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P915 Prevalence of obesity in a tertiary hospital in the UK
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Poster presentations / International Journal of Gynecology & Obstetrics 107S2 (2009) S413–S729
gestational weight were found in 90%, but this value decrease to 58% in actual evaluation, keeping place to underweight (18%) and overweight (24%). Energy ingestion among the group was high (4,666±1,353 kcal/day), and diet tends to be hiperproteic for 35% of adolescents, with adequate proportions of carbohydrates and lipids. Habitual diet was lower in iron and folate (for 87%) and in vitamin A, B6 and zinc (for 30%). Sodium intake was higher than recommendations for all adolescents. Our data suggests that biologic maturation can be useful in nutritional evaluation and that, despite high energy ingestion, habitual diet of pregnant adolescents does not achieve their nutritional needs. P912 Pap smear’s pattern and its barriers among women in Kashan city 2005–2006 F. Saberi, Z. Sadat, M. Abedzadeh Background: It is estimated only 5% of women in developing countries participate in screening programs. Whereas there is no enough information and published about Pap smear’s pattern and causes of lack of use this test among some Kashanian women, this study performed that base on determined barriers be act for this important health behavior. Materials and Methods: This is descriptive Epidemiological study that performed on 1000 women by cluster sampling. Any unit study was a Kashanian woman that aged 15–75, at least one time had got married and passed one year of her marriage. Data collected by fill of questioner by interview with woman and then analyzed by statistical tests. Results: Findings showed mean age women was 36.3±10.4, 92.7% were housekeeper, the most of them had got married at the age of 15–19 (61.5%), twice had became pregnant (21.5%) and were using of withdrawal method for contraception (44.8%). 800 of 1000 women performed at least one time Pap smear and the most of them reported the first of Pap smear at the age of 25–29 (28.9±8.9), 20.7% was performed Pap smear for the first time 3–5years after marriage. 37.4% have had only one Pap smear test. In addition the cause of irregular or lack of Pap smear screening in 39.9% was lack of knowledge of importance and necessity of screening and then was feeling shame and shyness when they go to clinic (26.3%). Conclusion: In base on results this study, to seem the Kashanian women need to education and consultation for screening on time and with standard interval. P915 Prevalence of obesity in a tertiary hospital in the UK 1
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A. Yagoub , V. Menon , L. Badek. O&G, Royal Shrewsbury Hospital, UK, 2 O&G, University Hospital of North Staffordshire, UK Objectives: – To study the prevalence of Obesity/morbid obesity in patients presenting to our department. – To compare the prevalence of obesity/morbid obesity in our department to the national prevalence. – To highlight the complications implications of obesity. – To work out some form of guidelines for obese/morbidly obese patients in our department. Methodology: – Prospective study of BMI in the O&G Department in the University Hospital of North Staffordshire between January-February 2007. – 313 consecutive patients recruited into the study as follows: • 207 antenatal booking patients. • 106 newly referred patients to Gynae Outpatient Department. – A simple proforma generated for data collection. – Computer analysis of the data using Excel. Results: – Antenatal Clinic (ANC) Results: • 23% obesity (BMI>30) compared to 11% nationally.
