摘要：Tables Authors N.P. Ahounkeng 123 * É.T. Mboudou 1 C.R. Adjoby 23 N.Z. Rakotomalala 23 P. Foumane 1 S.J. Dohbit 1 É. Nshimirimana 23 1 Université de Yaoundé I, Faculté de médecine et des Sciences biomédicales, Maternité de l’Hôpital gynéco obstétrique et pédiatrique de Yaoundé, Cameroun 2 Université Jules Verne de Picardie, Faculté de Médecine d’Amiens, France 3 Maternité du Centre Hospitalier de Creil, 100 boulevard Laennec, 60100 Creil, France * Correspondance Key words: Excessive weight gain, macrosomia, cesarean section, Apgar score DOI : 10.1684/mst.2014.0290 Page(s) : 63-7 Published in: 2014 Excessive weight gain (EWG) during pregnancy can cause maternal and fetal complications. It has not yet been studied in our social environment, however. Objectives:Our study aimed to describe maternal and fetal outcome in women gaining excessive weight during pregnancy in Cameroon. Methodology:This cross-sectional descriptive study took place over a two-month period. Women were interviewed after delivery and grouped in two categories: those who did and did not have EWG during pregnancy. The complications due to EWG were analyzed. Results:The frequency of EWG in pregnancy was 35.5%. The incidence of high blood pressure was 9.8% for patients with EWG, and 6% for those with normal weight gains (P = 0.301). The mean birth weight of the babies of women with EWG was 3,433 g, significantly higher than the 3,103.7 g (P = 0.001) of the babies in the other group. Patients with EWG had significantly fewer babies with low birth weight (P<0.05) and significantly more with macrosomia (P<0.01). The cesarean rate was higher, but not significantly so, for women with EWG (23.2% vs 16.1%, P = 0.187); this was the case as well for postpartum hemorrhage and (1- and 5-min) Apgar scores as well. Conclusion:EWG is associated with a higher incidence of macrosomia, but does not significantly increase the rate of cesarean births or modify the Apgar scores.
