Clinical review for general practice

ISSN (Print) 2713-2552
ISSN (Online) 2782-5671
  • Home
  • about
  • archives
  • contacts
left
FULLSCREEN > Archive > 2023 > Vol 4, №9 (2023) > The course and outcomes of the gestational period and childbirth in women with pregravid overweight. Clinical analysis

The course and outcomes of the gestational period and childbirth in women with pregravid overweight. Clinical analysis

Tatyana Yu. Pestrikova , Tatyana P. Knyazeva , Elena A. Yurasova , Tatyana O. Vladimirtseva

For citation:


  • Abstract
  • About the Author
  • References

Abstract

Aim. To study the results of the course and outcomes of the gestational period and childbirth in women with pregravid overweight, depending on the weight gain during pregnancy. 
Materials and methods. Using the continuous sampling method, we con-ducted a retrospective study of the results of pregnancy and childbirth in 291 women with initially pregravid excess body weight. The influence of the overall weight gain during the gestation period was assessed in 23 parameters reflecting the complications of pregnancy and childbirth. Results. The determination of the relative risk showed no positive relationship between the indicators characterizing the complications of the gestational period (gestational arterial hypertension, gestational diabetes mellitus) and childbirth in women with the recommended weight gain during pregnancy, with similar data in the group of women with reduced and increased body weight gain.
Conclusion. Further studies are needed to study in more detail the observed relationships and predict risk factors for the occurrence of meta-bolically associated complications of the gestational period and childbirth in women with excessive pregravid body weight.
Key words: pregnancy, preconception overweight, weight gain, complications of pregnancy and childbirth, fetal weight.

About the Author

Tatyana Yu. Pestrikova 1 , Tatyana P. Knyazeva 1 , Elena A. Yurasova 1 , Tatyana O. Vladimirtseva 2

1 Far Eastern State Medical University, Khabarovsk, Russia

2 Maternity Hospital №4, Khabarovsk, Russia

References

1. Xu Q, Ge Z, Bi Y et al. The association of gestational weight gain and adverse pregnancy outcomes in women with gestational diabetes mellitus. Endocr Pract 2019; 25 (11): 1137–50. DOI: 10.4158/EP-2019-0011
2. Schumann N, Brisden H, Lobstein T. A review of national health policies and professional guidelines on maternal obesity and weight gain in pregnancy. Clinical Obes 2014; 4 (4): 197–208. DOI: 10.1111/cob.1206
3. Комшилова К.А., Дзгоева Ф.Х. Беременность и ожирение. Ожирение и метаболизм. 2009; 4: 9–13.
Komshilova K.A., Dzgoeva F.Kh. Pregnancy and obesity. Obesity and metabolism. 2009. 4: 9–13 (in Russian).
4. Рыбочкина А.В., Дмитриева Т.Г. Патология органов пищеварения у детей с ожирением: проблемы коморбидности. Дальневосточный медицинский журнал. 2023; 1: 94–8. DOI: 10.35177/1994-5191-2023-1-17.
Rybochkina A.V., Dmitrieva T.G. Pathology of the digestive organs in children with obesity: problems of comorbidity. Far Eastern Medical Journal. 2023; 1: 94–8. DOI: 10.35177/1994-5191-2023-1-17 (in Russian).
5. Santos S, Voerman E, Amiano P et al. Impact of maternal body mass index and gestational weight gain on pregnancy complications: an individual participant data meta-analysis of European, North American and Australian cohorts. BJOG 2019; 126 (8): 984–95. DOI: 10.1111/1471-0528.15661
6. Chen XL, Peng YY, Xu XQ. Study on weight gain in different stages of pregnancy and pregnancy outcomes. Zhonghua Yi Xue Za Zhi 2018; 98 (19): 1493–7. DOI: 10.3760/cma.j.issn.0376-2491.2018.19.008
7. Li G, Wei T, Ni W et al. Incidence and risk factors of gestational diabetes mellitus: a prospective cohort study in Qingdao, China. Front Endocrinol (Lausanne) 2020; 11: 636. DOI: 10.3389/fendo.2020.00636
8. Нормальная беременность. Клинические рекомендации. 2020.
Normal pregnancy. Clinical guidelines. 2020 (in Russian).
9. Rong K, Yu K, Han X et al. Pre-pregnancy BMI, gestational weight gain and postpartum weight retention: a meta-analysis of observational studies. Public Health Nutr 2015; 18 (12): 2172–82.
10. American Academy of Pediatrics and the American College of Obstetricians and Gynecologists. Guidelines for perinatal care. 8th ed. Elk Grove Village, IL; Washington, DC; 2017.
11. Богданова П.С., Давыдова Г.Н. Прибавка массы тела во время беременности. Вестник репродуктивного здоровья. 2008; июль: 52–8.
Bogdanova P.S., Davydova G.N. Weight gain during pregnancy. Bulletin of reproductive health. 2008; July: 52–8 (in Russian).
12. Stotland NE, Haas JS, Brawarsky P. Body Mass Index, Pro-vider Advise, and Target Gestational Weight Gain. Obstet Gynecol 2005; 105 (3): 633–8.
13. Abrams B, Altman SL, Pickett Ke. Pregnancy and weight gain: still controversial. Am J Clin Nutr 2000; 71 (Suppl.): 1233S-41S.
14. Исмаилова Ф.К., Петров Ю.А. Современные подходы к ведению беременности у женщин с ожирением. Международный журнал прикладных и фундаментальных исследований. 2019; 12-1: 101–4.
Ismailova F.K., Petrov Yu.A. Modern approaches to the management of pregnancy in women with obesity. International Journal of Applied and Fundamental Research. 2019; 12-1: 101–4 (in Russian).
15. Пестрикова Т.Ю., Князева Т.П., Юрасова Е.А. Определение риска осложнений беременности и родов у женщин с исходно нормальной массой тела в зависимости от прибавки массы в процессе гестационного периода. Клинический разбор в общей медицине. 2023; 4 (1): 64–9. DOI: 10.47407/kr2023.4.1.00193
Pestrikova T.Yu., Knyazeva T.P., Yurasova E.A. Determining the risk of pregnancy and childbirth complications in women with initially normal body weight, depending on weight gain during the gestational period. Clinical review for general practice. 2023; 4 (1): 64–9. DOI: 10.47407/kr2023.4.1.00193 (in Russian).
16. Пестрикова Т.Ю., Князева Т.П. Особенности течения беременности и родов у женщин с дефицитом массы тела. Российский вестник акушера-гинеколога. 2019; 19 (3): 63–70.
Pestrikova T.Yu., Knyazeva T.P. Features of the course of pregnancy and childbirth in women with a lack of body weight. Russian Bulletin of an obstetrician-gynecologist. 2019; 19 (3): 63–70 (in Russian).

For citation:Pestrikova T.Yu., Knyazeva T.P., Yurasova E.A., Vladimirtseva T.O. The course and outcomes of the gestational period and childbirth in women with pregravid overweight. Clinical review for general practice. 2023; 4 (9): 94–106 (In Russ.). DOI: 10.47407/kr2023.4.9.00315


All accepted articles publish licensed under a Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.

  • About
  • Editorial board
  • Ethics
  • For authors
  • Author fees
  • Peer review
  • Contacts

oa
crossref
анри


  Indexing

Scopus
doaj
elibrary

Address of the Editorial Office:

127055, Moscow, s/m 37

Correspondence address:

115054, Moscow, Zhukov passage, 19, fl. 2, room XI


Managing Editor:

+7 (495) 926-29-83

id@con-med.ru