RISK FACTORS THAT INCREASE MATERNAL MORBIDITY IN PREGNANT WOMEN BETWEEN 30 TO 34 YEARS OF AGE.

Volume 8, Issue 5, October 2023     |     PP. 376-384      |     PDF (135 K)    |     Pub. Date: October 7, 2023
DOI: 10.54647/cm321176    74 Downloads     263782 Views  

Author(s)

Alejandro L. Villalobos-Rodríguez, Gynecology and Obstetrics Service of the General Hospital of Playa Del Carmen Calle 135 with Av. Constituyentes s/n. Colonia Ejidal, Playa del Carmen, Q. Roo, México, CP. 77712.
Rafael del Carmen Cárdenas-Núñez, Gynecology and Obstetrics Service of the General Hospital of Playa Del Carmen Calle 135 with Av. Constituyentes s/n. Colonia Ejidal, Playa del Carmen, Q. Roo, México, CP. 77712.
Júder Narváez-Palacios, Gynecology and Obstetrics Service of the General Hospital of Playa Del Carmen Calle 135 with Av. Constituyentes s/n. Colonia Ejidal, Playa del Carmen, Q. Roo, México, CP. 77712.
Yadira Hernández-Fuentes, Gynecology and Obstetrics Service of the General Hospital of Playa Del Carmen Calle 135 with Av. Constituyentes s/n. Colonia Ejidal, Playa del Carmen, Q. Roo, México, CP. 77712.
Corina Bibiano-Rodríguez, Gynecology and Obstetrics Service of the General Hospital of Playa Del Carmen Calle 135 with Av. Constituyentes s/n. Colonia Ejidal, Playa del Carmen, Q. Roo, México, CP. 77712.
Martín de Jesús Novelo-Salazar, Gynecology and Obstetrics Service of the General Hospital of Playa Del Carmen Calle 135 with Av. Constituyentes s/n. Colonia Ejidal, Playa del Carmen, Q. Roo, México, CP. 77712.
Arturo Alfaro-Palma, Gynecology and Obstetrics Service of the General Hospital of Playa Del Carmen Calle 135 with Av. Constituyentes s/n. Colonia Ejidal, Playa del Carmen, Q. Roo, México, CP. 77712.
Guillermo Padrón-Arredondo, Gynecology and Obstetrics Service of the General Hospital of Playa Del Carmen Calle 135 with Av. Constituyentes s/n. Colonia Ejidal, Playa del Carmen, Q. Roo, México, CP. 77712.

Abstract
INTRODUCTION. According to the World Health Organization (WHO), the prevalence of obesity worldwide has nearly tripled since 1975. According to 2016 data, 39% of the global adult population was overweight, and 13% was obese. A recent study, including 20 European countries, concluded that 53% of adults were overweight or obese. Increase in overweight and obesity among women of childbearing age (15 to 44 years). Overweight and obesity during pregnancy are associated with many complications, including increased risk of gestational hypertension, preeclampsia, gestational diabetes mellitus, cesarean delivery, preterm delivery, large-for-gestational-age infants, and stillbirths. Additionally, gestational weight gain is associated with diabetes, pregnancy-induced hypertension, cesarean delivery, postpartum weight retention, macrosomia, and childhood obesity. MATERIAL AND METHOD. An observational, cross-sectional study in 15 pregnant women in 2022 at the Playa del Carmen General Hospital. RESULTS. Were completed variables of interest in prenatal control. DISCUSSION. The short interval between pregnancies is a public health problem because it leads to adverse perinatal outcomes such as postpartum hemorrhage, anemia, preterm delivery, low birth weight, and perinatal deaths. Ineffective or no contraception after one pregnancy contributes to a subsequent pregnancy. CONCLUSIONS. It is essential to detect gestational Diabetes mellitus as well as gestational hypertension, and prenatal control should be improved because although pregnant women report carrying it out, it is not reflected in cases of preeclampsia that remains high in pregnant women.

Keywords
pregnancy; maternal age; obesity; gestational age; risk factors; cesarean section.

Cite this paper
Alejandro L. Villalobos-Rodríguez, Rafael del Carmen Cárdenas-Núñez, Júder Narváez-Palacios, Yadira Hernández-Fuentes, Corina Bibiano-Rodríguez, Martín de Jesús Novelo-Salazar, Arturo Alfaro-Palma, Guillermo Padrón-Arredondo, RISK FACTORS THAT INCREASE MATERNAL MORBIDITY IN PREGNANT WOMEN BETWEEN 30 TO 34 YEARS OF AGE. , SCIREA Journal of Clinical Medicine. Volume 8, Issue 5, October 2023 | PP. 376-384. 10.54647/cm321176

