travers l’opération césarienne et liée à la 5ième minute de l’indice d’Apgar ≤ (0,044).  L’obésité en début de la grossesse est un facteur de risque pour des conséquences indésirables de la grossesse chez les femmes enceintes nigérianes   Les médecins doivent se servir de cette information pour améliorer la conséquence de la grossesse et pour promouvoir la maternité sans danger (Afr J Reprod Health 2011; 15[4]: 55-59).


 

  Keywords: Early pregnancy, Obesity, Prevalence, Nigeria 

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