BIRTH OUTCOMES OF MATERNAL MORBID OBESITY

Authors

  • HERMANTO TRI JOEWONO Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Faculty of Medicine-Dr. Soetomo Teaching Hospital, Universitas Airlangga, Surabaya 60131, Indonesia. Author
  • AGUS SULISTYONO Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Faculty of Medicine-Dr. Soetomo Teaching Hospital, Universitas Airlangga, Surabaya 60131, Indonesia Author
  • NI KETUT ANNY KARTININGSIH Department of Obstetrics and Gynecology, Faculty of Medicine-Dr. Soetomo Teaching Hospital, Universitas Airlangga, Surabaya 60131, Indonesia Author
  • ADITIAWARMAN Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Faculty of Medicine-Dr. Soetomo Teaching Hospital, Universitas Airlangga, Surabaya 60131, Indonesia Author

DOI:

https://doi.org/10.61841/tm29t316

Keywords:

Morbidly obese pregnancy, maternal and neonatal outcome

Abstract

Background: The prevalence of pregnancy with morbid obesity has increased in the last decade which caused complications for both the mother and fetus. The aim of this study was to find out the birth outcomes of pregnant women with morbid obesity who gave birth at Dr. Soetomo General Hospital, Surabaya from 2013 to 2015.

Methods: This was a descriptive study on pregnant women with morbid obesity (BMI ≥40 kg /m2) who gave birth in the delivery room of Dr. Soetomo General Hospital, Surabaya from January 2013 to June 2015.

Results: There were 3986 deliveries during the study period with 297 (7.4%) deliveries with obese mothers. The births with morbid obesity were in 42 mothers (14%). The range of BMI was 40.17-59 kg/m2 with median of 45.86 kg/m2. Caesarean section was the most mode of delivery in mothers with morbid obesity as many as 36 mothers (85%). The options of anesthesy in mother with morbid obesity were general anesthesia and subarachnoid block, 9 (25%) and 27 (75%), respectively. The childbirth in mother with morbid obesity spend an average of 69.60 minutes for cesarean delivery with the average time of incision until the birth of a baby 8.67 minutes. Most Apgar score group of infant was in 7-10 group.

Conclusion: The birth outcomes of morbidly-obese pregnant women were caesarean section delivery, long duration in delivery, and normal birth weight.

 

 

Downloads

Download data is not yet available.

References

1. Hasan N, Hadju V, Jafar N, Thaha RM. Prevalence of metabolic syndrome (MetS) and determinants among obese teachers in Makassar, Indonesia. Int Med J Malaysia [Internet]. 2019;18(2):29–38. Available from: https://www.scopus.com/inward/record.uri?eid=2-s2.0- 85072753065&partnerID=40&md5=120c4548f4bd38f9ce9bf2944702b916

2. World Health Organization. Obesity: preventing and managing the global epidemic. World Health Organization; 2000.

3. Gunatilake RP, Perlow JH. Obesity and pregnancy: clinical management of the obese gravida. Am J Obstet Gynecol. 2011 Feb;204(2):106–19.

4. Aprilia DN, Prasetyo B, Sulistiawati S. Correlation Between Nutritional Status of Pregnant Women Based on Upper Arm Circumference and Preeclampsia/Eclampsia Severity Degree at Jagir Public Health Center During January 2014 - March 2014. Biomol Heal Sci J. 2018;1(2):120–3.

5. Alanis MC, Villers MS, Law TL, Steadman EM, Robinson CJ. Complications of cesarean delivery in the massively obese parturient. Am J Obstet Gynecol. 2010 Sep;203(3):271.e1-7.

6. Catalano PM. Management of obesity in pregnancy. Obstet Gynecol. 2007 Feb;109(2 Pt 1):419–33.

7. Handriani I, Melaniani S. The Effect of Referral Process and Complications to Maternal Mortality. J Berk Epidemiol. 2015;3(3):400–11.

8. Lumbanraja SN. Determining the maternal characteristics that predicts the adverse outcomes for patients with preeclampsia. J Univ Malaya Med Cent [Internet]. 2013;16(1):1–6. Available from: https://www.scopus.com/inward/record.uri?eid=2-s2.0- 84893156447&partnerID=40&md5=3d38848b76cae75daaf0cce4f41cf355

9. Syarifuddin, Thaha R, Abdullah AZ. Intermediate determinants in maternal mortality: Case study Tojo Una, Una District. Indian J Public Heal Res Dev [Internet]. 2019;10(4):908–13. Available from: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85065780528&doi=10.5958%2F0976- 5506.2019.00822.2&partnerID=40&md5=77b5f8c235711fa6581cfb1ee2d5bb41

10. Guelinckx I, Devlieger R, Beckers K, Vansant G. Maternal obesity: pregnancy complications, gestational weight gain and nutrition. Obes Rev an Off J Int Assoc Study Obes. 2008 Mar;9(2):140–50.

