Pregnancy Outcomes In Obese Women Who Gave Birth During The Outbreak Of The Covid-19 And Before It
DOI:
https://doi.org/10.69614/ejrh.v16i1.720Keywords:
covid-19; pregnancy outcomes; obesity; women; pregnancy,IranAbstract
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.
References
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.