References

[ 1 ] Li G, Wei T, Ni W, Zhang A, Zhang J, Xing Y and Xing Q. Incidence and Risk Factors of Gestational Diabetes Mellitus: A Prospective Cohort Study in Qingdao, China. Front. Endocrinol, 2020; 11:636. Doi: 10.3389/fendo.2020.00636
[ 2 ] Moll U, Olsson H, Landin-Olsson M. Women with a predisposition for diabetes have an increased risk of pregnancy complications, especially in combination with pregestational overweight. BMC Pregnancy Childb, 2020; 20:74 https://doi.org/10.1186/s12884-020-2741-5
[ 3 ] World Health Organization. Obesity and Overweight. World Health Organization. Fact Sheets 2020. https:// doi. Org/ 10. 1007/ 978-1-​4419-​1695-2_ 447
[ 4 ] Voerman E, Santos S, Inskip H et al. Association of gestational weight gain with adverse maternal and infant outcomes. JAMA, 2019; 321:1702-15.
[ 5 ] Escanuela Sánchez T, Mamey S, O´Connor C, et al. Facilitators and barriers influencing weight Management behaviors during pregnancy: a meta‑synthesis of qualitative research. BMC Pregnancy Childb, 2022; 22:682 https://doi.org/10.1186/s12884-022-04929-z
[ 6 ] Tuncalp Ö, Rogers LM, Lawrie TA, et al. WHO recommendations on antenatal nutrition: An update on multiple micronutrient supplements. BMJ Glob Health, 2020; 5. e003375.
[ 7 ] Jouanne M, Oddoux S, Noël A, Voisin-Chiret AS. Nutrient Requirements during Pregnancy and Lactation. Nutrients, 2021; 13:692.
[ 8 ] ter Borg S, Koopman N, Verkaik-Kloosterman J. An Evaluation of Food and Nutrient Intake among Pregnant Women in the Netherlands: A Systematic Review. Nutrients, 2023; 15: 3071. https://doi.org/10.3390/nu15133071
[ 9 ] Chen TL, Cheng SF, Gau ML, Lin LL. Processed Dietary Patterns during Pregnancy Are Associated with Low Birth Weight at Term among Women of Advanced and Non-Advanced Age. Nutrients, 2022; 14: 3429. https:// doi.org/10.3390/nu14163429
[ 10 ] Papandreou D, Mantzorou M, Tyrovolas S, et al. Pre-Pregnancy Excess Weight Association with Maternal Sociodemographic, Anthropometric and Lifestyle Factors and Maternal Perinatal Outcomes. Nutrients, 2022; 14:3810. https://doi.org/10.3390/nu14183810
[ 11 ] Jankovic-Karasoulos T, Smith MD, Leemaqz S, et al. Elevated Maternal Folate Status and Changes in Maternal Prolactin, Placental Lactogen, and Placental Growth Hormone Following Folic Acid Food Fortification: Evidence from Two Prospective Pregnancy Cohorts. Nutrients, 2023; 15:1553. https://doi.org/10.3390/nu15071553
[ 12 ] Zhao D, Zhang C, Ma J, et al. Risk factors for iron deficiency and iron deficiency anemia in pregnant women from plateau region and their impact on pregnancy outcome. Am J Transl Res, 2022; 14(6):4146-53.
[ 13 ] Khedagi AM, Bello NA. Hypertensive disorders of pregnancy. Cardiol Clin, 2021; 39:77-90.
[ 14 ] Kresht J, Hatem G, Lahoud N, et al. Development and validation of a short tool to assess the awareness of hypertensive disorders of pregnancy: a cross-sectional study among pregnant women in Lebanon. Am J Obstet Gynecol Glob Rep, 2023; XX:x.ex−x.ex.
[ 15 ] Birsner ML, Gyamfi-Bannerman C. Practice CoO. Physical activity and exercise during pregnancy and postpartum: ACOG committee opinion, number 804. Obstet Gynecol. 2020; 135(4):e178–88. https://doi. Org/ 10. 1097/log. 00000 00000 003772
[ 16 ] Bull FC, Al-Ansari SS, Biddle S, et al. World Health Organization 2020 guidelines on physical activity and sedentary behavior. Br J Sports Med, 2020; 54(24):1451-62. https://doi.Org/10. 1136/bjspo rts-2020-102955
[ 17 ] Morales-Suarez-Varela M, Clemente-Bosch E, Peraita-Costa I, et al. Maternal physical activity during pregnancy and the effect on the mother and newborn: a systematic review. J Phys Act Health. 2021; 18(1):130-47. https://doi. org/10. 1123/jpah. 2019- 0348.
[ 18 ] Rodríguez-Blanque R, Sánchez-García JC, Sánchez-López AM, Aguilar-Cordero MJ. Physical activity during pregnancy and its influence on delivery time: a randomized clinical trial. Peer J, 2019; 7:e6370. https://doi.org/10. 7717/peers. 6370.
[ 19 ] Russo LM, Harvey MW, Pekow P, Chasan-Taber L. Physical activity and risk of cesarean delivery in Hispanic women. J Phys Act Health, 2019; 16(2):116-24. https://doi. org/10.1123/jpah. 2018- 0072
[ 20 ] Coll CVN, Dominguez MR, Stein A, et al. Efficacy of regular exercise during pregnancy on the prevention of postpartum depression: the PAMELA randomized clinical trial. JAMA Netw Open, 2019; 2(1):e186861.https://doi. Org/10.1001/jama network kopen, 2018. 6861.
[ 21 ] Zhou T, Lin Y, Xu F, et al. Factors influencing physical inactivity status among Chinese pregnant women: a cross-sectional study. BMC Public Health, 2022; 22:2310. https://doi.org/10.1186/s12889-022-14757-7
[ 22 ] Jena BH, Biks GA, Gete YK, Gelaye KA. Duration of inter-pregnancy interval and its predictors among pregnant women in urban South Ethiopia: Cox gamma shared frailty modeling. PLoS ONE, 2022; 17(8): e0271967. https://doi.org/10.1371/journal.pone.0271967
[ 23 ] Khan N, Islam M. Women's experience of unintended pregnancy and changes in contraceptive methods: evidence from a nationally representative survey. Reproductive Health, 2022; 19:187. https://doi.org/10.1186/s12978-022-01492-w