KnE Life Sciences

ISSN: 2413-0877

The latest conference proceedings on life sciences, medicine and pharmacology.

Does Excessive Gestational Weight Gain Contribute to Preeclampsia?

Published date: May 17 2018

Journal Title: KnE Life Sciences

Issue title: The 2nd International Meeting of Public Health 2016 (IMOPH) – Part I

Pages: 37–42

DOI: 10.18502/kls.v4i4.2261

Authors:
Abstract:

Preeclampsia is the leading cause of both maternal and infant mortality and morbidity worldwide. It is a disorder of pregnancy characterized by hypertension and high levels of protein in the urine. Preeclampsia has multifactorial determinants, one of which is excessive gestational weight gain. The purpose of this study was to
determine the relationship between weight gain during pregnancy and the incidence of preeclampsia among patients at Panembahan Senopati Bantul Hospital, D.I.Y. in 2014. The assessment of excessive weight gain during pregnancy was based on the weight gain recommendations given by the Institute of Medicine (IOM).
This study was conducted using a case-control design. Based on patient medical records, subjects were included if the length of gestation was greater than or equal to 20 weeks, and were excluded if it was the mother’s first pregnancy, the mother was less than 20 years old, or the gestational weight gain was less than the IOM recommendation. After a process ofrandom selection, there were 55 subjects in the case group that met the inclusion criteria. The case to control ratio was 1:1; thus there were also 55 subjects in the control group after random selection.The case and control groups were selected from the same hospital. Data analysis was conducted using a Chi-Square test. The results of the study showed that 63.6% of mothers with preeclampsia exhibited excessive gestational weight gain,while 16.4% of those without preeclampsia exhibited excessive gestational weight gain (p value <0.05, 95% CI: 3.63-22.06 and OR: 8.94). The results confirmed that excessive weght gain during pregnancy increases the incidence of preeclampsia.


Keywords: pregnant women, hypertension, preeclampsia, weight gain during pregnancy

References:

[1] Bartsch, Emily, Karyn E. Medcalf, Alison L. Park, and Joel G. Ray. 2016. ”Clinical risk factors for pre-eclampsia determined in early pregnancy: systematic review and meta-analysis of large cohort studies.”BMJ353: i1753.


[2] Braña, Irene, Esther Zamora, and Josep Tabernero. 2013. ”Cardiotoxicity.” InSide Effects of Medical Cancer Therapy, 483-530. Springer London.


[3] Chasan-Taber, Lisa, Marushka Silveira, Molly E. Waring, Penelope Pekow, Barry Braun, JoAnn E. Manson, Caren G. Solomon, and Glenn Markenson. 2016. ”Gestational Weight Gain, Body Mass Index, and Risk of Hypertensive Disorders of Pregnancy in a Predominantly Puerto Rican Population.” Matern Child Health J. 2016
Sep; 20(9): 1804–1813.


[4] Cunningham FG, Leveno KJ, Bloom SL, Hauth JC, Rouse DJ, Spong CY (2013). Obstetri william edisi 23,. Jakarta: penerbit buku kedokteran EGC


[5] Dinkes Daerah Istimewa Yogyakarta. (2014) Profil Dinas Kesehatan Daerah Istimewa Yogyakarta.


[6] 2014. D.I.Y: Dinkes Daerah Istimewa Yogyakarta. available in: http://www.dinkes.jogjaprov.go.id


[7] Editorial. Maternal mortality rate. Available from http://indonesia.unfpa.org/issuesand-challenges/maternal-mortality-ratio [Accessed November 7th 2016].


[8] Jeyabalan, Arun. 2013. ”Epidemiology of preeclampsia: impact of obesity.”Nutrition reviews71, no. suppl 1: S18-S25.


[9] Lewis, Fiona. 2014. ”Excess Maternal Body Weight and Preeclampsia/Eclampsia Risk among Women in San Ber-nardino County, 2007-2008.”J Fud Nutr1: 1-6.


[10] Rahayu, Achmad Semi. 2014. Hubungan Obesitas Maternal Prakehamilan Dengan Kejadian Preeklamsia Di Rumah Sakit Umum Muntilan Kabupaten Magelang [tesis]. Yogyakarta: Universitas Gadjah Mada.


[11] Stanie, Shianita. 2013. Hubungan Antara Obesitas Maternal Prakehamilan Dengan Kejadian Berat Badan Bayi Lahir Rendah Pada Kasus Preeklamsia Berat Di Rsup Dr. Sardjito Tahun 2009 Sampai Tahun 2011. Yogyakarta: Universitas Gadjah Mada.


[12] Swank, M. L., A. B. Caughey, C. K. Farinelli, E. K. Main, K. A. Melsop, W. M. Gilbert, and J. H. Chung. 2014. ”The impact of change in pregnancy body mass index on the development of gestational hypertensive disorders.”Journal of Perinatology34, no. 3.

Download
HTML
Cite
Share
statistics

635 Abstract Views

272 PDF Downloads