• Clinical characteristics of women with pathological gestational weight gain

Clinical characteristics of women with pathological gestational weight gain

HEALTH OF WOMAN. 2016.7(113):80–83 
 

Clinical characteristics of women with pathological gestational weight gain


Ostafiіchuk S. A.

Ivano-Frankivsk national medical University


The objective: of our study was to identify the group of risk of pathological gestational weight gain (GWG) accoding to general, family, obstetric, gynecologic and reproductive history, clinical examination of pregnant women.


Patients and methods. The study involved 219 women with different initial body mass index (BMI) during pregnancy. Body weight of pregnant women was determined on medical scales up to 100 g. The growth was measured on stadiometer up to 1 cm. BMI was calculated using the formula Quetelet (1865) and evaluated according to the recommendations of the Institute of Medicine (IOM) USA (2009) and Ministry of Health Ukraine № 417 (2011). GWG was evaluated by calculation the difference between the weight before delivery and output. The results were compared with the recommended weight gain according to the same guidelines [1, 2]. In 45 patients we diagnosed low, in 100 – normal and in 74 – excessive weight gain during pregnancy. The resulting digital material were treated statistically using the program Microsoft Excel 2000 and Statistica 5.11.


Results. Among patients with normal BMI before pregnancy only half of the women had recommended GWG, one in five – low, and every fourth woman – excessive. The average age of pregnant women not significantly different in women with different weight gain (p>0.05). But among pregnant with pathological GWG the majority of women were aged up to 30 years and the frequency of this complications decreased after, while with excessive GWG 89.2±3.6% pregnant were between 21 to 39 years. The group of risk for low weight gain during pregnancy consist of primagravida, with reduction of the incidence of this complication in subsequent pregnancies, low initial BMI, alone women, without education, urban resident mainly pupils or students. Among pregnant women with excessive GWG 59.5±5.7% patients were primagravida, but with a high incidence in subsequent pregnancies, more than half of them had an excessive GWG in previous pregnancies. We diagnosed the high risk of excessive weight gain in women with obesity and hypertension, disorders of the menstrual cycle. In this category dominated housewives and city residents engaged in mental work with low physical activity both before and during pregnancy.

Conclusion. The detailed analysis of biological, metabolic and social factors and the establishment of risk groups for pathological GSMT will continue to develop additional approaches to managing pregnancy to prevent obstetric and perinatal complications.


Key words: gestational weight gain, obstetric and perinatal complications.


REFERENCES

1. Nakaz MOZ Ukrayini No417 vid 15.07.2011 r. Metodichny rekomendatciyi schodo organizatciyi ambulatornoyi akushers’ko-ginekologichnoyi dopomogi.

2. Butte NF, King JC. 2005. IOM, Weight Gain During Pregnancy: Reexamining the Guidelines. Institute of Medicine and National Research Council of the National Academies, Committee to Reexamine IOM Pregnancy Weight Guidelines, Food and Nutrition Board on Children, Youth, and Families, ed. Rasmussen KM and Yaktine AL. 2009, Washington, D.C.: The National Academies Press. Butte N.F. Energy requirements during pregnancy and lactation. Public Health Nutr. 8;7A:1010–1027.

3. Chung Jenny GY, Rennae S Taylor, John MD Thompson, Ngaire H Anderson, Gustaaf Dekker A et al. 2013. Gestational weight gain and adverse pregnancy outcomes in a nulliparous cohort. European Journal of Obstetrics & Gynecology and Reproductive Biology. 167:149–153. http://dx.doi.org/10.1016/j.ejogrb.2012.11.020; PMid:23266206

4. Weight Gain During Pregnancy. US Department of Health and Human Services, Health Resources and Services. Health Resources and Services Administration, Maternal and Child Bureau. Child Health USA, 2013.