Browsing by Author "Trisovic, M. (55553796400)"

Aim: The analyze the potential influence between obesity in pregnancy and the abdominal delivery-cesarean section and to establish the possibility of its prevention. Materials and Methods: A prospective study examined 200 patients, delivered by cesarean section in a oneyear period. The study included a structured questionnaire; the body weight at the end of pregnancy was measured and it was analyzed against all available medicine documentation. Statistical analysis included: x2 test, Student's t-test, and Fisher's test, as well the Pearson's and Spearman's test of correlation rank. Results: From all 200 (100%) patients delivered by cesarean section, 67 (33.5%) were overweight and obese. Body mass index at the beginning of pregnancy was significantly associated with cesarean section (x2 = 69.141;p < 0.001), along with the appearance of eventual pregnancy complications, and also with the neonatal birth weight (p = 0.224;/p < 0.001). Conclusion: The nutritive status, both at the beginning and at the end of pregnancy is the important factor for the pregnancy outcome.

Aim: Determining the prevalence of metabolic syndrome (MS) in the tested sample of pregnant women in the second and third trimesters of pregnancy, as well as the prognostic significance of MS in assessing the course and outcome of pregnancy. Materials and Methods: Prospective cohort study included 135 pregnant women after 24 0/7 weeks of pregnancy, hospitalized in the period from the January 1st, 2014 until September 30th, 2014. Data analysis included descriptive and analytical methods. Results: After assessment of possible confounding effect of age the authors confirmed that women with MS were 1,685-fold more likely give birth by caesarean section (OR = 1.685, p = 0.048), that it was a statistically significant prognostic factor in the earlier weeks of delivery (p = 0.001), and that it was statistically significant prognostic factor of lower Apgar scores in infants (p = 0.003). Conclusion: The early detection of MS during pregnancy reduces perinatal morbidity and is an important factor for the pregnancy outcome. © 2019 S.O.G. CANADA Inc.. All rights reserved.