• 50% of patients were between the age of 26–35 years. • 72% of patients were multiparous. • 23% were obese in the age group 15–25 years. • 22% were obese in the age group 26–35 years. • 27% were obese in the age group >35 years. • 19% of the nulliparous were obese. • 24% of the multiparous were obese. – Gynae Outpatient (GOPD) Results: • 31% of patients attended GOPD were obese (BMI>30). • 71% of patients attended GOPD were >35 years. • 76% of patients attended GOPD were multiparous. • 33% of patients presented with abnormal menstrual bleeding, 20% of whom were obese in the menorrhagia group and 57% obesity in the metrorrhagia group. • 22% of patients presented with post menopausal bleeding, 50% of whom were obese. • 14% of patients presented with pelvic organ prolapse, 25% of whom were obese. • 8% of patients presented with chronic pelvic pain. • 3% of patients presented with infertility. • 32% were obese in the age group 15–25 years. • 13% were obese in the age group 26–35 years. • 33% were obese in the age group >35 years. • 28% of the nulliparous were obese. • 31% of the multiparous group were obese. Conclusion: More than half of ANC patients were overweight or obese. Prevalence of obesity is different with each age group. It is 23% in the youngest, 22% in the middle aged and 27% in the women above 35. Obesity is prevalent in 19% of Nulliparous and 24% of Multiparous. Almost 60% of OPD patients were found to be overweight or obese. BMI increases with age – 65% of women after 35 years of age were overweight or obese. There is higher prevalence of obesity in the Multiparous, however, more Nulliparous women were found to be overweight. Three quarters of patients with prolapse had increased BMI. More than a half of patients with heavy periods had increased BMI. More than 70% of patients with irregular periods had increased BMI. Almost 50% of patients with PMB are obese. Of note is that almost every fifth woman is morbidly obese. Local Guidelines for obese/morbidly obese patients were developed following this study. These form part of this presentation. P916 Quality of life in pregnant women: results from Kashan, Iran F. Abbaszadeh, M. Kafaei, N. Sarafraz, A. Baghery. Iran Objectives: Pregnancy period is associated with numerous mental and physical changes in woman. Even throughout a normal pregnancy, the ability to perform usual roles is affected. These changes are likely to be associated with a reduced quality of life. The purpose of this study was to assess the quality of life in pregnant wemen in Kashan, Iran. Materials and Methods: We conducted a descriptive-analytical cross sectional study on pregnant women receiving prenatal care in the Health Medical Centers of Kashan University of Medical Sciences, Iran. The participants completed the Short Form Health Survey to assess quality of life during antenatal visit. Results: The lowest score of life quality was obtained in functional limitations due to physical health problems (56.23 18.77) and vitality (56.40 18.07). Some dimensions of health in SF-36 is correlated with age, gestational age, gravid, education, income, wanted and unwanted pregnancy and satisfactory of living (P < 0.05). Conclusion: Paying attention to factors negatively affecting quality of life dimensions during pregnancy and planning to reduce the impact of them may result in enhancing the quality of life among pregnant women.
Poster presentations / International Journal of Gynecology & Obstetrics 107S2 (2009) S413–S729
gestational weight were found in 90%, but this value decrease to 58% in actual evaluation, keeping place to underweight (18%) and overweight (24%). Energy ingestion among the group was high (4,666±1,353 kcal/day), and diet tends to be hiperproteic for 35% of adolescents, with adequate proportions of carbohydrates and lipids. Habitual diet was lower in iron and folate (for 87%) and in vitamin A, B6 and zinc (for 30%). Sodium intake was higher than recommendations for all adolescents. Our data suggests that biologic maturation can be useful in nutritional evaluation and that, despite high energy ingestion, habitual diet of pregnant adolescents does not achieve their nutritional needs. P912 Pap smear’s pattern and its barriers among women in Kashan city 2005–2006 F. Saberi, Z. Sadat, M. Abedzadeh Background: It is estimated only 5% of women in developing countries participate in screening programs. Whereas there is no enough information and published about Pap smear’s pattern and causes of lack of use this test among some Kashanian women, this study performed that base on determined barriers be act for this important health behavior. Materials and Methods: This is descriptive Epidemiological study that performed on 1000 women by cluster sampling. Any unit study was a Kashanian woman that aged 15–75, at least one time had got married and passed one year of her marriage. Data collected by fill of questioner by interview with woman and then analyzed by statistical tests. Results: Findings showed mean age women was 36.3±10.4, 92.7% were housekeeper, the most of them had got married at the age of 15–19 (61.5%), twice had became pregnant (21.5%) and were using of withdrawal method for contraception (44.8%). 800 of 1000 women performed at least one time Pap smear and the most of them reported the first of Pap smear at the age of 25–29 (28.9±8.9), 20.7% was performed Pap smear for the first time 3–5years after marriage. 37.4% have had only one Pap smear test. In addition the cause of irregular or lack of Pap smear screening in 39.9% was lack of knowledge of importance and necessity of screening and then was feeling shame and shyness when they go to clinic (26.3%). Conclusion: In base on results this study, to seem the Kashanian women need to education and consultation for screening on time and with standard interval. P915 Prevalence of obesity in a tertiary hospital in the UK 1
2
1
A. Yagoub , V. Menon , L. Badek. O&G, Royal Shrewsbury Hospital, UK, 2 O&G, University Hospital of North Staffordshire, UK Objectives: – To study the prevalence of Obesity/morbid obesity in patients presenting to our department. – To compare the prevalence of obesity/morbid obesity in our department to the national prevalence. – To highlight the complications implications of obesity. – To work out some form of guidelines for obese/morbidly obese patients in our department. Methodology: – Prospective study of BMI in the O&G Department in the University Hospital of North Staffordshire between January-February 2007. – 313 consecutive patients recruited into the study as follows: • 207 antenatal booking patients. • 106 newly referred patients to Gynae Outpatient Department. – A simple proforma generated for data collection. – Computer analysis of the data using Excel. Results: – Antenatal Clinic (ANC) Results: • 23% obesity (BMI>30) compared to 11% nationally.
