The experiences of pregnant women with a raised body mass index regarding their communication with midwives and other healthcare professionals

Objective: In our study, the results of oral glucose tolerance test (OGTT) and other hemogram parameters of pregnant women with and without gestational diabetes mellitus (GDM) were compared. The aim of our study is to investigate the benefit of these parameters in predicting GDM risk. Material and Method: The study was planned as a descriptive, retrospective and cross-sectional study. It was included 218 pregnant women who applied to the Gynecology and Obstetrics Clinic of Amasya Sabuncuoğlu Şerefeddin Training and Research Hospital between January 01, 2019 and January 31, 2020. It was examined complete blood count parameters, ultrasound findings, complete urinalysis, first trimester blood glucose, body mass index, age, and gravide parameters the patients we included in the study. The results were analyzed retrospectively and was evaluated the statistical significance relationship with gestational diabetes. Results: There was no statistically significant difference in age, body mass index (BMI), obesity status and number of gravida between the pregnant women who were examined and those without GDM (p> 0.05). The hemoglobin, platelet count, mean platelet volume (MPV), mean corpuscular volume (MCV), mean corpuscular hemoglobine (MCH), and mean corpuscular hemoglobin concentration (MCHC) values, and neutrophil, lymphocyte, monocyte and basophil counts, urine density and femur length were statistically significant. There was no difference (p> 0.05). No statistically significant difference was found in terms of neutrophile lymphocyte ratio (NLR), neutrophile monocyte ratio (NMR), platelet lymphocyte ratio (PLR), monocyte eosinophil ratio (MER), platelet MPV ratio (PMPVR), and platelet neutrophile ratio (PNR) values (p> 0.05) Conclusion: HbA1c, hematocrit and blood glucose in the first trimester may be predictors of GDM. In addition, we think that further studies are needed in a prospective design in more patients in terms of others parameters.

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Efficiency and safety of tocolytic therapy with hexoprenaline depending on body mass index in pregnant women

Rossiiskii vestnik akushera-ginekologa ◽

10.17116/rosakush20212104175 ◽

2021 ◽

Vol 21 (4) ◽

pp. 75

Author(s):

L.V. Gureeva ◽

O.M. Chistyakova ◽

L.Yu. Grebenshchikova ◽

S.V. Kolbasnikov ◽

O.V. Rad´kov

Keyword(s):

Body Mass Index ◽

Pregnant Women ◽

Body Mass

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The possibility of modifications methods of determine volume of amniotic fluid

Journal of obstetrics and women s diseases ◽

10.17816/jowd65312-17 ◽

2016 ◽

Vol 65 (3) ◽

pp. 12-17

Author(s):

Viktor A Mudrov

Keyword(s):

Body Mass Index ◽

Amniotic Fluid ◽

Pregnant Women ◽

Body Mass ◽

Gestational Age ◽

First Trimester ◽

Fetal Weight ◽

Abdominal Circumference ◽

Pregnancy And Childbirth ◽

Maternity Hospitals

Selection of the optimal tactics of pregnancy and childbirth significantly depends on the expected volume of amniotic fluid. The amount of amniotic fluid reflects a condition of a fetus and changes at pathological conditions of both a fetus, and an uteroplacental complex. The aim of the study was a modification of methods for determining the expected volume of amniotic fluid. On the basis of maternity hospitals Trans-Baikal Region in the years 2013-2015 was held retrospective and prospective analysis of 300 labor histories, which were divided into 3 equal groups: 1 group - pregnant women with a body mass index (BMI) for Quetelet less than 24, Group 2 - with a BMI from 24 to 30, group 3 - with a BMI more than 30. In order to determine the expected volume of amniotic fluid were used the subjective method, the Chamberlain’s and Phelan’s methods. The error in determining volume of amniotic fluid by the existing methods exceeds 10 %, that defined need of creation of a quantitative method. On the basis of mathematical and 3d-modeling of the volume of amniotic fluid and fetal weight determined pattern change, which is expressed by the formula: VAF = IAF × М × π / GA2, where IAF - index of amniotic fluid (mm), M - fetal weight (g), GA - gestational age (weeks). Through a comprehensive analysis of anthropometric research of the pregnant women defined formula’s volume of amniotic fluid: V = 0,017 × HUF × (AC - 25 × BMI / GA)2 - М, where GA - gestational age (weeks), AC - abdominal circumference of the pregnant women (cm), BMI - body mass index for Quetelet in the first trimester of pregnancy (kg/m2), HUF - height of an uterine fundus (cm), M - the estimated fetal weight (g). In calculating volume of amniotic fluid according to the proposed ultrasonic formula error does not exceed 5,3 %, anthropometric formula error does not exceed 10,2 %. Thus, the method has a smaller error compared to the standard, and can be used to reliably determine volume of amniotic fluid in II and III trimester of pregnancy.

