Índice de masa corporal pregestacional y riesgo de eventos adversos maternos.
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| Title: | Índice de masa corporal pregestacional y riesgo de eventos adversos maternos. |
|---|---|
| Alternate Title: | Pregestational body mass index and risk of maternal adverse events. |
| Authors: | Jesús Durán-Nah, Jaime1 durannah@prodigy.net.mx, Porter-Magaña, Alexander2, Navarro-Cabrera, Eva2 |
| Source: | Revista Medica del IMSS. may/jun2020, Vol. 58 Issue 3, p233-242. 10p. |
| Abstract (English): | Background: In women of reproductive age, pregestational overweight and/or obesity could result in negative outcomes for both, mother and child. Objective: To investigate the association between pregestational body mass index (PBMI) and maternal adverse outcomes (MAO) during childbirth, in women assisted during 2014, in a public hospital in Mérida, Yucatán, Mexico. Material and methods: 427 pregnant women assisted during childbirth were consecutively included, identifying among them those who did not have any MAO (n = 137), whose demographic and clinical data, including PBMI, were compared with those who did have at least one MAO (n = 290). Odds ratios (OR) and 95% confidence intervals (95% CI) were obtained using a binary logistic regression model (LRM). Results: 33% had normal PBMI, and 37% had obesity. Urgent cesarean section was the most frequent MAO (58.8%). According to the LRM, schooling (secondary school level, OR: 0.56; 95% CI: 0.34-0.94), primigravidae (OR: 6.88; 95% CI: 3.37-12.58), and secondigravidae women (OR: 5.57; 95% CI: 3.04-10.24), the number of prenatal visits (= 5, OR: 3.49; 95% CI: 1.54-7.91), and PBMI (overweight, OR: 0.41: 95% CI: 0.23-0.72) were identified as clinically and statistically significant. Conclusions: Women with overweight were at low risk for MAO, while schooling (secondary school level) reduced risk by 44%, being a primigravidae or a secondigravidae increased risk more than 6 and 5 times, respectively. Paradoxically, prenatal visits (= 5 medical visits) increased risk more than 3 times. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción: En la mujer en edad reproductiva, el sobrepeso y la obesidad pregestacional pueden ser adversos a los resultados de la gestación, tanto para la madre como para el producto. Objetivo: Investigar la asociación entre el índice de masa corporal pregestacional (IMCP) y los eventos adversos maternos (EAM) durante el nacimiento del producto, en gestantes atendidas en un cuatrimestre de 2014, en un hospital público de Mérida, Yucatán, México. Material y métodos: Se incluyeron 427 gestantes y se identificaron las que no tuvieron ningún EAM (n = 137), cuyos datos demográficos y clínicos, incluido el IMCP, fueron comparados con los del grupo que tuvo alguno (n = 290). Se obtuvieron razones de momios (RM) e intervalos de confianza del 95% (IC 95%) con un modelo de regresión logística binario (MRL). Resultados: El 33% de la muestra tenía IMCP normal, el 30% tenía sobrepeso y el 37% presentaba obesidad pregestacional. Fue la operación cesárea urgente el EAM más frecuente (58.8%). El MRL identificó como significativamente asociados a los EAM la escolaridad secundaria (RM: 0.56; IC 95%: 0.34-0.94), ser primigesta (RM: 6.88; IC 95%: 3.37-12.58), ser secundigesta (RM: 5.57; IC 95%: 3.04-10.24), el número de visitas prenatales (= 5, RM: 3.49; IC 95%: 1.54-7.91) y el IMCP (sobrepeso, RM: 0.41; IC 95%: 0.23-0.72). Conclusiones: Tener sobrepeso pregestacional redujo el riesgo de EAM hasta un 59%, la educación secundaria lo redujo un 44%, ser primigesta lo incrementó más de seis veces, ser secundigesta lo incrementó más de cinco veces y tener = 5 visitas prenatales paradójicamente lo incrementó más de tres veces. [ABSTRACT FROM AUTHOR] |
| Copyright of Revista Medica del IMSS is the property of Direccion de Prestaciones Medicas - IMSS and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Items | – Name: Title Label: Title Group: Ti Data: Índice de masa corporal pregestacional y riesgo de eventos adversos maternos. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Pregestational body mass index and risk of maternal adverse events. