Gunes Sezgin, Sahin Suzan, Koyuncu Arslan Meltem, Korkmaz Nurhan, Karaca Dag Ozlem, Gokalp Emir, Saban Hazal, Koca Mehmet, Oncel Mehmet Yekta
Department of Pediatrics, Division of Neonatology, Izmir City Hospital, Izmir, Turkey.
Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Izmir Democracy University, Ataturk Mh. Hoca Ahmet Yesevi Cd. No:42-44, Buca/Izmir, PC: 35390, Turkey.
BMC Pediatr. 2025 Jan 14;25(1):30. doi: 10.1186/s12887-024-05381-y.
Overweight and obesity are global issues, especially among women of childbearing age, linked to adverse maternal and neonatal outcomes. These risks vary by age, race, and ethnicity, with increasing rates among immigrant and minority women. This study compares overweight and obesity rates, pregnancy weight gain, and neonatal outcomes in Turkish and Syrian immigrant/refugee women.
In this retrospective study, at Buca Seyfi Demirsoy Hospital in Izmir, Turkey a total of 1353 mother-infant pairs were checked for eligibility. Of the entire cohort of 1353 mother-infant pairs, 323 pairs with complete medical records were included. The primary outcome was rate of pregestational obesity or overweight as secondary outcomes were weight gain during pregnancy and adherence to guidelines, neonatal outcomes according to different BMI categories and possible impact of maternal weight gain on neonatal morbidities in two different ethic populations.
Of the 323 mother-infant pairs, overweight/obese mothers had higher birth weights and cesarean-section rates. Syrian mothers were more likely to gain less weight than recommended. Neonatal outcomes, such as hospitalization and SGA/LGA birth rates, were similar across groups, with varying compliance to weight gain guidelines.
Pre-pregnancy BMI and gestational weight gain significantly affect some of the neonatal outcomes. High obesity rates and ethnic disparities highlight the need for culturally tailored prenatal care to improve maternal and neonatal health, especially in immigrant populations. Further research with larger, diverse cohorts is needed.
超重和肥胖是全球性问题，在育龄妇女中尤为突出，与不良的孕产妇和新生儿结局相关。这些风险因年龄、种族和民族而异，移民妇女和少数族裔妇女的发生率呈上升趋势。本研究比较了土耳其和叙利亚移民/难民妇女的超重和肥胖率、孕期体重增加情况以及新生儿结局。
在这项回顾性研究中，在土耳其伊兹密尔的布卡·塞菲·德米尔索伊医院对总共1353对母婴进行了资格检查。在1353对母婴的整个队列中，纳入了323对有完整病历的母婴。主要结局是孕前肥胖或超重率，次要结局是孕期体重增加情况和遵循指南情况、根据不同BMI类别划分的新生儿结局以及孕产妇体重增加对两个不同种族人群新生儿发病率的可能影响。
在323对母婴中，超重/肥胖母亲的新生儿出生体重和剖宫产率更高。叙利亚母亲体重增加不足的可能性更大。不同组之间的新生儿结局，如住院率和小于胎龄儿/大于胎龄儿出生率相似，但遵循体重增加指南的情况各不相同。
孕前BMI和孕期体重增加显著影响一些新生儿结局。高肥胖率和种族差异凸显了需要提供针对不同文化背景的产前护理，以改善孕产妇和新生儿健康，尤其是在移民人群中。需要对更大、更多样化的队列进行进一步研究。
