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P125 The relationship between maternal nutrition during pregnancy and hypertensive disorders
Poster presentations / International Journal of Gynecology & Obstetrics 107S2 (2009) S413–S729
incidence of caesarean section, postpartum and postoperative infections, postpartum haemorrhage and pulmonary embolism. Neonatal consequences of obesity include an increased rate of stillbirth, congenital anomalies and macrosomia. Materials and Methods: We examined 370 randomly chosen pregnant women hospitalized at the Institute for Gynaecology and Obstetrics, Clinical Centre of Serbia. Obesity was defined as BMI > 30, and it was found in 170 patients – obesity group. The Control group included 200 patients with BMI < 30. Results: Gestational diabetes mellitus was found in 30 obese patients (17.6%) and in 9 control patients (4.5%). Hypertensive disorders (pregnancy induced hypertension, preeclampsia) were found in 48 (28.2%) cases in obesity group and in 8 (4%) cases in control group. Foetal macrosomia was found in 37 obese patients (21.8%) and in 4 control patients (2%). Caesarean section was more frequent in obesity group (73 patients – 42.9%), elective in 24.7% and urgent in 18.2% of cases. In the control group, Caesarean section was performed in 49 patients – 24.5%, elective in 15%, and urgent in 9.5% of cases. Conclusions: Obese women should be considered as high-risk patients. Congenital anomaly screening should be performed, and foetal grow should be overlooked. It is recommended to determine delivery type beforehand. P124 Chosen parameters of umbilical cord morphology in pregnancies complicated with intrauterine growth retardation (IUGR) associated with pregnancy induced hypertension (PIH), smoking cigarettes or with idiopathic IUGR E. Milnerowicz-Nabzdyk, M. Zimmer, J. Tlolka, J. Michniewicz, A. Kryza, Z. Borowiec. Wroclaw Medical University Department of Gynecology, Obstetrics and Neonatology Objectives: The aim of the study was to compare umbilical cord morphology in physiological and intrauterine growth restricted (IUGR) pregnancies. Material and Methods: The ultrasound examination of fetal biometry and umbilical cord morphology parameters were performed in 110 pregnant women. 79 patient with IUGR complicated pregnancies were divided into three subgroups – 26 mothers presented with PIH, 28 were cigarette smokers during the pregnancy while 25 have idiopathic IUGR. 31 with uncomplicated pregnancies were evaluated into the control group. Umbilical cord morphology parameters estimated during the ultrasound examination were: diameters of umbilical cord, vein and artery, cross-section areas of umbilical cord, vein, artery and Warthon’s jelly. Results: 1. There is a high correlation between gestational age and vessels diameters and cross-section areas in control group. 2. Average correlation of umbilical cord diameter and gestational age in whole group of IUGR. 3. There is no association between vessels diameters, their crosssection areas and gestational age in group with IUGR. 4. No correlation between cross-section areas of umbilical cord and Wharton’s jelly and gestational age in whole group with IUGR, and high association of those parameters with subgroup of heavy smokers. 5. Significantly larger Wharton’s jelly cross-section area in subgroup of heavy smokers than in other subgroups, the smallest area of Wharton’s jelly in the subgroup with PIH. Conclusions: 1. Significantly smallest diameters and cross-section areas of umbilical cord and its vessels and slight correlation between each of these parameters and gestational age in PIH subgroup of IUGR. 2. Significantly higher volume of Wharton’s jelly in subgroup of heavy smokers with IUGR.
