master's thesis
Utjecaj indeksa tjelesne mase prije trudnoće na perinatalni ishod

Anita Barišić (2015)
Sveučilište u Rijeci
Medicinski fakultet
Katedra za ginekologiju i opstetriciju
Metadata
TitleUtjecaj indeksa tjelesne mase prije trudnoće na perinatalni ishod
AuthorAnita Barišić
Mentor(s)Aleks Finderle (thesis advisor)
Abstract
Uvod: Normalna tjelesna masa pruža osnovu za optimalno psihofizičko zdravlje. Za procjenu stanja uhranjenosti, koristi se indeks tjelesne mase (ITM). Prema ITM-u, razlikujemo nekoliko standardnih kategorija uhranjenosti: pothranjenost, normalnu uhranjenost, preuhranjenost i pretilost. Spomenute kategorije nose određene rizike za zdravlje. Jedan od njih je i rizik od nepovoljnog perinatalnog ishoda majki i novorođenčeta. Svrha rada: Svrha rada bila je utvrditi utjecaj indeksa tjelesne mase prije trudnoće na perinatalni ishod trudnica zaprimljenih na Kliniku za ginekologiju i porodništvo, KBC Rijeka, u razdoblju od 1. siječnja 2010. do 31. prosinca 2014. godine. Ispitanici i metode: Analizirana je skupina od 14779 trudnica, na temelju podataka prikupljenih iz Baze podataka Klinike za ginekologiju i porodništvo, KBC Rijeka. Za analizu podataka korišteni su Microsoft Excel i MedCalc računalni programi. Rezultati: Trudnice s ITM <18 imaju veću šansu u odnosu na trudnice s ITM 18-24,99 za: dijagnozu IUGR, rađanje prematurusa, prijeteći pobačaj, rađanje djeteta <2500g, fetalnu smrt. Trudnice s ITM >25 imaju veću šansu za: GDM, gestacijsku hipertenziju, preeklampsiju, acidozu djeteta u porodu, rađanje prematurusa, djeteta s Apgar indeksom ≤7, porodne težine <2500g i ≥4000g. Povećan je rizik za febrilitet majke u puerperiju, fetalnu i dojenačku smrt, instrumentalni vaginalni porod te dovršenje poroda hitnim i elektivnim carskim rezom. Zaključak: Ovom retrospektivnom analizom dokazano je kako su trudnice s ITM <18 (pothranjene) i one s ITM >25 (preuhranjene i pretile) u povećanom riziku za razvoj perinatalnih komplikacija.
Keywordsbody mass index underweight overweight obesity perinatal complications
GranterSveučilište u Rijeci
Medicinski fakultet
Lower level organizational unitsKatedra za ginekologiju i opstetriciju
PlaceRijeka
StateCroatia
Scientific field, discipline, subdisciplineBIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Gynecology and Obstetrics
Study programme typeuniversity
Study levelintegrated undergraduate and graduate
Study programmeMedicine
Academic title abbreviationdr. med.
Genremaster's thesis
Language Croatian
Defense date2015
Parallel abstract (English)
Introduction: Normal body weight is the basis for optimal psychological and physical health. Body mass index (BMI) is used for the assessment of nutritional status. According to BMI, there are several categories of nutritional status: underweight, normal range, overweight and obesity. The mentioned categories carry certain health risks. One of them is the risk of adverse perinatal outcomes. Purpose: The purpose of this study was to determine the effect of maternal BMI before pregnancy on perinatal outcome of pregnant women received at the Department of Obstetrics and Gynecology, Clinical Hospital Center Rijeka, during the period from 1 January 2010 to 31 December 2014. Patients and methods: We analyzed a group of 14,779 pregnant women, based on data collected from the Register of Clinical Hospital Center Rijeka. Microsoft Excel and MedCalc software programs were used for analysis. Results: Women with a BMI <18 are more likely in the diagnosis of IUGR, premature birth and threatened abortion, giving birth <2500g, fetal deaths. Pregnant women with a BMI >25 are more likely to: GDM, gestational hypertension, preeclampsia, child acidosis at birth, premature birth, Apgar index ≤7, birth weight <2500g and ≥4000g. They are also in increased risk of fever, fetal and infant death, instrumental vaginal delivery and Caesarean section. Conclusion: In this retrospective analysis, it has been proven that women with a BMI <18 (underweight) and those with a BMI >25 (overweight and obese) are at high risk for perinatal complications.
Parallel keywords (Croatian)indeks tjelesne mase pothranjenost preuhranjenost pretilost perinatalne komplikacije
Resource typetext
Access conditionAccess restricted to students and staff of home institution
Terms of usehttp://rightsstatements.org/vocab/InC/1.0/
URN:NBNhttps://urn.nsk.hr/urn:nbn:hr:184:771558
CommitterBosa Licul