MATERNAL AND NEONATAL OUTCOMES OF CESAREAN SECTION IN OBESE AND MORBID OBESE TERM PREGNANT WOMEN

Abstract

The study aims to compare preoperatively, intraoperatively, and postoperatively the maternal and neonatal outcomes of normal-weight, obese, and morbid obese pregnant women who delivered by cesarean section in our clinic. This study retrospectively included 151 singleton pregnancies delivered at ≥37 weeks of gestation by cesarean section. Demographic, clinical, and neonatal results of the patients were noted and compared between the groups. Among the pregnant women included in this study, the length of postoperative hospital stay and presence of chronic diseases were determined to be significantly higher in the morbid obese group compared with other groups (p<0.05). In the morbid obese group, the average infant birth weight and the number of infants monitored due to respiratory distress as a neonatal complication were determined to be significantly higher (p<0.05). The presence of pregnancy complications, particularly the presence of gestational diabetes mellitus and preeclampsia were found to be significantly higher in the morbid obese group (p<0.05). We determined that the incidence of maternal and neonatal complications increases as the body mass index (BMI) increases. Therefore, it is evident that monitoring the BMI and preventing obesity would be effective in avoiding complications.

Keywords

• cesarean section
• maternal obesity
• maternal complication
• neonatal complication