title: [Impact of excessive weight gain during pregnancy on maternal and fetal outcome at the Yaoundé Women's and Children's Hospital (Cameroon)].
abstract: Excessive weight gain (EWG) during pregnancy can cause maternal and fetal complications. It has not yet been studied in our social environment, however.
  
  
  OBJECTIVE
  Our study aimed to describe maternal and fetal outcome in women gaining excessive weight during pregnancy in Cameroon.
  
  
  METHODS
  This cross-sectional descriptive study took place over a two-month period. Women were interviewed after delivery and grouped in two categories: those who did and did not have EWG during pregnancy. The complications due to EWG were analyzed.
  
  
  RESULTS
  The frequency of EWG in pregnancy was 35.5%. The incidence of high blood pressure was 9.8% for patients with EWG, and 6% for those with normal weight gains (P = 0.301). The mean birth weight of the babies of women with EWG was 3,433 g, significantly higher than the 3,103.7 g (P = 0.001) of the babies in the other group. Patients with EWG had significantly fewer babies with low birth weight (P<0.05) and significantly more with macrosomia (P<0.01). The cesarean rate was higher, but not significantly so, for women with EWG (23.2% vs 16.1%, P = 0.187); this was the case as well for postpartum hemorrhage and (1- and 5-min) Apgar scores as well.
  
  
  CONCLUSIONS
  EWG is associated with a higher incidence of macrosomia, but does not significantly increase the rate of cesarean births or modify the Apgar scores.
authors.affiliation: Université de Yaoundé I, Faculté de médecine et des Sciences biomédicales, Maternité de l'Hôpital gynéco obstétrique et pédiatrique de Yaoundé, Cameroun, Université Jules Verne de Picardie, Faculté de Médecine d'Amiens, France, Maternité du Centre Hospitalier de Creil, 100 boulevard Laennec, 60100 Creil, France.
authors.forename: N P
authors.initials: NP
authors.lastname: Ahounkeng
authors.affiliation: Université de Yaoundé I, Faculté de médecine et des Sciences biomédicales, Maternité de l'Hôpital gynéco obstétrique et pédiatrique de Yaoundé, Cameroun.
authors.forename: E T
authors.initials: ET
authors.lastname: Mboudou
authors.affiliation: Université Jules Verne de Picardie, Faculté de Médecine d'Amiens, France, Maternité du Centre Hospitalier de Creil, 100 boulevard Laennec, 60100 Creil, France.
authors.forename: C R
authors.initials: CR
authors.lastname: Adjoby
authors.affiliation: Université Jules Verne de Picardie, Faculté de Médecine d'Amiens, France, Maternité du Centre Hospitalier de Creil, 100 boulevard Laennec, 60100 Creil, France.
authors.forename: N Z
authors.initials: NZ
authors.lastname: Rakotomalala
authors.affiliation: Université de Yaoundé I, Faculté de médecine et des Sciences biomédicales, Maternité de l'Hôpital gynéco obstétrique et pédiatrique de Yaoundé, Cameroun.
authors.forename: P
authors.initials: P
authors.lastname: Foumane
authors.affiliation: Université de Yaoundé I, Faculté de médecine et des Sciences biomédicales, Maternité de l'Hôpital gynéco obstétrique et pédiatrique de Yaoundé, Cameroun.
authors.forename: S J
authors.initials: SJ
authors.lastname: Dohbit
authors.affiliation: Université Jules Verne de Picardie, Faculté de Médecine d'Amiens, France, Maternité du Centre Hospitalier de Creil, 100 boulevard Laennec, 60100 Creil, France.
authors.forename: E
authors.initials: E
authors.lastname: Nshimirimana
mesh_terms: D000293:Adolescent; D000328:Adult; D002163:Cameroon; D003430:Cross-Sectional Studies; D005260:Female; D005315:Fetal Diseases / Q000453:epidemiology* / Q000209:etiology; D006776:Hospitals, Pediatric; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology* / Q000209:etiology; D011256:Pregnancy Outcome; D015430:Weight Gain; D055815:Young Adult
keywords: Apgar score; Excessive weight gain; cesarean section; macrosomia