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Kraschnewski, J.L., Chuang, C.H., Downs, D.S., Weisman, C.S., McCamant, E.L., Baptiste-Roberts, K., et al. (2013) Association of prenatal physical activity and gestational weight gain: Results from the first baby study. Womens Health Issues, 23, 233-238. http://dx.doi.org/10.1016/j.whi.2013.04.004

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• 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.