The effect of maternal obesity on maternal and neonatal health

The aim was to investigate the effect of maternal obesity on maternal and neonatal health. The study was made as case-control study between the dates March 2015 – August 2016 in woman after childbirth service of İskenderun State Hospital. The womans in testing were separated into two groups as normal weight according to before pregnant body mass index (control group n=144) and obese (case group n= 142 ) and the study was completed with 286 women in total. Data were collected with'Data Collection Form and Edinburgh Postpartum Depression' scale. Data collection forms were completed with method face to face meeting with puerperant, some data were completed with taking from patient files and with telephone meeting after 6 weeks later from birth. Complementary statistics were used for data analysis; Chi square test, Student t test, Fisher-Freeman Halton test, Fisher's Exact test and Yates' Corrected Chi square test. It was determined that average of obese women is higher than women of control group about age, pregnancy, count of living child and average of obese women is lower than women of control group about education level, average of birthday week (p<0,05). It was determined that women of obese group is living process higher rate about pregnancy, early and late term complications after birth according to control group (p<0,05). There is no differance between groups about risk of depression after birth the end of 6 weeks (p>0,05). Caesarean rate is high for newborns of both groups women. There is no statistics differance about birth forms, starting breastfeed of newborns in first half hour, concerning complication of newbirth (p>0,05). It was determined 1. minutes and 5. minutes Apgar score of newbirth of obese women are lower (p<0,05). As a result, problems of obese women are higher rate according to women with normal kilos in terms of antenatal and postpartum. It can be adviced examination from preconceptional period for the women whom are expecting a baby and making service training and advising for obese women.