Effect of Increased Maternal Body Mass Index on Obstetrical and Pregnancy Outcome
Keywords:
Body mass index (BMI); pregnancy; obstetrical complications; pregnancy outcome, gestational hypertension, gestational diabetes mellitus, antepartum haemorrhageAbstract
Introduction: Pregnancy is a normal physiological process among normal-weight women but weight gain beyond normal during pregnancy is a major risk factor to affect the pregnancy and its outcome adversely.
Material and Method: A cross-sectional study was conducted in an antenatal care unit of a selected hospital in Gujarat from August 2023 to May 2024 in order to assess the maternal body mass index (BMI) at 20/24 weeks of gestation and compare the obstetrical and pregnancy outcomes between women having normal weight and women with raised BMI. 350 pregnant women with varying BMI were studied, having 150 women with normal weight (Group A) and 200 women with raised BMI (Group B) who were further classified into 4 groups according to their BMI. Women in both groups were assessed during their regular antenatal checkups and during delivery for any obstetrical complications and pregnancy outcomes and their results were compared.
Results: A significant difference was revealed in the obstetrical and pregnancy outcomes between the two groups. Hypertensive disorders and gestational diabetes mellitus was prevalent in moderate and high risk obese subjects. Maximum number of subjects with normal weight overweight, low-risk obesity and moderate risk obesity had spontaneous vaginal delivery (SVD) as compared to subjects with high risk obese subjects where majority had operative delivery (86.67%) who were preterm(40%), had low mean Apgar sore and had low birth weight (13.33%).
Conclusion: The study concluded that an increase in weight and BMI needs to be addressed during the prenatal period in order to have a safe and healthy pregnancy outcome.
How to cite this article:
Bashir N, Tanveer H. Effect of Increased Maternal Body Mass Index on Obstetrical and Pregnancy Outcome. Int J Adv Res Gynaecol Obstet 2024;2(2):1-8.
References
Leddy MA, Power ML, Schulkin J. The impact of maternal obesity on maternal and fetal health. Rev Obstet Gynecol. 2008;1(4):170-8. [PubMed] [Google Scholar]
Colagiuri S, Lee CM, Colagiuri R, Magliano D, Shaw JE, Zimmet PZ, Caterson ID. The cost of overweight and obesity in Australia. Med J Aust. 2010 Mar;192(5):260- 4. [PubMed] [Google Scholar]
Anis AH, Zhang W, Bansback N, Guh DP, Amarsi Z, Birmingham CL. Obesity and overweight in Canada: an updated cost-of-illness study. Obes Rev. 2010 Jan;11(1):31-40. [PubMed] [Google Scholar]
Allender S, Rayner M. The burden of overweight and obesity-related ill health in the UK. Obes Rev. 2007 Sep;8(5):467-73. [PubMed] [Google Scholar]
Lynch CM, Sexton DJ, Hession M, Morrison JJ. Obesity and mode of delivery in primigravid and multigravid women. Am J Perinatol. 2008;25(3):163-7. [PubMed] [Google Scholar]
Rooney BL, Schauberger CW. Excess pregnancy weight gain and long-term obesity: one decade later. Obstet Gynecol. 2002;100(2):245-52. [PubMed] [Google Scholar]
de Boo HA, Harding JE. The developmental origins of adult disease (Barker) hypothesis. Aust N Z J Obstet Gynaecol. 2006;46(1):4-14. [PubMed] [Google Scholar]
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