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Prevalencia de sobrepeso y obesidad, y su asociación con complicaciones obstétricas y perinatales, en gestantes con parto vaginal o cesárea, Hospital Vicente Corral Moscoso Cuenca 2012

Abstract:

Background: The statistics of overweight and obesity in pregnant women are increasing, it has increased the risk of maternal and neonatal morbidity. Objective: To determine the prevalence of overweight and obesity in pregnant women and its association with obstetric and perinatal Methodology: A cross-sectional study in 986 women who attended the Hospital Vicente Corral Moscoso for delivery. Nutritional status was determined with the curves for weight gain in pregnant women arranged on Form 51A - 2011 SNS -MSP/HCU. Hypothesis: The prevalence of overweight and obesity in pregnant women in our area is higher than nationally, and is most often associated with maternal and perinatal complications, than those with normal weight. Results: The prevalence of overweight or obesity was 10.1%. Obstetric and perinatal complications that were associated were: gestational diabetes (OR 9.94, CI 2.04-9.94, p 0.003), hypertensive disorders of pregnancy (OR 6.98, CI 4.94 -9.31, p: 0.000), prolonged labor (OR 2.93 , CI 1.62-6.47, p = 0.002), induction of labor (OR 4.31, CI 2.61-6-47, p: 0.000), fetal macrosomia (OR 6.24, CI 4.32 - 8.47, p: 0.000), State Satisfactory stillbirth (OR 4.31, CI 2.62-4.84, p = 0.000), cesarean section (OR 4.31, CI 2.62-4.84, p = 0.000). Conclusions: The prevalence of overweight-obesity in our population is related to the existing internationally, and the results were statistically significance for association with obstetric and perinatal complications raised. KEYWORDS: PREVALENCE, OVERWEIGHT/COMPLICATIONS, OBESITY/COMPLICATIONS, PREGNANCY COMPLICATIONS/DIAGNOSIS, PREGNANT, VICENTE CORRAL MOSCOSO HOSPITAL, CUENCA, ECUADOR.