Obesidad pregestacional y alteraciones del parto

• Autores: Rondón-Tapia, Martha, Torres-Cepeda, Duly, Mejía-Montilla, Jorly, Reyna-Villasmil, Nadia, Fernández-Ramírez, Andreina, La Rotta-Núñez, Elisabeth, Reyna-Villasmil, Eduardo
• Formato: artículo
• Fecha de Publicación: 2023
• Institución: Sociedad Peruana de Obstetricia y Ginecología
• Repositorio: Revista Peruana de Ginecología y Obstetricia
• Lenguaje: español; inglés
• OAI Identifier: oai:ginecologiayobstetricia.pe:article/2510
• Enlace del recurso: https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/2510
• Nivel de acceso: acceso abierto
• Materia: Body mass index; Maternal obesity; Obstetric labor complications; Índice de masa corporal; Obesidad materna; Complicaciones del trabajo de parto

Objective: To establish the association between pregestational obesity and the riskof birth alterations. Design: Retrospective cohort study. Institution: Hospital Central"Dr. Urquinaona", Maracaibo, Venezuela. Methods: Obstetric outcome of patientsaccording to pregestational mass index -obese (group A), overweight (group B), andnormal weight (group C)- attended between January and December 2021. Main studymeasures: Duration of pregnancy and duration, type and alterations of delivery.Results: A total of 2,250 deliveries were attended during the study period, of which226 pregnant women were selected for analysis. The majority of the pregnant women(60.5%) were assigned to group A, 47 (20.8%) to group B, and 41 (17.5%) to group C.Pregnant women in group A had a higher probability of cesarean section (odds ratio(OR) 1.76; 95% confidence interval (95%CI), 1.03 - 2.98), prolonged labor (OR 2.09;95%CI, 1.23 - 3.53) and prolonged pregnancy (OR 2.30; 95%CI, 1.32 - 4.01) comparedto pregnant women in group C. The pregnant women in group B did not showstatistically significant differences in the frequency of obstetric variables comparedto the pregnant women in group C (p = ns). Conclusion: There was a significantassociation between pregestational obesity and the risk of birth alterations.