The objective was to describe the maternofetal outcome of childbirth in\nwomen with excessive weight gain during pregnancy. We conducted a\ncross-sectional analytical study over a period of 03 months in the Obstetrics\nDepartment of Laquintinie Hospital in Douala (HLD). Our study population\nconsisted of any pregnant in labor or waiting for a caesarean section. We\ncompared two groups of pregnant women with excessive weight gain during\npregnancy (exposed) and those without excessive weight gain during pregnancy\n(unexposed). We recorded 240 pregnant women who gave birth at the\nHLD maternity, 59 of whom had excessive weight gain during pregnancy,\nwhich gave us a proportion of 24.6%. The only sociodemographic characteristic\nassociated with excessive weight gain during pregnancy was the married\nmarital status of the pregnant women (OR: 2.0 (1.1 - 3.8) P = 0.023). Pregnant\nwomen with maternal complications associated with excessive weight gain\nhad an average elevated uterine height of 35.4 (P = 0.007). The increase in\ncaesarean section rate (P = 0.094) and the onset of pregnancy-related hypertension\n(HTA) showed differences close to significance (P = 0.063). Mean\nbirth weight was higher (P = 0.023) in pregnant women with excessive weight\ngain during pregnancy. Ultimately, excessive weight gain during pregnancy\nhas deleterious effects on the course of pregnancy and childbirth. It promotes\nthe onset of pregnancy HTA and macrosomia.
Loading....