Weight excess before pregnancy: complications and cost.
OBJECTIVE
To investigate the incidence of pregnancy complications and the cost of prenatal care in patients with pregravid overweight.


METHODS
Retrospective study of patients dispatched into four groups: normal weight, moderate overweight, obesity, massive obesity.


METHODS
Department of Obstetrics and Gynecology of Montpellier.


METHODS
One hundred and twelve pregnancies among 89 overweight women, compared with 54 healthy normal weight controls.


METHODS
Incidence of maternal complications, complications of labor, duration of hospitalization.


RESULTS
Hypertension, toxemia, gestational diabetes, insulin treatment, urinary tract infections and macrosomia were positively correlated with maternal pregravid weight excess. Mean duration of hospitalization and overall cost were also strongly related to maternal weight. Cesarean section rate increased only in morbidly obese women. No materno-fetal mortality was observed in our study.


CONCLUSIONS
Even moderate overweight is a significant risk factor for obstetrical complications and needs a multidisciplinary antenatal management in order to prevent materno-fetal complications.
Galtier-Dereure
F
F
Service des Maladies Endocriniennes, Hôpital Lapeyronie, Montpellier, France.
Montpeyroux
F
F
Boulot
P
P
Bringer
J
J
Jaffiol
C
C
D000328:Adult; D015992:Body Mass Index; D002585:Cesarean Section / Q000706:statistics & numerical data; D016640:Diabetes, Gestational / Q000188:drug therapy / Q000453:epidemiology / Q000503:physiopathology; D005260:Female; D017048:Health Care Costs; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000453:epidemiology / Q000503:physiopathology; D015994:Incidence; D007328:Insulin / Q000627:therapeutic use; D007902:Length of Stay; D009765:Obesity / Q000150:complications* / Q000453:epidemiology / Q000503:physiopathology*; D009767:Obesity, Morbid / Q000150:complications / Q000453:epidemiology / Q000503:physiopathology; D011225:Pre-Eclampsia / Q000150:complications / Q000453:epidemiology / Q000503:physiopathology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000191:economics* / Q000453:epidemiology / Q000503:physiopathology*; D011295:Prenatal Care / Q000191:economics*; D012189:Retrospective Studies; D012307:Risk Factors; D014552:Urinary Tract Infections / Q000150:complications / Q000453:epidemiology / Q000503:physiopathology
D007328:Insulin