Prepregnancy weight status, weight gain, and obstetrical outcomes in pregnant women managed at the Hospital de la Mujer in Seville

Section: Originals

How to quote

Luna-Vega C, López-Jiménez S, Tejero-Jiménez A, Ruiz-Ferrón C. Estado ponderal pregestacional, ganancia de peso y resultados obstétricos en embarazadas atendidas en el Hospital de la Mujer de Sevilla. Metas Enferm jul/ago 2021; 24(6):11-6. Doi: https://doi.org/ 10.35667/MetasEnf.2021.24.1003081782

Authors

Cristina Luna-Vega1, Sara López-Jiménez2, Alicia Tejero-Jiménez3, Cecilia Ruiz-Ferrón4

Position

1Matrona. Atención Primaria. Distrito Sevilla 2Matrona. Hospital Doctor José Molina Orosa. Lanzarote3Matrona. Hospital de Cruces. Bilbao4Matrona. Doctora en Enfermería. Profesora asociada Universidad de Sevilla

Contact address

Cristina Luna-Vega. C/ San Pedro, 48. 41600 Arahal (Sevilla).

Contact email: crilunveg@gmail.com

Abstract

Objective: to describe the characteristics of weight status and control in pregnant women managed at the Hospital de la Mujer in Seville, and evaluate the association between these factors and the obstetrical outcomes in this setting.
Materials and method: a cross-sectional descriptive study was conducted, including adult women, with follow-up since the first trimester and delivery at term, who gave birth between September, 2017 and February, 2018. Non-Spanish-speaking women were excluded, as well as those without initial weight data, twin pregnancies, or prepregnancy diabetes or hypertension. Data were collected from the Pregnancy Medical Record: independent variables (age, education level, nationality, prepregnancy BMI, whether gestational weight gain was adequate according to recommendations, parity) and dependent variables (onset of labor, reason for induction, and type of delivery). Descriptive and bivariate analyses were conducted.
Results: the study included 221 women [mean age: 30.7 (SD 5.5)]. The prepregnancy body mass index (BMI) exceeded the normal level in 44.8% and the weight gain during pregnancy was higher than recommended in 29.9%. An optimal pregestational BMI and adherence to weight gain recommendations were associated with a higher rate of spontaneous onset of labor (p= 0.022 and p= 0.029, respectively). This association was not found with type of delivery (p> 0.05), but it was close to significant values with Caesarean deliveries when the recommendation was exceeded.
Conclusion: these outcomes point at the importance of the midwife role for overweight or obese women who want to have children, and education for an adequate weight gain during pregnancy.

Keywords:

Índice de masa corporal pregestacional; ganancia de peso gestacional; parto; cesárea; trabajo de parto inducidoestudios transversales

Versión en Español

Título:

Estado ponderal pregestacional, ganancia de peso y resultados obstétricos en embarazadas atendidas en el Hospital de la Mujer de Sevilla