Outcome of cesarean delivery in women with excessive weight gain during pregnancy

Pascal Foumane, Emmanuel Mando, Emile Telesphore Mboudou, Julius Dohbit Sama, Walter Dobgima Pisoh, Jacqueline Ze Minkande

Department of Anesthesiology & Reanimation, Faculty of Medicine and Biomedical Sciences (FMBS), The University of Yaoundé 1, Yaoundé, Cameroon.
Department of Obstetrics and Gynecology, Faculty of Medicine and Biomedical Sciences (FMBS), The University of Yaoundé 1, Yaoundé, Cameroon.

DOI: 10.4236/ojog.2014.43024                

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.

Keywords

Excessive Weight Gain; Pregnancy; Outcome; Delivery; Cesarean Section; Cameroon

Conflicts of Interest

The authors declare no conflicts of interest.

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