Maternal Obezitenin Anne-Bebek Sağlığına Etkileri: Sistematik Derleme ve Meta-Analiz

Yıl 2023, Cilt: 7 Sayı: 2, 305 - 330, 31.05.2023

Döndü Kurnaz , Zekiye Karaçam

https://doi.org/10.46237/amusbfd.1224641

Cited By: 3

Öz

Amaç: Bu çalışma, birincil çalışmalara dayalı olarak, maternal obezitenin anne-bebek sağlığına etkilerinin belirlemesi amacı ile yapılmıştır.
Yöntem: Sistematik derleme ve meta-analiz niteliğinde olan bu çalışmada, PRISMA kontrol listeleri kullanılmıştır. Çalışma için taramalar Eylül-Ekim 2021 tarihlerinde yapılmış ve Aralık 2022’de güncellenmiştir. Taramalar, PubMed, MEDLINE, theCochrane Library, EBSCO, Web of Science, Ulusal Tez MerkeziveDergiPark arama motorlarından yapılmıştır. Taramalarda obesity* AND (pregnancy*OR “babieshealth” OR “maternalHealth” OR management) kelime ve kelime grupları kullanılmıştır. Araştırmaların metodolojik kalitesi, JoannaBriggsInstitute tarafından geliştirilen “Kritik Değerlendirme Kontrol Listeleri” ile değerlendirilmiştir. Veriler meta-analiz yöntemleri ile sentez edilmiştir.
Bulgular: Çalışmaya 2013-2022 yıllarında yayımlanmış 38araştırma dahil edilmiştir. Araştırmaların toplam örneklem hacmi 784265’tir. Yapılan meta-analizlerde maternal obezitenin istatistiksel olarak anlamlı bir şekilde, gestasyonel diyabet oluşumunu 4.09 kat (z=12.07, p<0.00001), gebelikte hipertansiyonu 4.83 kat (z=11.25, p<0.00001) ve preeklampsiyi ise3.34 kat (z=37.91, p<0,00001) arttırdığı saptanmıştır. Ayrıca maternal obezitenin sezaryen doğum, doğumda indüksiyon kullanımı, bebeğin doğum ağırlığı, preterm doğum, gebelik ayına göre iri bebek, makrozomi ve postpartum kanama gelişme olasılığını istatistiksel olarak anlamlı bir şekilde arttırdığı, spontan vajinal doğum vegebelik ayına göre küçük bebek olasılığını azalttığı saptanmıştır.
Sonuç: Bu çalışmada, maternal obezitenin anne-bebek sağlığı ile ilgili birçok parametrede olumsuz sonuçları olduğu sonucuna ulaşılmıştır. Kadınların gebeliğe normal kilo ile başlamalarının ve gebelik sürecinde maternal obezitenin yönetiminin sağlanması, anne-bebek sağlığının gelişimine katkıda bulunulabilir

Anahtar Kelimeler

Anne sağlığı, Bebek sağlığı, Gebelik, Maternal obezite

Destekleyen Kurum

Destekleyen bir kurum bulunmamaktadır

Effects of Maternal Obesity on Maternal-Infant Health: Systematic Review and Meta-Analysis

Öz

Objective: This study was conducted with the aim of determining the effects of maternalobesity on mother-infant healthbased on primary studies.
Method: This study was made following the PRISMA Statement. Scans were performed between September and October 2021 and updated in December 2022. Searc hes were made from the PubMed, National Thesis Centre, DergiPark, MEDLINE, Cochrane Library and EBSCO searchengines. Themethodologicalquality of studieswasevaluatedwith Critical Evaluation Checklists, developedby Joanna Briggs Institute Data were synthesized using meta-analysis methods.
Results: For this study, the results of 38 studies published in 2013-2022 were compiled. The total sample size of the studies is 784265. In the meta-analyses, it was found that maternal obesity in creased the risk of developing gestational diabetes 4.09 times (z=12.07, p<0.00001), hypertension during pregnancy 4.83 times (z=11.25, p<0.00001), and preeclampsia 3.34 times (z=37.91, p<0.00001) in a statistically significant way. Inaddition, it was found that cesarean, section increased the probability of birth induction, birth weight, preterm birth, large baby for gestational age, macrosomia, postpartum hemorrhage, and statistically significantly decreased the probability of spontaneous vaginal delivery and small baby for gestational age.
Conclusion: In this study, it was revealed that maternal obesity has negative consequences in many parameters related to mother-infant health. Ensuring that women start pregnancy with a normal weight and management of maternal obesity during pregnancy can contribute to the development of mother-infant health.

Anahtar Kelimeler

Maternal health, Infant health, Pregnancy, Maternal obesity

Kaynakça

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