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Jesús+Durán-Nah%2C+Jaime%22">Jesús Durán-Nah, Jaime</searchLink><relatesTo>1</relatesTo><i> durannah@prodigy.net.mx</i><br /><searchLink fieldCode="AR" term="%22Porter-Magaña%2C+Alexander%22">Porter-Magaña, Alexander</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Navarro-Cabrera%2C+Eva%22">Navarro-Cabrera, Eva</searchLink><relatesTo>2</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Revista+Medica+del+IMSS%22">Revista Medica del IMSS</searchLink>. may/jun2020, Vol. 58 Issue 3, p233-242. 10p. – Name: Abstract Label: Abstract (English) Group: Ab Data: Background: In women of reproductive age, pregestational overweight and/or obesity could result in negative outcomes for both, mother and child. Objective: To investigate the association between pregestational body mass index (PBMI) and maternal adverse outcomes (MAO) during childbirth, in women assisted during 2014, in a public hospital in Mérida, Yucatán, Mexico. Material and methods: 427 pregnant women assisted during childbirth were consecutively included, identifying among them those who did not have any MAO (n = 137), whose demographic and clinical data, including PBMI, were compared with those who did have at least one MAO (n = 290). Odds ratios (OR) and 95% confidence intervals (95% CI) were obtained using a binary logistic regression model (LRM). Results: 33% had normal PBMI, and 37% had obesity. Urgent cesarean section was the most frequent MAO (58.8%). According to the LRM, schooling (secondary school level, OR: 0.56; 95% CI: 0.34-0.94), primigravidae (OR: 6.88; 95% CI: 3.37-12.58), and secondigravidae women (OR: 5.57; 95% CI: 3.04-10.24), the number of prenatal visits (= 5, OR: 3.49; 95% CI: 1.54-7.91), and PBMI (overweight, OR: 0.41: 95% CI: 0.23-0.72) were identified as clinically and statistically significant. Conclusions: Women with overweight were at low risk for MAO, while schooling (secondary school level) reduced risk by 44%, being a primigravidae or a secondigravidae increased risk more than 6 and 5 times, respectively. Paradoxically, prenatal visits (= 5 medical visits) increased risk more than 3 times. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Introducción: En la mujer en edad reproductiva, el sobrepeso y la obesidad pregestacional pueden ser adversos a los resultados de la gestación, tanto para la madre como para el producto. Objetivo: Investigar la asociación entre el índice de masa corporal pregestacional (IMCP) y los eventos adversos maternos (EAM) durante el nacimiento del producto, en gestantes atendidas en un cuatrimestre de 2014, en un hospital público de Mérida, Yucatán, México. Material y métodos: Se incluyeron 427 gestantes y se identificaron las que no tuvieron ningún EAM (n = 137), cuyos datos demográficos y clínicos, incluido el IMCP, fueron comparados con los del grupo que tuvo alguno (n = 290). Se obtuvieron razones de momios (RM) e intervalos de confianza del 95% (IC 95%) con un modelo de regresión logística binario (MRL). Resultados: El 33% de la muestra tenía IMCP normal, el 30% tenía sobrepeso y el 37% presentaba obesidad pregestacional. Fue la operación cesárea urgente el EAM más frecuente (58.8%). El MRL identificó como significativamente asociados a los EAM la escolaridad secundaria (RM: 0.56; IC 95%: 0.34-0.94), ser primigesta (RM: 6.88; IC 95%: 3.37-12.58), ser secundigesta (RM: 5.57; IC 95%: 3.04-10.24), el número de visitas prenatales (= 5, RM: 3.49; IC 95%: 1.54-7.91) y el IMCP (sobrepeso, RM: 0.41; IC 95%: 0.23-0.72). Conclusiones: Tener sobrepeso pregestacional redujo el riesgo de EAM hasta un 59%, la educación secundaria lo redujo un 44%, ser primigesta lo incrementó más de seis veces, ser secundigesta lo incrementó más de cinco veces y tener = 5 visitas prenatales paradójicamente lo incrementó más de tres veces. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Revista Medica del IMSS is the property of Direccion de Prestaciones Medicas - IMSS and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.24875/RMIMSS.M20000026 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 10 StartPage: 233 Titles: – TitleFull: Índice de masa corporal pregestacional y riesgo de eventos adversos maternos. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Jesús Durán-Nah, Jaime – PersonEntity: Name: NameFull: Porter-Magaña, Alexander – PersonEntity: Name: NameFull: Navarro-Cabrera, Eva IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 05 Text: may/jun2020 Type: published Y: 2020 Identifiers: – Type: issn-print Value: 04435117 Numbering: – Type: volume Value: 58 – Type: issue Value: 3 Titles: – TitleFull: Revista Medica del IMSS Type: main |
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