Retrospective study to assess the prevalence of overweight and obese women delivering at tertiary care centre in Pune
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20220557Keywords:
BMI, Obesity, Overweight, High risk pregnancyAbstract
Background: Obesity is a modern-day epidemic affecting women in reproductive age group. Increase in obesity in pregnant women is associated with increased rates of complications.
Methods: A retrospective study was conducted based on available hospital data between January 2020 and March 2020. Pregnant women who have had their first visit at this centre before 20 weeks period of gestation were included and were classified into normal body mass index (BMI), overweight and obese. The rates of caesarean delivery, hypertensive disorders of pregnancy (HDP), gestational diabetes mellitus (GDM), assisted reproductive techniques (ART) for conception and neonatal intensive care unit (NICU) admissions were studied.
Results: A total of 582 pregnant women were included in the study. The estimated prevalence of obesity was 29.3% (n=171) whereas 27.8% (n=162) were overweight. There was statistically significant association seen between obesity and caesarean delivery rates, HDP, NICU admission.
Conclusions: The results reveal high prevalence of obesity in pregnant women. There is a need for a comprehensive and clinically effective approach to tackle obesity.
References
WHO. Fact sheet: WHO Consultation on Obesity (1999: Geneva, Switzerland) & World Health Organization. (2000). Obesity: preventing and managing the global epidemic: report of a WHO consultation. Available at: https://apps.who.int/iris/handle/10665/42330. Accessed on 20 January 2022.
Jaacks LM, Vanvijivere S, Pan A, McGowan CJ, Wallace C, Imamura F, et al. The obesity transition: Stages of the global epidemic. Lancet Diabetes Endocrinol. 2019;7(3):231-40.
NCD Risk Factor Collaboration (NCD‐RisC). Worldwide trends in body‐mass index, underweight, overweight, and obesity from 1975 to 2016: A pooled analysis of 2416 population‐based measurement studies in 128.9 million children, adolescents, and adults. Lancet. 2017;390(110113):2627-42.
The Demographic and Health Surveys Program. India National Family Health Survey NFHS‐4 2015–16 [The DHS Program website]. 2016. Available at: https://www.dhsprogram.com/topics/Nutrition/Index.cfm. Accessed on 20 January 2022.
Doherty DA, Magann EF, Francis J, Morrison JC, Newnham JP. Prepregnancy body mass index and pregnancy outcomes. Int J Gynecol Obstet. 2006;95(3):242-7.
Krishnaveni GV, Veena SR, Hill JC, Kehoe S, Karat SC, Fall CHD. Intrauterine exposure to maternal diabetes is associated with higher adiposity and insulin resistance and clustering of cardiovascular risk markers in Indian children. Diabetes Care. 2010;33(2):402-4.
Grobler L, Visser M, Siegfried N. Healthy life trajectories initiative: summary of the evidence base for pregnancy‐related interventions to prevent overweight and obesity in children. Obes Rev. 2019;20(1):18-30.
Yajnik CS. Transmission of obesity‐adiposity and related disorders from the mother to the baby. Ann Nutr Metab. 2014;64(1):8-17.
Abenhaim HA, Kinch RA, Morin L, Benjamin A, Usher R. Effect of prepregnancy body mass index categories on obstetrical and neonatal outcomes. Arch Gynecol Obstet. 2007;275(1):39-43.
Aziz N, Kallur SD, Nirmalan PK. Implications of the revised consensus body mass indices for Asian Indians on clinical obstetric practice. J Cin Diagn Res. 2014;8(5):1-3.
Chopra M, Kaur N, Singh KD, Jacob CM, Divakar H, Babu GR, et al. Population Estimates, Consequences, and risk factors of obesity among pregnant and post partum women in India: Results from a national survey and policy recommendations. Int J Gynecol Obstet. 2020;151(1):57-67.
Pradhan AD, Manson JE, Rifai N, et al. C-reactive protein, interleukin 6, and risk of developing type 2 diavetes mellitus. JAMA. 2001;286(3):327-34.
Ryan EA, Enns L. Role of gestational hormones in the induction of insulin resistance. J Clin Endocrinol Metab. 1988;67(2):341-7.
Vangaal LF, Zhang AG, Steijart MM, Leeuw IHD. Human obsesity: from lipid abnormalities to lipid oxidation. Int J Obes. 1995;19(3):521-6.
Kaaja R. Insulin resistance syndrome in pre-eclampsia. Semin Reprod Endocrinol. 1998;16(1):41-6.
Dietz PM, Callaghan WM, Morrow B, Cogswell ME. Population-based assessment of the risk of primary caesarean delivery due to excess pre pregnancy weight among nulliparous women delivering term infants. Matern Child Health J. 2005;9(3):237-44.
Sewell MF, Jolly M, Harris JP, Wadsworth J, Joffe M, Beard RW, et al. Maternal obesity and pregnancy outcome: a study of 287,213 pregnancies in London. Int J Ones Relat Metab Disord. 2001;25(8):1175-82.
Crane JMG, White J, Murphy P, Burrage L, Hutchens D. The effect of gestational weight gain by body mass index on maternal and neonatal outcomes. J Obstet Gynaecol Can. 2009;31(1):28-35.
