Article Details

Outcome of Pregnancy in Patients with Excessive Gestational Weight Gain in Two District Hospitals in Douala, Cameroon

[ ISSN : 2573-6744 ]

Abstract

Gregory E Halle-Ekane¹, Jacqueline Bih Nsom², Julius Atashili³, John N Palle⁴, Dickson S Nsagha⁵, Charlotte Tchente Nguefack⁶, and Phillip Nana Njotang⁷*

¹ Department of Surgery and Obstetrics/Gynecology, University of Buea, Cameroon

² Department of Obstetrics and Gynecology, Buea Regional Hospital, Cameroon
³ Department of Public Health and Hygiene, University of Buea, Cameroon
? Department of Nursing, University of Buea, Cameroon
? Department of Public Health and Hygiene, University of Buea, Cameroon
? Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Cameroon
? Faculty of Medicine and Biomedical Sciences, University of Yaoundé, Cameroon

Corresponding Author:

Gregory Edie Halle Ekane, University of Buea, Cameroon, Tel: +(237) 699934402, Email: hallegregory@yahoo.fr

Keywords: Gestational; Weight gain; Pregnancy; Outcomes; Douala

Abstract

Introduction:
A great proportion of women are gaining weight excessively during pregnancy. This has been shown to have deleterious effects on the mother and the fetus. The aim of this study was to determine the prevalence of excessive gestational weight gain, its risk factors, socio-obstetrical profile of women with excessive gestational weight gain and its pregnancy outcomes.

Methodology:
This was a descriptive, cross-sectional study. Data was collected using an interviewer administered questionnaire. Pre-pregnancy body mass index and gestational weight gain were calculated. Based on the gestational weight gain, participants were classified according to the IOM 2009 guidelines into three groups: less than recommended, recommended, and more than recommended gestational weight gain. Maternal and fetal outcomes were recorded. The data was analyzed with Epi InfoTM 7.1.4.0. Proportions were compared using Chi-Squared or Fisher’s test. P-values were considered statistically significant if less than 0.05.

Results:
The prevalence of excessive gestational weight was 30.6%. It was associated with maternal obesity without an increase rate of Caesarean births (p=0.98). Excessive gestational weight gain increased the rates of hypertensive disorders in pregnancy (p=0.001) and macrosomia (p=0.04).

Conclusion:
Maternal obesity and excessive gestational weight gain are associated with adverse pregnancy outcome

Citation

Halle-Ekane GE, Nsom BJ, Atashili J, Palle JN, Nsagha DS, Nguefack CT and Njotang PN. Outcome of Pregnancy in Patients with Excessive Gestational Weight Gain in Two District Hospitals in Douala, Cameroon. SM J Gynecol Obstet. 2015; 1(1): 1004.

 

Download PDF

Received: 15-Jul-2015

Accepted: 10-Sep-2015

Published: 09-Oct-2015