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[Postnatal development of children of obese mothers]
1Abteilung für Gynäkologie und Geburtshilfe, Funktionseinheit Krankenhaus/Polikliniken, Eisenhüttenstadt.
In a five-years-period (1981-1985) we have investigated maternal obesity in 68 women with a prepregnant weight greater than or equal to 90 kg. The course of pregnancy, delivery and fetal outcome were analyzed in 54 (1.09%) non-diabetic females with a single-term-gravidity (age range 20 to 34 years). Fetal birth body-mass and -length did not show any significant differences in comparison to data collected in a control-group (infants of non-obese females). The fetal outcome was without differences in both groups (no perinatal deaths). In a prospective study covering the first three years of life we have registered the postnatal gain of body-mass and -length which increased in both sex. Up the 6th month of life we have registered a significantly higher weight gain (in male infants) in the study-group as in the control-group. There were no differences in early motor-, behavioral- and mental-development (walking alone, talking words), only the frequency in non-specific diseases of the respiratory system was a little bit higher in children of the study-group. Nevertheless, it seems to be necessary--to avoid adverse effects on the health and well-being in overweight children--to create an intensive prepregnant care and a diligently pediatric surveillance during the childhood period for counselling the involved parents, too.
In a five-years-period (1981-1985) we have investigated maternal obesity in 68 women with a prepregnant weight greater than or equal to 90 kg. The course of pregnancy, delivery and fetal outcome were analyzed in 54 (1.09%) non-diabetic females with a single-term-gravidity (age range 20 to 34 years). Fetal birth body-mass and -length did not show any significant differences in comparison to data collected in a control-group (infants of non-obese females). The fetal outcome was without differences in both groups (no perinatal deaths). In a prospective study covering the first three years of life we have registered the postnatal gain of body-mass and -length which increased in both sex. Up the 6th month of life we have registered a significantly higher weight gain (in male infants) in the study-group as in the control-group. There were no differences in early motor-, behavioral- and mental-development (walking alone, talking words), only the frequency in non-specific diseases of the respiratory system was a little bit higher in children of the study-group. Nevertheless, it seems to be necessary--to avoid adverse effects on the health and well-being in overweight children--to create an intensive prepregnant care and a diligently pediatric surveillance during the childhood period for counselling the involved parents, too.