Resultados neonatales adversos según grados de obesidad pregestacional en un hospital público del sur de Perú, 2010 a 2019

Manuel Ticona Rendón; Diana Huanco Apaza; Madelein Claros Euscate

doi:10.35434/rcmhnaaa.2022.153.1332

Authors

Manuel Ticona Rendón Universidad Nacional Jorge Basadre Grohmann. Tacna, Perú. https://orcid.org/0000-0002-4819-1251
Diana Huanco Apaza Universidad Nacional Jorge Basadre Grohmann. Tacna, Perú
Madelein Claros Euscate Universidad Nacional Jorge Basadre Grohmann. Tacna, Perú.

DOI:

https://doi.org/10.35434/rcmhnaaa.2022.153.1332

Keywords:

Maternal obesity, morbid obesity, fetal macrosomia, birth weight , Obesidade, Peru

Abstract

Introduction: Maternal obesity, a growing global public health problem, is related to neonatal morbidity and mortality. The objective was to determine adverse neonatal outcomes according to degrees of pregestational obesity. Material and method: Analytical study, retrospective cohort, in pregnant women with a single pregnancy, delivery attended at the Hipolito Unanue hospital in Tacna, Peru, during 2010 to 2019, with live newborns, the cases were 5935 mothers with pre-pregnancy body mass index from 30 Kg/m2 to more, grouped in grade I (BMI 30-34.9 Kg/m2), II (BMI 35-39.9 Kg/m2) and III (BMI>40 Kg/m2), the control mothers with a BMI of 18-24.9 Kg/m2. Pregnant women with diabetes mellitus, preeclampsia, eclampsia and congenital anomalies were excluded. Crude Relative Risk (RR) was used, adjusted for maternal age, schooling and parity, with a 95% confidence interval. Results: The frequency of pre-pregnancy obesity was 14.3% grade I, 3.8% grade II and 1% grade III. The associated neonatal outcomes were: birth weight >4000 grams, for grade I obesity (RRa: 1.9; 95% CI: 1.7-2.0), grade II (RRa: 2.0; 95% CI: 1.8-2.3) and grade III (RRa: 2.1; CI95%: 1.7-2.5); large for gestational age for grade I (RRa: 1.6; 95% CI: 1.4-1.7), grade II (RRa: 1.7; 95% CI: 1.6-1.9) and grade III (RRa: 1.8; CI95%: 1.4-2.1). Conclusions: There is an increased risk of fetal macrosomia and large for gestational age with a higher degree of maternal pregestational obesity

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Author Biographies

Manuel Ticona Rendón, Universidad Nacional Jorge Basadre Grohmann. Tacna, Perú.

Doctor en Salud Pública, Médico Pediatra y Neonatólogo, Profesor Extraordinario Emérito.

Diana Huanco Apaza, Universidad Nacional Jorge Basadre Grohmann. Tacna, Perú

Doctora en Salud Pública, Obstetra.

Madelein Claros Euscate, Universidad Nacional Jorge Basadre Grohmann. Tacna, Perú.

Médico Cirujano.

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