MATERNAL AND PERINATAL OUTCOME OF WOMEN WITH OBESITY IN PREGNANCY

Abstract

Hermanto Tri Joewono, Agus Sulistyono, Yulisa Haslinda, Aditiawarman.

Nowadays, obesity is a global problem because of the increasing incidence. This study aimed to explore the characteristics of maternal and perinatal outcomes of obesity pregnancy in Obstetric Outpatient at Dr. Soetomo General Hospital, Surabaya from 2013 to 2015. This was a descriptive and observational analytic study. This study used secondary data from medical records, and the subjects were divided into two groups. There were 241 (7.4%) pregnant women with obesity and only 147 (61%) of 241 delivered in Dr. Soetomo Hospital, Surabaya. Most complications were preeclampsia (25.8%), dyslipidemia (24.5%), and gestational diabetes (18.4%). Most of delivery mode was abdominal delivery in 89 subjects (60.5%). The majority of subjects needed treatment for less than 5 days in 125 subjects (85%). There was significant difference in preeclampsia, the length of stay (LOS), low birth weight, asphyxia, and IUFD compared to maternal-perinatal outcomes of obesity who had antenatal outside Dr. Soetomo Hospital. Whereas, we found no significant difference in caesarean section, surgical wound infection and macrosomia in both groups. Most of delivery mode in obese pregnancy women was caesarean section delivery. Most complications in labor with obesity were preeclampsia, dyslipidemia, and gestational diabetes. There was significant difference in preeclampsia and length of stay, birth weight, asphyxia, and IUFD in both groups.