[250-POS]: Pregnancy outcomes of XXXX @entity101 gravidas.

@entity1 @entity101 @entity28 @entity1592 @entity1468 @entity8455
OBJECTIVES: The @entity28 epidemic is of increasing obstetrical concern as these @entity1 are more likely to be @entity101 prior to pregnancy and experience adverse outcomes. The purpose of this study was to examine the perinatal outcomes of conventionally managed @entity28 gravidas with preexisting @entity101 to management guided by hemodynamics obtained from impedance cardiography. METHODS: The Cabell-Huntington Hospital maternal and neonatal charts of all @entity1 hemodynamically evaluated using impedance cardiography weighing 300lbs (136kg) or more (58 study @entity1 ) were reviewed; controls were the most recently delivered 90 @entity1 of similar weight with (n=17) and without (n=73) preexisting @entity101 . Differences demographic, pregnancy and delivery data were assessed by one-way ANOVA for continuous variables and Chi-square analysis for categorical data. RESULTS: There was no difference in age, weight, or BMI or route of delivery. Although delivering at term, the treated @entity1 delivered 12 days earlier. There was no difference in the mean birth weight percentile and rates of @entity1592 and @entity8455 were similar. Conventionally treated @entity101 @entity28 gravidas spent more days in the hospital as did their @entity1 , possibly because the incidence of severe @entity1468 was higher (23% vs 6%) than in those whose antihypertensive therapy was hemodynamically directed. CONCLUSIONS: Obesity is a known risk factor for @entity101 disorders of pregnancy; in @entity28 @entity1 with preexisting @entity101 the risk is markedly higher. In @entity28 @entity1 with preexisting @entity101 , hemodynamically-guided treatment results in fewer cases of severe @entity1468 and fewer maternal and neonatal hospital days. D.G. Chaffin: Commercial Interest: MIST, LLC. J. Granger: None.
