TITLE:
Outcome of cesarean delivery in women with excessive weight gain during pregnancy
AUTHORS:
Pascal Foumane, Emmanuel Mando, Emile Telesphore Mboudou, Julius Dohbit Sama, Walter Dobgima Pisoh, Jacqueline Ze Minkande
KEYWORDS:
Excessive Weight Gain; Pregnancy; Outcome; Delivery; Cesarean Section; Cameroon
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.4 No.3,
February
24,
2014
ABSTRACT: The objective of this study was to assess the
effects of excessive weight gain during pregnancy on the outcome of cesarean
delivery. It was a cohort study comparing the outcome of cesarean delivery
between 56 pregnant women with excessive weight gain during pregnancy and 75
pregnant women with no excessive weight gain
during pregnancy, consecutively recruited at the Yaoundé
Gyneco-Obstetric and Pediatric Hospital, Cameroon. In women delivered by
cesarean section, excessive weight gain during pregnancy was found to
predispose to: time interval from parietal incision to fetal extraction of more
than five minutes, duration of cesarean section more than 60 minutes, blood
loss more than 1000 ml during surgery, post-operative maternal complications,
especially sepsis, fetal weight >3.5 kg and macrosomia. A systematic
screening of excessive weight gain should be offered to all pregnant women, so
as to prevent the adverse effects of excessive gestational weight gain on cesarean
outcome.