Excess weight and dyslipidemia and their complications during pregnancy: a systematic review

• Main Authors: Iramar Baptistella do Nascimento, Willian Barbosa Sales, Raquel Fleig, Grazielle Dutra da Silva, Jean Carl Silva
• Format: Article
• Language: English
• Published: Instituto Materno Infantil de Pernambuco
• Series: Revista Brasileira de Saúde Materno Infantil
• Subjects: Lipids; Pregnancy; Obesity; Infant; newborn
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292016000200093&lng=en&tlng=en

Abstract Objectives: to identify bibliographically disorders related to excess weight, dyslipidemia and their complication during pregnancy and in the fetus and newborn. Methods: a systematic review including observational and interventional studies and reviews, based on MEDLINE, LILACS, Embase and the Cochrane Library between 2000 and 2015. The key-words "lipids, pregnancy, obesity and newborn" were used to establish a selective stage for inclusion/exclusion of titles, repeated studies, key-words, abstracts, methodological incompatibility and correlation with objectives. Results: 58 studies were selected, of which 36 (62%) addressed prevention and the risk in pregnancy of excess weight and lipid disorders and 19 (32.7%) suggestions and/or consequences for the fetus and newborn. Conclusions: excess weight and lipidemic disorders in pregnancy are causes for concern in scientific studies, posing risks both for the mother and the newborn. Higher prevalence of caesarian and pre-eclampsia were the two most noteworthy complications for gestational outcomes. In short, the impact on care of maternal habits and excess weight during pregnancy is highly significant, owing to the different degrees of complication in obstetric outcomes and their influence on the clinical characteristics of the newborn.