S447
The study is realize as a part of 2P05E06130 MEiN project. P125 The relationship between maternal nutrition during pregnancy and hypertensive disorders F. Mortazavi1 , A. Koshki, A. Akaberi. 1 Sabzevar University of Medical Sciences This study was conducted to evaluate any macronutrient and micronutrient deficiency associated with hypertensive disorders in the third trimester of pregnancy. Methods and Materials: In a case–control study of 200 women, 104 women with hypertensive disorders (17 with preeclampsia and 94 with gestational hypertension) and 96 with physiological pregnancies were evaluated by using a 24 hours diet recall and food frequency questionnaire. Results: The mean intake of all macronutrient and micronutrient in the case group were higher than the control group but most of them were lower than the RDA. There were no statistical differences between the two groups in calorie, protein, macronutrients and most of the micronutrients diet intake. Preeclamptic women received greater quantities of Ca, Mg, potassium and phosphor than the control group (P < 0.05). Logistic regression revealed that after controlling for BMI and calorie intake, only Ca had significant differences in two groups. BMI was the most powerful predictor of hypertensive disorders. The values of the means of BMI were 26.8±5.3 and 23.27±4.3 in the hypertensive and control groups respectively and they were significantly different between two groups (P < 0.001). Conclusion: There was no significant relationship between macronutrient and micronutrient diet intake and hypertensive disorders. Overweight women are at a higher risk of developing hypertensive disorders in the third trimester of pregnancy. P126 Frequencies of morbidities associated with cervical cerclage S. Mubasshir1 , S. Munim. 1 The Aga Khan University Hospital Karachi, Pakistan, 2 Objective: To determine the frequency of operative morbidities associated with cervical cerclage. Study design: Case Series conducted at Aga Khan University Hospital, Karachi, Pakistan. Sample size: All women undergoing cervical cerclage over one year period at the Aga Khan University Hospital were included in this study. The sample size consisted of 40 patients. Method and Subject: All women undergoing cervical cerclage at Aga Khan University hospital between March 2007 to April 2008 were included in this study. A prior informed consent was obtained. The information was taken using the pre-coded questionnaire. Results: The mean age of patients was 29.9 years (SD 4.43). The cerclage was applied at a mean gestational age of 15 weeks (SD 6). Three patients out of forty developed ruptured membranes after cervical cerclage constituting 7.5%. Also three patients developed fever (7.5%). Pregnancy loss occurred in three women undergoing cerclage. (7.5%) Twelve patients experienced Threatened Preterm labor constituting 30%. Conclusion: Cervical cerclage is an invasive procedure but the risk of complications like Preterm labor, rupture of membranes and chorioamnionitis is small. Therefore cervical cerclage can be offered in selected cases. P127 Asthma can be a problem in pregnancy V. Nallaswamy, S. Narayanan. Torbay Hospital, Torquay, UK Aims and Objectives: Asthma is a common condition which can become a problem in up to 4% of pregnant women. Case report: 36 yr old, para 3, 1 LSCS (1992), 2nd ventouse (1995), 3rd NVD (1998), administrative supervisor by profession, known
incidence of caesarean section, postpartum and postoperative infections, postpartum haemorrhage and pulmonary embolism. Neonatal consequences of obesity include an increased rate of stillbirth, congenital anomalies and macrosomia. Materials and Methods: We examined 370 randomly chosen pregnant women hospitalized at the Institute for Gynaecology and Obstetrics, Clinical Centre of Serbia. Obesity was defined as BMI > 30, and it was found in 170 patients – obesity group. The Control group included 200 patients with BMI < 30. Results: Gestational diabetes mellitus was found in 30 obese patients (17.6%) and in 9 control patients (4.5%). Hypertensive disorders (pregnancy induced hypertension, preeclampsia) were found in 48 (28.2%) cases in obesity group and in 8 (4%) cases in control group. Foetal macrosomia was found in 37 obese patients (21.8%) and in 4 control patients (2%). Caesarean section was more frequent in obesity group (73 patients – 42.9%), elective in 24.7% and urgent in 18.2% of cases. In the control group, Caesarean section was performed in 49 patients – 24.5%, elective in 15%, and urgent in 9.5% of cases. Conclusions: Obese women should be considered as high-risk patients. Congenital anomaly screening should be performed, and foetal grow should be overlooked. It is recommended to determine delivery type beforehand. P124 Chosen parameters of umbilical cord morphology in pregnancies complicated with intrauterine growth retardation (IUGR) associated with pregnancy induced hypertension (PIH), smoking cigarettes or with idiopathic IUGR E. Milnerowicz-Nabzdyk, M. Zimmer, J. Tlolka, J. Michniewicz, A. Kryza, Z. Borowiec. Wroclaw Medical University Department of Gynecology, Obstetrics and Neonatology Objectives: The aim of the study was to compare umbilical cord morphology in physiological and intrauterine growth restricted (IUGR) pregnancies. Material and Methods: The ultrasound examination of fetal biometry and umbilical cord morphology parameters were performed in 110 pregnant women. 79 patient with IUGR complicated pregnancies were divided into three subgroups – 26 mothers presented with PIH, 28 were cigarette smokers during the pregnancy while 25 have idiopathic IUGR. 31 with uncomplicated pregnancies were evaluated into the control group. Umbilical cord morphology parameters estimated during the ultrasound examination were: diameters of umbilical cord, vein and artery, cross-section areas of umbilical cord, vein, artery and Warthon’s jelly. Results: 1. There is a high correlation between gestational age and vessels diameters and cross-section areas in control group. 2. Average correlation of umbilical cord diameter and gestational age in whole group of IUGR. 3. There is no association between vessels diameters, their crosssection areas and gestational age in group with IUGR. 4. No correlation between cross-section areas of umbilical cord and Wharton’s jelly and gestational age in whole group with IUGR, and high association of those parameters with subgroup of heavy smokers. 5. Significantly larger Wharton’s jelly cross-section area in subgroup of heavy smokers than in other subgroups, the smallest area of Wharton’s jelly in the subgroup with PIH. Conclusions: 1. Significantly smallest diameters and cross-section areas of umbilical cord and its vessels and slight correlation between each of these parameters and gestational age in PIH subgroup of IUGR. 2. Significantly higher volume of Wharton’s jelly in subgroup of heavy smokers with IUGR.
