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Weight excess before pregnancy: complications and cost
F Galtier-Dereure1, F Montpeyroux, P Boulot
1Service des Maladies Endocriniennes, Hôpital Lapeyronie, Montpellier, France.
Summary
Pregnancy complications and healthcare costs increase with maternal overweight, even at moderate levels. Multidisciplinary prenatal management is crucial for preventing adverse materno-fetal outcomes in overweight pregnancies.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Public Health
Background:
- Pregravid overweight is increasingly prevalent.
- Overweight during pregnancy poses risks to both mother and fetus.
- Limited data exists on the economic impact of overweight pregnancies.
Purpose of the Study:
- To determine the incidence of pregnancy complications in overweight women.
- To assess the cost of prenatal care for overweight pregnancies.
- To correlate pregravid weight with maternal and fetal outcomes.
Main Methods:
- Retrospective study comparing 112 pregnancies in 89 overweight women with 54 normal weight controls.
- Patients categorized into normal weight, moderate overweight, obesity, and massive obesity groups.
- Analysis included maternal complications, labor complications, hospitalization duration, and costs.
Main Results:
- Hypertension, toxemia, gestational diabetes, and macrosomia were positively correlated with pregravid weight excess.
- Increased hospitalization duration and costs were associated with higher maternal weight.
- Cesarean section rates rose significantly only in morbidly obese women; no materno-fetal mortality was observed.
Conclusions:
- Even moderate overweight is a significant risk factor for obstetrical complications.
- Pregravid overweight necessitates multidisciplinary antenatal management.
- Effective management can help prevent materno-fetal complications in overweight pregnancies.