11. Flegal KM, Carroll MD, Ogden CL, Johnson CL. Prevalence and trends in obesity among US adults, 1999-2000. JAMA. 2002 Oct;288(14):1723–7.

12. Conner SN, Tuuli MG, Longman RE, Odibo AO, Macones GA, Cahill AG. Impact of obesity on incision-to- delivery interval and neonatal outcomes at cesarean delivery. Am J Obstet Gynecol. 2013 Oct;209(4):386.e1-6.

13. Cedergren MI. Maternal morbid obesity and the risk of adverse pregnancy outcome. Obstet Gynecol. 2004;103(2):219–24.

14. Lalisang TJM, Usman N, Hendrawidjaya I, Handaya AY, Nasution S, Saunar RY, et al. Clinical practice guidelines in complicated intra-abdominal infection 2018: An Indonesian perspective. Surg Infect (Larchmt) [Internet]. 2019;20(1):83–90. Available from: https://www.scopus.com/inward/record.uri?eid=2-s2.0- 85059391691&doi=10.1089%2Fsur.2018.120&partnerID=40&md5=9b05282197cdbc74fdecba25de7b86e4

15. Chongsuvivatwong V, Bachtiar H, Chowdhury ME, Fernando S, Suwanrath C, Kor-Anantakul O, et al. Maternal and fetal mortality and complications associated with cesarean section deliveries in teaching hospitals in Asia. J Obstet Gynaecol Res. 2010;36(1):45–51.

16. Kingdom JC, Baud D, Grabowska K, Thomas J, Windrim RC, Maxwell C V. Delivery by Caesarean Section in Super-Obese Women: Beyond Pfannenstiel. J Obstet Gynaecol Canada. 2012;34(5):472–4.

17. Brocato BE, Thorpe EM, Gomez LM, Wan JY, Mari G. The Effect of Cesarean Delivery Skin Incision Approach in Morbidly Obese Women on the Rate of Classical Hysterotomy. Ness RB, editor. J Pregnancy [Internet]. 2013;2013:890296. Available from: https://doi.org/10.1155/2013/890296

18. Machado LSM. Cesarean section in morbidly obese parturients: practical implications and complications. N Am J Med Sci. 2012;4(1):13.

19. Alexander CI, Liston WA. Operating on the obese woman—a review. BJOG An Int J Obstet Gynaecol. 2006;113(10):1167–72.

20. Uotani T, Miftahussurur M, Yamaoka Y. Effect of bacterial and host factors on Helicobacter pylori eradication therapy. Expert Opin Ther Targets. 2015;19(12):1637–50.

21. Miftahussurur M, Yamaoka Y. Helicobacter pylori virulence genes and host genetic polymorphisms as risk factors for peptic ulcer disease. Expert Rev Gastroenterol Hepatol. 2015;9(12):1535.

22. Rao DP, Rao VA. Morbidly obese parturient: Challenges for the anaesthesiologist, including managing the difficult airway in obstetrics. What is new? Indian J Anaesth. 2010 Nov;54(6):508–21.

23. Modder J, Fitzsimons KJ. CMACE/RCOG joint guideline: management of women with obesity in pregnancy. Centre for Maternal and Child Enquiries and the Royal College of Obstetricians and Gynacologists; 2010.

Downloads

Published

30.11.2020

Issue

Vol. 24 No. 9 (2020): 24 (9) 2020

Section

Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

You are free to:

  1. Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
  2. Adapt — remix, transform, and build upon the material for any purpose, even commercially.
  3. The licensor cannot revoke these freedoms as long as you follow the license terms.

Under the following terms:

  1. Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
  2. No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

Notices:

You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .

No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.

How to Cite

JOEWONO, H. T., SULISTYONO, A., KARTININGSIH, N. K. A., & ADITIAWARMAN. (2020). BIRTH OUTCOMES OF MATERNAL MORBID OBESITY. International Journal of Psychosocial Rehabilitation, 24(9), 1796-1805. https://doi.org/10.61841/tm29t316