Clinical and anamnestic features of pregnant women with obesity

• Khalid Haddad
• Sergey I. Kyrtikov
• Agamurad A. Orazmuradov
• Nozimabonu M. Zokirova
• Irina V. Bekbaeva
• Sergey G. Morozov
• Juliya V. Krylova
• Tatevik N. Zulumyan
• Zhasmina Zh. Suleymanova
• Ekaterina V. Mukovnikova
• Aylar A. Orazmuradova

Abstract

Aim. To identify the clinical and anamnestic features of obese pregnant women in the I trimester living in Moscow.

Material and methods. The study was conducted at the clinical base of the Department of Obstetrics and Gynecology with the course of Perinatology of the Medical Institute of the Peoples’ Friendship University of Russia in the branch of the Women’s consultation of the City Clinical Hospital # 29 named after N.E. Bauman. 52 obese pregnant women were examined, who were stratified into two groups depending on the degree of obesity (I or II).

Results. Gynecological and extragenital diseases were more common in pregnant women with obesity of the first degree, whereas smoking before pregnancy was more common in pregnant women with obesity of the second degree. Statistical analysis showed: 1) the older the woman, the higher the weight and body mass index (BMI); 2) the higher the BMI, the higher the risk of developing preeclampsia and fetal growth retardation during pregnancy.

Conclusion. Based on the data obtained, it is recommended to revise the management tactics of obese women, in particular, to give correct recommendations on nutrition and lifestyle, to conduct a thorough examination of such patients.

Keywords:pregnancy; obesity; body mass index; first trimester screening; preeclampsia; fetal growth retardation

REFERENCES

1. World Health Organization. Obesity: preventing and managing the global epidemic. Geneva: WHO, 1997.

2. Dedov I.I., Mel’nichenko G.A., Shestakova M.V., et al. Russian national clinical recommendations for morbid obesity treatment in adults. 3rd revision (Morbid obesity treatment in adults). Ozhirenie i metabolism [Obesity and Metabolism]. 2018; 15 (1): 53–70. (in Russian)

3. Andreeva E.N., Sheremet’eva E.V., Fursenko V.A. Obesity – threat to the reproductive potential of Russia. Ozhirenie i metabolism [Obesity and Metabolism]. 2019; 16 (3): 20–8. (in Russian)

4. World Health Organization. Global Database on Body Mass Index: BMI Classification. 2013. URL: http://apps.who.int/bmi/index.jsp?introPage=intro_3.html (date of access January 30, 2013)

5. Seryogina D.S., Nikolayenkov I.P., Kuzminykh T.U. Obesity represents a strong pathogenetic link with the pathology of pregnancy and childbirth. Zhurnal akusherstva i zhenskikh bolezney [Journal of Obstetrics and Women’s Diseases]. 2020; 69 (2): 73–82. (in Russian)

6. Beeson J.H., Blackmore H.L., Carr S.K., Dearden L., Duque-Guimarães D.E., Kusinski L.C., et al. Maternal exercise intervention in obese pregnancy improves the cardiovascular health of the adult male offspring. Mol Metab. 2018; 16: 35–44. DOI: https://doi.org/10.1016/j.molmet.2018.06.009

7. Balanova Yu.A., Shal’nova S.A., Deev A.D., Imaeva A.E., Kontsevaya A.V., Muromtseva G.A., et al. Obesity in Russian population — prevalence and association with the non-communicable diseases risk factors. Rossiyskiy kardiologicheskiy zhurnal [Russian Journal of Cardiology]. 2018; (6): 123–30. (in Russian)

8. Khatamova D.T., Matmuratova S.O., Rakhmanova S.S., Ziyamukhamedova M.M. Assessment of the state of body weight in women of reproductive age. Vestnik nauki i obrazovaniya [Bulletin of Science and Education]. 2021; 4-1 (107): 50–3. (in Russian)

9. Wilson R., Abbott J.H. Age, period and cohort effects on body mass index in New Zealand, 1997–2038. Aust N Z J Public Health. 2018; 42 (4): 396–402.

10. Kazhigalikyzy R., Medel’bekova M.B., Turekhanova A.D., Imasheva B.I. Pathogenetic features of the course of preeclampsia against the background of obesity. Vestnik KazNMU [Bulletin of KazNMU]. 2020; (4): 20–4. (in Russian)

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