Pregnancy complications and outcomes among ; overweight and obese women
Annals Abbassi Shaheed Hospital and Karachi Medical and Dental College. 2012; 17 (2): 38-43
in English
| IMEMR
| ID: emr-139831
ABSTRACT
The study aimed to understand the relationship between maternal BMI and pregnancy complications and outcomes. This is a cross sectional study that was carried out at Sobhraj Maternity Hospital, Karachi from 1st May 2010 to 30th April 2011. A total of 608 women with accurate information regarding BMI recorded at booking visit [before 14weeks] and singleton pregnancy with cephalic presentation at 37 weeks or more admitted for delivery were re-cruited. These women were studied in three groups according to their BMI at booking visit [before 14 weeks]. Group I included 202 normal weight women with BMI 20 -24.9, Group II included 202 overweight women with BMI 25 -29.9 and Group III included 204 obese women with BMI > 30. Maternal adverse outcomes assessed were gestational diabetes, gestational hypertension, postpartum haemorrhage and wound infection. Labour outcomes assessed were, risk of postdates, induction of labour, mode of delivery, meconium stained liquor. Fetal outcome was assessed by macrosomia, Apgar score <7 at 5 minutes and admission to NICU. Groups were compared using SPSS version 18 for statistical analysis. Pearson's chi-square test was used to detect the difference between the group proportions. A total of 608 women were studied including 202 normal weight women [BMI 20 - 24.9], 202 overweight women [BMI 25 - 29.9] and 204 obese women [BMI > 30]. Compared to women with normal BMI the following outcomes were significantly more common in not only obese women but the overweight women were also seen to be at significantly higher risk for gestational diabetes, gestational hypertension, postdates, induction of labour, instrumental delivery and caesarean section, meconium stained liquor, postpartum haemorrhage, wound infection, macrosomia, fetal Apgar score <7 at 5 minutes and admission to NICU. In all cases increasing maternal BMI was associated with increased magnitude of risk. Maternal obesity carries significant risk for the mother and fetus. The risk increases with the degree of obesity and not only obese but overweight women are at a significantly increased risk for pregnancy complications and adverse fetomaternal outcome. Therefore these women should be considered at high risk and councelled and managed accordingly
Search on Google
Index:
IMEMR (Eastern Mediterranean)
Language:
English
Journal:
Ann. Abbassi Shaheed Hosp. Karachi Med. Dent. Coll.
Year:
2012
Similar
MEDLINE
...
LILACS
LIS