Course of pregnancy, delivery, the state of the fetoplacental complex in women with abdominal obesity and hypertensive disorders

Abstract

Maternal obesity is becoming more common, occurring in one third of pregnant women, and is associated with increased morbidity and mortality in both mothers and children. The article presents data from a study of the course of pregnancy and childbirth in women with abdominal obesity. It was found that a third of women with abdominal obesity had signs of placental insufficiency on Doppler ultrasound (OR=2,9; 95% CI 1,2; 6,6, p<0,05), chronic placental insufficiency was more often recorded (20 (22,2%); TCP=0,03, p<0,05) and gestational diabetes mellitus (14 (15,6%), TCP=0,005, p<0,05). Childbirth in women with abdominal obesity was complicated by the development of decompensated placental insufficiency (15 (16,7%), p<0,05), and weakness of labor activity (13 (14,4%), p<0,05).