• 50% of patients were between the age of 26–35 years. • 72% of patients were multiparous. • 23% were obese in the age group 15–25 years. • 22% were obese in the age group 26–35 years. • 27% were obese in the age group >35 years. • 19% of the nulliparous were obese. • 24% of the multiparous were obese. – Gynae Outpatient (GOPD) Results: • 31% of patients attended GOPD were obese (BMI>30). • 71% of patients attended GOPD were >35 years. • 76% of patients attended GOPD were multiparous. • 33% of patients presented with abnormal menstrual bleeding, 20% of whom were obese in the menorrhagia group and 57% obesity in the metrorrhagia group. • 22% of patients presented with post menopausal bleeding, 50% of whom were obese. • 14% of patients presented with pelvic organ prolapse, 25% of whom were obese. • 8% of patients presented with chronic pelvic pain. • 3% of patients presented with infertility. • 32% were obese in the age group 15–25 years. • 13% were obese in the age group 26–35 years. • 33% were obese in the age group >35 years. • 28% of the nulliparous were obese. • 31% of the multiparous group were obese. Conclusion: More than half of ANC patients were overweight or obese. Prevalence of obesity is different with each age group. It is 23% in the youngest, 22% in the middle aged and 27% in the women above 35. Obesity is prevalent in 19% of Nulliparous and 24% of Multiparous. Almost 60% of OPD patients were found to be overweight or obese. BMI increases with age – 65% of women after 35 years of age were overweight or obese. There is higher prevalence of obesity in the Multiparous, however, more Nulliparous women were found to be overweight. Three quarters of patients with prolapse had increased BMI. More than a half of patients with heavy periods had increased BMI. More than 70% of patients with irregular periods had increased BMI. Almost 50% of patients with PMB are obese. Of note is that almost every fifth woman is morbidly obese. Local Guidelines for obese/morbidly obese patients were developed following this study. These form part of this presentation. P916 Quality of life in pregnant women: results from Kashan, Iran F. Abbaszadeh, M. Kafaei, N. Sarafraz, A. Baghery. Iran Objectives: Pregnancy period is associated with numerous mental and physical changes in woman. Even throughout a normal pregnancy, the ability to perform usual roles is affected. These changes are likely to be associated with a reduced quality of life. The purpose of this study was to assess the quality of life in pregnant wemen in Kashan, Iran. Materials and Methods: We conducted a descriptive-analytical cross sectional study on pregnant women receiving prenatal care in the Health Medical Centers of Kashan University of Medical Sciences, Iran. The participants completed the Short Form Health Survey to assess quality of life during antenatal visit. Results: The lowest score of life quality was obtained in functional limitations due to physical health problems (56.23 18.77) and vitality (56.40 18.07). Some dimensions of health in SF-36 is correlated with age, gestational age, gravid, education, income, wanted and unwanted pregnancy and satisfactory of living (P < 0.05). Conclusion: Paying attention to factors negatively affecting quality of life dimensions during pregnancy and planning to reduce the impact of them may result in enhancing the quality of life among pregnant women.