Abstract
The objective of this study was to assess the effects of excessive weight gain during pregnancy on the outcome of cesarean delivery. It was a cohort study comparing the outcome of cesarean delivery between 56 pregnant women with excessive weight gain during pregnancy and 75 pregnant women with no excessive weight gain during pregnancy, consecutively recruited at the Yaoundé Gyneco-Obstetric and Pediatric Hospital, Cameroon. In women delivered by cesarean section, excessive weight gain during pregnancy was found to predispose to: time interval from parietal incision to fetal extraction of more than five minutes, duration of cesarean section more than 60 minutes, blood loss more than 1000 ml during surgery, post-operative maternal complications, especially sepsis, fetal weight >3.5 kg and macrosomia. A systematic screening of excessive weight gain should be offered to all pregnant women, so as to prevent the adverse effects of excessive gestational weight gain on cesarean outcome.
Highlights
In 2009, the United States’ Institute Of Medicine (IOM) issued new gestational weight gain guidelines (Table 1)[1]
The objective of this study was to assess the effects of excessive weight gain during pregnancy on the outcome of cesarean delivery
It was a cohort study comparing the outcome of cesarean delivery between 56 pregnant women with excessive weight gain during pregnancy and 75 pregnant women with no excessive weight gain during pregnancy, consecutively recruited at the Yaoundé Gyneco-Obstetric and Pediatric Hospital, Cameroon
Summary
Excessive weight gain has been associated with gestational diabetes, gestational hypertension, preeclampsia, cesarean delivery, higher birth weight babies and childhood obesity [2,3,4,5,6]. Even though many studies have found a greater risk of cesarean delivery among women with excessive weight gain during pregnancy [2,3,4,6], little is known on the effects of excessive weight gain on the outcome of operative deliveries since the publication of the new pregnancy weight gain guidelines, especially in sub-Sahara Africa where an increase in operative deliveries rates has been observed [7]. The objective of this study was to assess the effects of excessive weight gain during pregnancy on the outcome of cesarean delivery
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