S447
The study is realize as a part of 2P05E06130 MEiN project. P125 The relationship between maternal nutrition during pregnancy and hypertensive disorders F. Mortazavi1 , A. Koshki, A. Akaberi. 1 Sabzevar University of Medical Sciences This study was conducted to evaluate any macronutrient and micronutrient deficiency associated with hypertensive disorders in the third trimester of pregnancy. Methods and Materials: In a case–control study of 200 women, 104 women with hypertensive disorders (17 with preeclampsia and 94 with gestational hypertension) and 96 with physiological pregnancies were evaluated by using a 24 hours diet recall and food frequency questionnaire. Results: The mean intake of all macronutrient and micronutrient in the case group were higher than the control group but most of them were lower than the RDA. There were no statistical differences between the two groups in calorie, protein, macronutrients and most of the micronutrients diet intake. Preeclamptic women received greater quantities of Ca, Mg, potassium and phosphor than the control group (P < 0.05). Logistic regression revealed that after controlling for BMI and calorie intake, only Ca had significant differences in two groups. BMI was the most powerful predictor of hypertensive disorders. The values of the means of BMI were 26.8±5.3 and 23.27±4.3 in the hypertensive and control groups respectively and they were significantly different between two groups (P < 0.001). Conclusion: There was no significant relationship between macronutrient and micronutrient diet intake and hypertensive disorders. Overweight women are at a higher risk of developing hypertensive disorders in the third trimester of pregnancy. P126 Frequencies of morbidities associated with cervical cerclage S. Mubasshir1 , S. Munim. 1 The Aga Khan University Hospital Karachi, Pakistan, 2 Objective: To determine the frequency of operative morbidities associated with cervical cerclage. Study design: Case Series conducted at Aga Khan University Hospital, Karachi, Pakistan. Sample size: All women undergoing cervical cerclage over one year period at the Aga Khan University Hospital were included in this study. The sample size consisted of 40 patients. Method and Subject: All women undergoing cervical cerclage at Aga Khan University hospital between March 2007 to April 2008 were included in this study. A prior informed consent was obtained. The information was taken using the pre-coded questionnaire. Results: The mean age of patients was 29.9 years (SD 4.43). The cerclage was applied at a mean gestational age of 15 weeks (SD 6). Three patients out of forty developed ruptured membranes after cervical cerclage constituting 7.5%. Also three patients developed fever (7.5%). Pregnancy loss occurred in three women undergoing cerclage. (7.5%) Twelve patients experienced Threatened Preterm labor constituting 30%. Conclusion: Cervical cerclage is an invasive procedure but the risk of complications like Preterm labor, rupture of membranes and chorioamnionitis is small. Therefore cervical cerclage can be offered in selected cases. P127 Asthma can be a problem in pregnancy V. Nallaswamy, S. Narayanan. Torbay Hospital, Torquay, UK Aims and Objectives: Asthma is a common condition which can become a problem in up to 4% of pregnant women. Case report: 36 yr old, para 3, 1 LSCS (1992), 2nd ventouse (1995), 3rd NVD (1998), administrative supervisor by profession, known