Maternal obesity Maternal and Neonatal Outcomes and Postpartum Recovery Quality: Two Case Reports

Abstract

Objective: To evaluate the maternal and neonatal outcomes of pregnant women with maternal obesity and to determine the effect of maternal obesity on the quality of postpartum recovery. Materials and Methods: Data were collected using a personal information form and the Quality of Postpartum Recovery Scale (WHRQoS). Two pregnant women who had a full-term, singleton, live pregnancy, with a Body Mass Index (BMI) above 30.0, one with a normal birth and one with a cesarean section, were interviewed during the intrapartum and postpartum processes. Case 1: She was 24 years old, had a gestational age of 38+4, gave birth via normal vaginal delivery and had a BMI of 36.7. The baby's birth weight was 3215 gr, 1st minute Apgar score was 8; 5th minute Apgar score was 9. Postpartum 1st hour blood sugar was 88; WHRQoS score was 90. Case 2: She was 30 years old, gestational age 39, delivered by cesarean section and BMI was 37.2. The baby's birth weight was 3335 gr, 1st minute Apgar score was 8; 5th minute Apgar score was 9. Postpartum 1st hour blood sugar was 117; WHRQoS score was 61. Conclusion: Gestational diabetes mellitus, a complication of maternal obesity during pregnancy, was diagnosed in pregnant women and oxygen support was provided to both babies after birth. Postpartum recovery score was considerably lower in mothers who delivered by cesarean section compared to mothers who delivered normally. This situation is thought to be due to the burden of obesity along with the difficulties experienced after a surgical operation.