RESUMEN
Objectives: This study aimed to determine the prevalence of early pregnancy obesity among Omani women and to review maternal antenatal complications, intrapartum and postpartum events and neonatal complications among such women in comparison to women of normal weight
Methods: This retrospective cohort study included 2,652 pregnant Omani women who delivered at the Royal Hospital, Muscat, Oman, between November 2011 and April 2012. The patients' electronic medical records were reviewed for antenatal, intrapartum and postpartum data. Body mass index was measured during the first trimester [
Results: In the study cohort, there were 901 [34%] obese women and 912 [34.4%] women of normal weight; of these, 440 [48.8%] and 672 [73.7%] had uncomplicated pregnancies, respectively. Obese women had a significantly increased incidence of gestational diabetes [relative risk [RR]: 2.23; 95% confidence interval [CI]: 1.70-2.92; P <0.01], gestational hypertension [RR: 3.04; 95% CI: 1.63-5.65; P <0.01], Caesarean delivery [RR: 1.48; 95% CI: 1.08-2.03; P <0.01], postpartum haemorrhage [RR: 2.10; 95% CI: 1.11-4.10; P = 0.01] and fetal macrosomia [RR: 2.71; 95% CI: 1.21-6.09; P <0.01]
Conclusion: Approximately one-third of the studied Omani women were obese. These women had a significantly increased risk of various maternal antenatal complications, intrapartum and postpartum events and neonatal complications
RESUMEN
Objectives: Non-invasive methods of inducing a miscarriage are now considered an effective alternative to surgical evacuation [dilatation and curettage]. This study aimed to evaluate the effectiveness of misoprostol in the termination of first-trimester miscarriages
Methods: This prospective study was conducted between October 2009 and September 2010 and assessed all patients admitted to the Royal Hospital in Muscat, Oman, for the termination of first-trimester miscarriages during the study period. All patients received misoprostol and the rates of successful termination were measured. Patient satisfaction was assessed using a short questionnaire
Results: A total of 290 women were included in the study. Termination with misoprostol was successful in 61.38% of the subjects. Of the remaining subjects requiring additional surgical evacuation [n = 112], 58.93% required evacuation due to failed termination with misoprostol and 65.18% underwent early evacuation [
Conclusion: Misoprostol was a well-tolerated drug which reduced the rate of surgical evacuation among the study subjects. This medication can therefore be used safely in the management of incomplete miscarriage