Obesidad, factor de riesgo de infección bacteriana ascendente durante el embarazo
Background: Obesity in pregnancy is associated with significantly higher rates of infection. Aim: To compare the infectious morbidity in pregnant women with normal and altered body mass index (BMI). Material and Methods: Cross sectional retrospective study of 6,150 patients who had delivery or secon...
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| Lenguaje: | Spanish / Castilian |
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Sociedad Médica de Santiago
2016
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oai:scielo:S0034-988720160004000082016-07-01Obesidad, factor de riesgo de infección bacteriana ascendente durante el embarazoOvalle,AlfredoMartínez,María AngélicaFuentes,ArielMarques,XimenaVargas,FranciscoVergara,PaulaStaig,PabloMarín,María PazOda,FranciscoKakarieka,Elena Obesity Pregnancy complications, Infectious Premature Birth Background: Obesity in pregnancy is associated with significantly higher rates of infection. Aim: To compare the infectious morbidity in pregnant women with normal and altered body mass index (BMI). Material and Methods: Cross sectional retrospective study of 6,150 patients who had delivery or second trimester abortion during 2012. The patients were classified according to BMI as underweight, normal weight, overweight and obese. We compared the frequency of pregnancy and perinatal complications related to ascending bacterial infection (ABI). The data was obtained from the hospitals databases. Results: Obese patients had higher rates of pregnancy and perinatal complications related to ABI compared to patients with normal weight. The odds ratios (OR) and 95% confidence intervals (CI) for second trimester abortion were 3.45 (1.63-7.31) p < 0.01, for preterm delivery 2.42 (1.51-3.87) p < 0.01, for labor and puerperium infections 3.42 (2.06-5.68) p < 0.01 and for early neonatal infectious and perinatal mortality 4.46 (1.75-11.37) p < 0.01. A logistic regression analysis revealed that obesity is an independent risk factor for second trimester abortion related to ABI with an OR of 3.18 (CI 95% 1.46-6.91), premature delivery related to ABI with an OR of 2.51 (CI 95% 1.54-4.09) and for delivery and postpartum infections with an OR of 4.44 (CI 95% 2.62 to 7.51). Conclusions: Obese pregnant women had a 2.5 to 4.5 times increased risk of infectious morbidity compared to normal weight patients. Obesity is an independent risk factor for second trimester abortion and preterm delivery related to ABI and delivery and postpartum infectious.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.144 n.4 20162016-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000400008es10.4067/S0034-98872016000400008 |
| institution |
Scielo Chile |
| collection |
Scielo Chile |
| language |
Spanish / Castilian |
| topic |
Obesity Pregnancy complications, Infectious Premature Birth |
| spellingShingle |
Obesity Pregnancy complications, Infectious Premature Birth Ovalle,Alfredo Martínez,María Angélica Fuentes,Ariel Marques,Ximena Vargas,Francisco Vergara,Paula Staig,Pablo Marín,María Paz Oda,Francisco Kakarieka,Elena Obesidad, factor de riesgo de infección bacteriana ascendente durante el embarazo |
| description |
Background: Obesity in pregnancy is associated with significantly higher rates of infection. Aim: To compare the infectious morbidity in pregnant women with normal and altered body mass index (BMI). Material and Methods: Cross sectional retrospective study of 6,150 patients who had delivery or second trimester abortion during 2012. The patients were classified according to BMI as underweight, normal weight, overweight and obese. We compared the frequency of pregnancy and perinatal complications related to ascending bacterial infection (ABI). The data was obtained from the hospitals databases. Results: Obese patients had higher rates of pregnancy and perinatal complications related to ABI compared to patients with normal weight. The odds ratios (OR) and 95% confidence intervals (CI) for second trimester abortion were 3.45 (1.63-7.31) p < 0.01, for preterm delivery 2.42 (1.51-3.87) p < 0.01, for labor and puerperium infections 3.42 (2.06-5.68) p < 0.01 and for early neonatal infectious and perinatal mortality 4.46 (1.75-11.37) p < 0.01. A logistic regression analysis revealed that obesity is an independent risk factor for second trimester abortion related to ABI with an OR of 3.18 (CI 95% 1.46-6.91), premature delivery related to ABI with an OR of 2.51 (CI 95% 1.54-4.09) and for delivery and postpartum infections with an OR of 4.44 (CI 95% 2.62 to 7.51). Conclusions: Obese pregnant women had a 2.5 to 4.5 times increased risk of infectious morbidity compared to normal weight patients. Obesity is an independent risk factor for second trimester abortion and preterm delivery related to ABI and delivery and postpartum infectious. |
| author |
Ovalle,Alfredo Martínez,María Angélica Fuentes,Ariel Marques,Ximena Vargas,Francisco Vergara,Paula Staig,Pablo Marín,María Paz Oda,Francisco Kakarieka,Elena |
| author_facet |
Ovalle,Alfredo Martínez,María Angélica Fuentes,Ariel Marques,Ximena Vargas,Francisco Vergara,Paula Staig,Pablo Marín,María Paz Oda,Francisco Kakarieka,Elena |
| author_sort |
Ovalle,Alfredo |
| title |
Obesidad, factor de riesgo de infección bacteriana ascendente durante el embarazo |
| title_short |
Obesidad, factor de riesgo de infección bacteriana ascendente durante el embarazo |
| title_full |
Obesidad, factor de riesgo de infección bacteriana ascendente durante el embarazo |
| title_fullStr |
Obesidad, factor de riesgo de infección bacteriana ascendente durante el embarazo |
| title_full_unstemmed |
Obesidad, factor de riesgo de infección bacteriana ascendente durante el embarazo |
| title_sort |
obesidad, factor de riesgo de infección bacteriana ascendente durante el embarazo |
| publisher |
Sociedad Médica de Santiago |
| publishDate |
2016 |
| url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000400008 |
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