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Title: Assessment of the condition of the newborn babies and postpartum course after delivery or caesarean section with regard of mother's weight
Abstract:
Introduction World epidemiological data show a growing number of people with excess body weight and obesity. At the same time, scientific reports point to the rapid increase in the percentage of cesarean sections in the total number of deliveries. According to the researchers, excessive matemal body weight and/or its excessive increase may contribute to the increase in the number of cesarean sections. Numerous scientific evidence shows that caesarean section has an adverse effect on newbom birth parameters and postpartum course compared to vaginal delivery. The negative impact of caesarean section on the newbom is mainly related to altered adaptation of the respiratory and circulatory systems to life outside the uterus. Newboms without perinatal stress are characterized by a higher percentage of adaptive complications, which can result in a more frequent need to stay in the intensive care unit, a greater risk of implementing various invasive procedures, and a longer period of total hospitalization. However, it should be definitely stated that caesarean section is a procedure whose development of which over a number of years has allowed for quick and effective response in situations where both mother and child lives are at risk, contributing to the minimization of perinatal mortality. At the same time, it should be remembered that this is a surgery method an ; d may be associated with complications in the postpartum. As has been proven, incorrect body weight has a negative effect on the body of both the mother and the baby. Excess BMI in the course of pregnancy is associated with an increased probability of metabolic disorders, a more frequent cesarean section, and an increase in the mean birth weight of children compared to newboms of mothers with normal body weight. On the other hand, pregnant women with a low BMI before pregnancy and insufficient weight gain during pregnancy often give birth to children with a !ower birth weight and with developmental disorders. Overweight and obesity are also reflected in postpartum, in the form of an increased risk of venous thromboembolism, as well as puerperal infections, more frequent difficulties in effective breastfeeding, and reduced mental well-being of the obstetrician. Purpose The purpose of the study was to perform a comparative analysis of the condition of newbom babies and postpartum course after delivery or caesarean section with regard to the weight of the mother. Materials and methods The study included 320 obstetricians and newborns after vagina! delivery and 507 obstetricians and their newborns after cesarean section, hospitalized in obstetric and neonatal departments of three Krakow medical centers. The methods used in this study included document analysi ; s, a diagnostic survey, and estimation with the use of standardized research tools, as well as a questionnaire used to obtain sociodemographic, medical and obstetric data. Statistical analysis of the collected results was carried out on the basis of Excel spreadsheet and ST A TISTICA 12 software. For all analyzes, the maximum allowable type I error was assumed to be a= 0.05. Results Based on the research conducted, the relationship between body mass index and the delivery method was demonstrated. Mother's age and greater weight gain had an influence on the increased probability of a cesarean section. Factors that significantly influence the appearance of complications during the course of the puerperium included higher categories of matema! body mass index, as well as the caesarean section. Both variables influenced delayed verticalization and extended hospitalization time, increased number of complications and ailments, decreased mental well-being, and more frequent problems of the lactation period. It was observed that babies of mothers with an abnormal body mass index before pregnancy, abnormal weight gain during pregnancy, and after caesarean delivery were at greater risk of adverse birth status outcomes, were characterized by an increased number of complications, a longer hospitalization time, and a more frequent need to stay in the neonatal intensiv ; e care unit. There were statistically significant differences in newbom birth weight depending on the value of the mother's BMI and weight gain during pregnancy. Conclusions The results of the studies show that both operative delivery by caesarean section and excess body weight and/or excessive weight gain were associated with an increased number of maternal complications in the postpartum period and lower perinatal outcomes of the newborn.
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Rada Dyscypliny Nauki o zdrowiu
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Last modified:
Mar 15, 2024
In our library since:
Feb 6, 2024
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http://dl.cm-uj.krakow.pl:8080/publication/5018
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| Edition name | Date |
|---|---|
| ZB-137007 | Mar 15, 2024 |
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