Maternal obesity and the risk of primary postpartum haemorrhage. 10 year retrospective study in an Australian regional obstetric population

2016 ◽  
Vol 206 ◽  
pp. e157
Author(s):  
Mohamed Ibrahim ◽  
Siang Chye Chuah
Keyword(s):  
Retrospective Study ◽  
Postpartum Haemorrhage ◽  
Maternal Obesity ◽  
Obstetric Population

Maternal obesity and pregnancy: a retrospective study

Midwifery ◽  
2010 ◽  
Vol 26 (1) ◽  
pp. 138-146 ◽  
Author(s):  
Angela M. Kerrigan ◽  
Carol Kingdon
Keyword(s):  
Retrospective Study ◽  
Maternal Obesity

scholarly journals The consequences of obesity and excess weight gain in pregnancy

2011 ◽  
Vol 70 (4) ◽  
pp. 450-456 ◽  
Author(s):  
Jane E. Norman ◽  
Rebecca Reynolds
Keyword(s):  
Insulin Resistance ◽  
Weight Gain ◽  
Gestational Diabetes ◽  
Pregnant Women ◽  
Postpartum Haemorrhage ◽  
Maternal Obesity ◽  
Adverse Pregnancy Outcome ◽  
Operative Delivery ◽  
Adverse Pregnancy ◽  
In Pregnancy

The prevalence of obesity in pregnancy is rising exponentially; about 15–20% of pregnant women now enter pregnancy with a BMI which would define them as obese. This paper provides a review of the strong links between obesity and adverse pregnancy outcome which operate across a range of pregnancy complications. For example, obesity is associated with an increased risk of maternal mortality, gestational diabetes mellitus, thromboembolism, pre-eclampsia and postpartum haemorrhage. Obesity also complicates operative delivery; it makes operative delivery more difficult, increases complications and paradoxically increases the need for operative delivery. The risk of the majority of these complications is amplified by excess weight gain in pregnancy and increases in proportion to the degree of obesity, for example, women with extreme obesity have OR of 7·89 for gestational diabetes and 3·84 for postpartum haemorrhage compared to their lean counterparts. The consequences of maternal obesity do not stop once the baby is born. Maternal obesity programmes a variety of long-term adverse outcomes, including obesity in the offspring at adulthood. Such an effect is mediated at least in part via high birthweight; a recent study has suggested that the odds of adult obesity are two-fold greater in babies weighing more than 4 kg at birth. The mechanism by which obesity causes adverse pregnancy outcome is uncertain. This paper reviews the emerging evidence that hyperglycaemia and insulin resistance may both play a role: the links between hyperglycaemia in pregnancy and both increased birthweight and insulin resistance have been demonstrated in two large studies. Lastly, we discuss the nature and rationale for possible intervention strategies in obese pregnant women.

scholarly journals Maternal complications in twin pregnancies in Finland during 1987–2014: a retrospective study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Annu-Riikka S. Rissanen ◽  
Riina M. Jernman ◽  
Mika Gissler ◽  
Irmeli Nupponen ◽  
Mika E. Nuutila
Keyword(s):  
Retrospective Study ◽  
Postpartum Haemorrhage ◽  
Study Data ◽  
Risk Category ◽  
Maternal Complications ◽  
Pregnancy And Childbirth ◽  
National Medical ◽  
Medical Birth Register ◽  
Twin Pregnancies ◽  
Cholestasis Of Pregnancy

Abstract Background To investigate the trends and changes in the incidence and overall outcome of twin pregnancies in Finland, a retrospective study was conducted with emphasis on maternal complications, covering a 28-year study period. Methods All 23,498 twin pregnancies with 46,363 live born and 633 stillborn children in Finland during 1987–2014 were included in the study. Data were collected from the national Medical Birth Register and the Care Register on Hospital Care (Finnish Institute for Health and Welfare, Finland) regarding the parturients’ characteristics and incidences of several pregnancy and childbirth complications. The incidences of twin pregnancies and maternal complications during pregnancy and childbirth are the main outcome measures of the study. The results are expressed in percentages, means, medians, ranges and standard deviations (SD), when appropriate. Results Twins comprised 1.4% of all births in Finland in 1987–2014. Parturients’ mean age has remained stable, but the share of over 35 year-old parturients is increasing. The incidences of pre-eclampsia, intrahepatic cholestasis of pregnancy, gestational diabetes and postpartum haemorrhage have risen during the study period. Almost half (44.9%) of twins were born preterm, almost half via Caesarean section (47.1%), and 27.7% of twin labours were induced. Conclusions Several pregnancy complications increased during the study period. Advanced maternal age among twin parturients has risen, enhancing the risks for developing complications in a pregnancy already of a high-risk category, and predisposing to preterm delivery. National and international guidelines are necessary to improve the overall outcome of twin pregnancies.

scholarly journals Obstetrics ICU admissions: challenges faced at a tertiary referral centre

2018 ◽  
Vol 7 (5) ◽  
pp. 1840
Author(s):  
Shehla Jamal ◽  
Archana Mehta ◽  
Neerja Goel ◽  
Mayuri Ahuja ◽  
Naima Afreen ◽  
...  
Keyword(s):  
Analytical Study ◽  
Postpartum Haemorrhage ◽  
Admission Rate ◽  
National Data ◽  
Tertiary Referral Centre ◽  
Icu Admission ◽  
Early Admission ◽  
Hypertensive Disorders ◽  
Maternal Morbidity And Mortality ◽  
Obstetric Population

Background: Management of critically ill patients in obstetrics is a challenge owing to the changed physiology and unpredictability of the disease behaviour. Stratification strategy for early admission to obstetric ICU is imperative to reduce maternal morbidity and mortality. Due to lack of formal surveys regarding obstetrical ICU in our country, there is lack of precise national data on obstetrical ICU mortality. Aim of the present study was to estimate the obstetric ICU admission rate, to study the pattern of causative aetiology and to study the complications developed in ICU.Methods: The present study is a retrospective analytical study done in the Department of Obstetrics and Gynecology, from January 2015 to August 2017.Results: During the study period there were a total of 8466 obstetrical admissions, 2508 deliveries and 104 ICU admissions. Out of 104, analysis was done on 71 patients. Hypertensive disorders of the pregnancy were associated with maximum number of admissions (47.8%), followed by postpartum haemorrhage (12.6%). Maximum admissions were in postpartum period (63.4%). Anaemia was associated with 35.2% of the cases and it was closely followed by sepsis (28.2%). Mechanical ventilation was required for 30.9% of the patients.Conclusions: Hypertensive disorders of the pregnancy, haemorrhage and sepsis are the major risk factors for ICU admission in obstetric population.

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