Pregnancy Outcomes In Obese Women Who Gave Birth During The Outbreak Of The Covid-19 And Before It
##plugins.themes.bootstrap3.article.sidebar##
##plugins.themes.bootstrap3.article.main##
Abstract
background: Due to its nature, the covid-19 disease can have adverse effects on pregnant mothers, fetuses and newborns.
Objective:Therefore, this study was conducted to investigate pregnancy outcomes in obese women who gave birth during the outbreak of the covid-19 and before it.
Methods: This is a descriptive-analytical study that was conducted on 444 obese pregnant women in two groups, before and during the outbreak of covid-19, and the outcomes of pregnancy and the role of covid-19 in their development have been investigated. The data were collected through online questionnaires. In order to analyze the data, logistic regression model and odds ratio analysis were performed.
Results: According to the independent t-test between the two groups, the average BMI in the two groups was 32.95 and 33.12, respectively. According to the obtained statistics (Pr (T > t) = 0.7076 and t = -0.5469), this difference was not significant. Also, corona-virus infection had no effect on pregnancy outcomes such as gestational vomiting, gestational diabetes, high blood pressure, pre-eclampsia, postpartum hemorrhage and weight gain during pregnancy, but it increases the chances of urinary infections, need to cesarean section and premature delivery, although these increases were not significant.
Conclusion: Covid-19 can cause some consequences and outcomes, including premature birth, gestational diabetes, increased body mass index and other dangerous complications for pregnant mothers, fetuses or babies.
##plugins.themes.bootstrap3.article.details##
##plugins.themes.bootstrap3.article.details##
covid-19; pregnancy outcomes; obesity; women; pregnancy,Iran
2. Chooi YC, Ding C, Magkos F. The epidemiology of obesity. Metabolism. 2019;92:6-10.
3. Saw L, Aung W, Sweet L. What are the experiences of women with obesity receiving antenatal maternity care? A scoping review of qualitative evidence. Women and Birth. 2021;34(5):435-46.
4. Melchor I, Burgos J, Del Campo A, Aiartzaguena A, Gutiérrez J, Melchor JC. Effect of maternal obesity on pregnancy outcomes in women delivering singleton babies: a historical cohort study. Journal of perinatal medicine. 2019;47(6):625-30.
5. Parker G, Pausé C. Productive but not constructive: The work of shame in the affective governance of fat pregnancy. Feminism & Psychology. 2019;29(2):250-68.
6. Atrash H, Jack B. Preconception care to improve pregnancy outcomes: the science. Journal of Human Growth and Development. 2020;30(3):355-62.
7. Greene WH. Econometric analysis: Pearson Education India; 2003.
8. Azh N, Pakniat H, Rajabi M, Ranjkesh F. Evaluation of Pregnancy Outcomes in Pregnant Women with COVID-19 in Qazvin 1399. Iranian Journal of Epidemiology. 2021;16(5):10-9.
9. Cunningham FG, Leveno KJ, Bloom SL, Spong CY, Dashe JS, Hoffman BL, et al. Williams obstetrics: McGraw-Hill Medical New York; 2014.
10. Baergen RN, Heller DS. Placental pathology in Covid-19 positive mothers: preliminary findings. Pediatric and Developmental Pathology. 2020;23(3):177-80.
11. Vouga M, Favre G, Martinez-Perez O, Pomar L, Acebal LF, Abascal-Saiz A, et al. Maternal outcomes and risk factors for COVID-19 severity among pregnant women. Scientific reports. 2021;11(1):13898.
12. Lokken EM, Huebner EM, Taylor GG, Hendrickson S, Vanderhoeven J, Kachikis A, et al. Disease severity, pregnancy outcomes and maternal deaths among pregnant patients with SARS-CoV-2 infection in Washington State. Am J Obstet Gynecol. 2021;225(77):e1-77.
13. Zlochiver V, Tilkens B, Moreno ACP, Aziz F, Jan MF. COVID-19 deliveries: maternal features and neonatal outcomes. Journal of Patient-Centered Research and Reviews. 2021;8(3):286.
14. Wei SQ, Bilodeau-Bertrand M, Liu S, Auger N. The impact of COVID-19 on pregnancy outcomes: a systematic review and meta-analysis. Cmaj. 2021;193(16):E540-E8.
15. Sarna D, Gupta D, Singla D. COVID19 and pregnancy-Two lives at risk. J Anesth Crit Care Open Access. 2020;12(4):157-60.
16. Chen H, Guo J, Wang C, Luo F, Yu X, Zhang W, et al. Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records. The lancet. 2020;395(10226):809-15.
17. Fayazi M, Rahmani R, Bilandi RR. Clinical manifestations, maternal, fetal and neonatal outcomes in pregnant women with COVID-19: A systematic review. Iranian Journal of Obstetrics, Gynecology and Infertility. 2021:108-19.
18. Qeadan F, Mensah NA, Tingey B, Stanford JB. The risk of clinical complications and death among pregnant women with COVID-19 in the Cerner COVID-19 cohort: a retrospective analysis. BMC pregnancy and childbirth. 2021;21:1-14.
19. Heidari R YM. Women, covid 19 and healthy lifestyle. sib. 2020.
20. Phupong V, Suebnukarn K. Obstetric outcomes in nulliparous young adolescents. Southeast Asian journal of tropical medicine and public health. 2007;38(1):141.
21. Panagopoulos P, Salakos N, Bakalianou K, Davou E, Iavazzo C, Paltoglou G, et al. Adolescent pregnancy in a Greek public hospital during a six-year period (2000–2005)—a retrospective study. Journal of Pediatric and Adolescent Gynecology. 2008;21(5):265-8.
22. Mersal F, Esmat O, Khalil G. Effect of prenatal counselling on compliance and outcomes of teenage pregnancy. EMHJ-Eastern Mediterranean Health Journal, 19 (1), 10-17, 2013. 2013.
23. Alexander GR, Comely DA. Prenatal care utilization: its measurement and relationship to pregnancy outcome. American journal of preventive medicine. 1987;3(5):243-53.