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Effect of nutrition education among pregnant women with low body mass index: a community based intervention

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20163924 ◽

2016 ◽

pp. 3135-3139 ◽

Cited By ~ 3

Author(s):

Sherin Daniel ◽

Grana Gnanaraj ◽

Emershia Sharmine

Keyword(s):

Body Mass Index ◽

Pregnant Women ◽

Nutrition Education ◽

Body Mass ◽

Community Based ◽

Low Body Mass Index

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Vaginal birth after cesarean (VBAC): fear it or dare it? An evaluation of potential risk factors

Journal of Perinatal Medicine ◽

10.1515/jpm-2020-0222 ◽

2021 ◽

Vol 0 (0) ◽

Author(s):

Anastasia Lazarou ◽

Magdalena Oestergaard ◽

Johanna Netzl ◽

Jan-Peter Siedentopf ◽

Wolfgang Henrich

Keyword(s):

Body Mass Index ◽

Birth Weight ◽

Cesarean Section ◽

Pregnant Women ◽

Body Mass ◽

Vaginal Birth ◽

Vacuum Extraction ◽

Vaginal Birth After Cesarean ◽

Vaginal Deliveries ◽

Spontaneous Delivery

Abstract Objectives The consultation of women aspiring a vaginal birth after caesarean may be improved by integrating the individual evaluation of factors that predict their chance of success. Retrospective analysis of correlating factors for all trials of labor after caesarean that were conducted at the Department of Obstetrics of Charité-Universitätsmedizin Berlin, Campus Virchow Clinic from 2014 to October 2017. Methods Of 2,151 pregnant women with previous caesarean, 408 (19%) attempted a vaginal birth after cesarean. A total of 348 women could be included in the evaluation of factors, 60 pregnant women were excluded because they had obstetric factors (for example preterm birth, intrauterine fetal death) that required a different management. Results Spontaneous delivery occurred in 180 (51.7%) women and 64 (18.4%) had a vacuum extraction. 104 (29.9%) of the women had a repeated caesarean delivery. The three groups showed significant differences in body mass index, the number of prior vaginal deliveries and the child’s birth weight at cesarean section. The indication for the previous cesarean section also represents a significant influencing factor. Other factors such as maternal age, gestational age, sex, birth weight and the head circumference of the child at trial of labor after caesarean showed no significant influence. Conclusions The clear majority (70.1%) of trials of labor after caesarean resulted in vaginal delivery. High body mass index, no previous spontaneous delivery, and fetal distress as a cesarean indication correlated negatively with a successful vaginal birth after cesarean. These factors should be used for the consultation of pregnant women.

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Intake of antioxidants nutrients by pregnant womem: Associated factors

Revista de Nutrição ◽

10.1590/1678-98652018000400001 ◽

2018 ◽

Vol 31 (4) ◽

pp. 353-362

Author(s):

Luiz Gonzaga Ribeiro SILVA NETO ◽

Marilene Brandão TENÓRIO ◽

Raphaela Costa FERREIRA ◽

Alane Cabral Menezes de OLIVEIRA

Keyword(s):

Public Health ◽

Body Mass Index ◽

Birth Weight ◽

Vitamin A ◽

Health System ◽

Pregnant Women ◽

Body Mass ◽

Associated Factors ◽

Public Health System ◽

Maternal Body Mass Index

ABSTRACT Objective To evaluate the intake of antioxidant nutrients by pregnant women being cared for in the Brazilian public health system and associated factors. Methods A cross-sectional study was carried out with pregnant women cared for in the public health system in the city of Maceió, Brazil, in 2014, including 385 pregnant women and their newborns, and the collection of maternal information (socioeconomic, personal, prenatal, dietary and anthropometric data), and after the babies’ birth (gestational age, birth weight and length). Food intake was assessed by two 24-hour dietary reminders per pregnant woman with subsequent adjustments by the Estimated Average Requirement method. Data were processed and Pearson’s correlation was used to evaluate associations, considering p<0.05 as significant. Results A total of 388 pregnant women with a mean age of 24.06±5.92 years were studied, with inadequate intake and high variation of the following antioxidants: vitamin A (83.2%/62.7%), vitamin C (50.5%/75.7%), vitamin E (76.5%/60.2%), Selenium (60.8%/50.3%), Copper (98.5%/42.8%) and Zinc (79.6%/43.4%), respectively. Additionally, the following associations were observed: the intake of vitamin A (p=0.02), Copper (p=0.01), and Selenium (p=0.01) with the maternal Body Mass Index; the intake of vitamin A (0.04) and Selenium (p=0.02) with the birth weight; and between vitamin A (p=0.04) with the birth length. Conclusion The low intake of antioxidant nutrients by pregnant women is a reality, being associated to the maternal Body Mass Index and the birth weight and length of the newborn.

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