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Obstetric Performance of Nigerian Obese Parturients
Abstract
Objectives: To determine the prevalence of obesity and to compare the outcome of pregnancy between obese and non-obese patients.
Material and Methods: A review of the case records over a five-year period at a Nigerian teaching hospital to identify obese patients who delivered babies was done. Outcome of pregnancy in the 205 obese patients identified (using a weight of 90 kg and above as cut-off) was compared with 206 controls.
Results: The incidence of obesity in pregnancy was 7.4%. The obese patients were older than the controls (p<0.05). There was no significant difference in socio-economic status in the two groups. More of the obese patients were multiparous (p <0.01). Preeclampsia was significantly more common in the obese group (p<0.001). The caesarean section rate was also higher in the obese group (p<0.001). The incidence of fetal macrosomia was higher in the obese group (p<0.001).
Conclusion: Obesity increased the risk of preeclampsia and fetal macrosomia and operative deliveries. The risk of birth asphyxia and perinatal mortality were not increased by obesity.
Key Words: Obesity, Parturient, Maternal, Neonatal, Outcome.
[Trop J Obstet Gynaecol, 2002, 19: 17-20].
