DOI: http://dx.doi.org/10.18203/issn.2454-2156.IntJSciRep20211040

Pregnancy outcomes in women with excessive gestational weight gain in Dschang health district of Cameroon

Skinner Lekelem Nguefack, Jackson Jr Ndenkeh, Cavin Bekolo, Bruno Kenfack

Abstract


Background: Excessive gestational weight gain (EGWG) during pregnancy can lead to adverse outcomes for the mother and/or the new-born. The aim of the study was to determine the prevalence of EGWG as well as its effect on pregnancy outcomes amongst pregnant women at the health district of Dschang in Cameroon.  

Methods: This was a cross sectional study conducted from January to June 2019 and targeting all consenting pregnant women in Dschang District Hospital. They were administered a prepared questionnaire followed by their body mass index measurements for times at the beginning and the end of gestation to measure GWG. Logistic regression was used to determine the association of the EGWG to some particular pregnancy outcomes, adjusting for other factors with significance set at 5%.   

Results: A total of 400 women were included in this study with a mean age of 27±5years, 59.2% being married and 34.8% still being students. Also it was noted that 24.8% of these women were obese while 25.3% had EGWG. Furthermore, EGWG was independently associated to prolonged labour (aOR=2.4; CI: 1.3-4.6; p value=0.007), genital tract laceration (aOR=2.0; CI: 1.0-3.8; p value=0.036) and foetal macrosomia (aOR=7.3; CI: 3.5-15.2; p value<0.001).

Conclusions: The prevalence of EGWG was high and it was associated with prolonged labour, genital tract laceration and foetal macrosomia. There is thus the need to improve the awareness of these women on EGWG as well as a constant follow up all through gestational period so as to regulate their GWG. The above measures will help to reduce occurrence of these complications, and consequently reduce maternal and neonatal mortality.

 


Keywords


Excessive gestational weight gain, Pregnancy outcomes, Cameroon

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References


Mbu RE, Fouedjio HJ, Tabot M, Fouelifack FY, Tumassang FN, Tonye RN, et al. Effects of gestational weight gain on the outcome of labor at the Yaounde central hospital maternity, Cameroon. O J Obstet Gynecol. 2013;3:648-652.

Harriette C, Bronwen P, Kass O, Elizabeth A, Aimee H. Guidance for healthy weight gain in pregnancy. Ministry of Health, New Zealand 2014(ISBN 978 0 478 42836-0).

In: Rasmussen KM, Yaktine AL, editors. Weight Gain During Pregnancy: Reexamining the Guidelines. The National Academies Collection: Reports funded by National Institutes of Health. Washington (DC)2009.

Gilmore LA, Redman LM. Weight gain in pregnancy and application of the 2009 IOM guidelines: toward a uniform approach. Obesit Silv Spr. 2015;23(3):507-11.

Shub A, Huning EY, Campbell KJ, McCarthy EA. Pregnant women's knowledge of weight, weight gain, complications of obesity and weight management strategies in pregnancy. Bio Med Cent Res Notes. 2013;6:278.

Norman JE, Reynolds RM. The consequences of obesity and excess weight gain in pregnancy. Proc Nutr Soc. 2011;70(4):450-6.

Haddad L, Cameron L, Barnett I. The double burden of malnutrition in SE Asia and the Pacific: priorities, policies and politics. Heal Pol Plan. 2015;30(9):1193-206.

Steyn NP, McHiza ZJ. Obesity and the nutrition transition in Sub-Saharan Africa. Ann N Y Acad Sci. 2014;1311:88-101.

Knight JA. Diseases and disorders associated with excess body weight. Ann Clin Lab Sci. 2011;41(2):107-21.

Kulie T, Slattengren A, Redmer J, Counts H, Eglash A, Schrager S. Obesity and women's health: an evidence-based review. J Am Board Fam Med. 2011;24(1):75-85.

Cresswell JA, Campbell OM, De Silva MJ, Filippi V. Effect of maternal obesity on neonatal death in sub-Saharan Africa: multivariable analysis of 27 national datasets. Lancet. 2012;380(9850):1325-30.

Kelly T, Yang W, Chen CS, Reynolds K, He J. Global burden of obesity in 2005 and projections to 2030. Int J Obes (Lond). 2008;32(9):1431-7.

Onubi OJ, Marais D, Aucott L, Okonofua F, Poobalan AS. Maternal obesity in Africa: a systematic review and meta-analysis. J Pub Heal. 2016;38(3):e218-31.

Nieuwoudt M, Merwe JL, Harvey J, Hall DR. Pregnancy outcomes in super-obesewomen. An even bigger problem? A prospective cohort study. S Afr JOG. 2014;20(2):54–9.

Engle‐Stone R, Nankap M, Ndjebayi AO, Friedman A, Tarini A, Brown KH, et al. Prevalence and predictors of overweight and obesity among Cameroonian women in a national survey and relationships with waist circumference and inflammation in Yaoundé and Douala. Mater Child Nutrit. 2018;14:e12648.

Halle-Ekane GE, Nsom BJ, Atashili J, Palle JN, Nsagha DS, Nguefack CT, et al. Outcome of Pregnancy in Patients with Excessive Gestational Weight Gain in Two District Hospitals in Douala, Cameroon. SM J Gynecol Obstet. 2015;1(1):1004.

Kruger HS, Van Graan A. The influence of pre-pregnancy BMI and weight gain during pregnancy on pregnancy outcomes. South Afric J Clinic Nutrit. 2007;20(3):112-7.

Nana PN, Wandji JC, Fomulu JN, Mbu RE, Tonye R, Ako SN, et al. Materno-foetal outcome of labour in obese women in Yaounde, Cameroon. Clinic Mother Child Heal. 2009;6(1).

Kamadjeu RM, Edwards R, Atanga JS, Kiawi EC, Unwin N, Mbanya JC. Anthropometry measures and prevalence of obesity in the urban adult population of Cameroon: an update from the Cameroon Burden of Diabetes Baseline Survey. Bio Med Cent Pub Heal. 2006;6:228.

Essome H, Mve VN, Ekono M, Boten M, Engbang JP, Bewekedi M, et al. Excessive Weight Gain during Pregnancyand Prognosis of Childbirth in Douala (Cameroun). Op J Obstet Gynecol. 2019;2:242-50.

O'Brien EC, Alberdi G, McAuliffe FM. The influence of socioeconomic status on gestational weight gain: a systematic review. J Pub Heal. 2018;40(1):41-55.

Samura T, Steer J, Michelis LD, Carroll L, Holland E, Perkins R. Factors Associated With Excessive Gestational Weight Gain: Review of Current Literature. Glob Adv Health Med. 2016;5(1):87-93.

Stamnes Koepp UM, Frost Andersen L, Dahl-Joergensen K, Stigum H, Nass O, Nystad W. Maternal pre-pregnant body mass index, maternal weight change and offspring birthweight. Acta Obstet Gynecol Scand. 2012;91(2):243-9.

Vinturache A, Moledina N, McDonald S, Slater D, Tough S. Pre-pregnancy Body Mass Index (BMI) and delivery outcomes in a Canadian population. Bio Med Cent Pregn Childbirth. 2014;14:422.

Tabot M. The Effects of Gestational Weight Gain on the Outcome of Deliveryat the Central Maternity of the Yaounde Central Hospital. J Medic Heal Sci. 2013;3:6-8.

McHugh A, Burke N, Burke G, Breathnach FM, McAuliffe FM, Morrison JJ, et al. 562: The effect of excessive gestational weight gain on mode of delivery and intrapartum complications. Am J Obstet Gynecol. 2017;216(1):S331-2.

Johnson JW, Longmate JA, Frentzen B. Excessive maternal weight and pregnancy outcome. Am J Obstet Gynecol. 1992;167(2):353-70-2.