Association of physical metabolic markers with perinatal outcomes in low-risk pregnant women: a prospective cohort study

Reva Tripathi; Divya Verma; Nilanchali Singh; Siddarth Ramji; Neha Mishra; Shivam Pandey; Trishala Mohan

doi:10.18203/2320-1770.ijrcog20250182

Authors

Reva Tripathi Department of Obstetrics and Gynecology, Sitaram Bhartia Institute of Science and Research, New Delhi, India
Divya Verma Department of Obstetrics and Gynecology, Shree Balaji Hospital and Nursing College, Kangra, Himachal Pradesh, India
Nilanchali Singh Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India
Siddarth Ramji Department of Neonatology, Maulana Azad Medical College, New Delhi, India
Neha Mishra Department of Obstetrics and Gynecology, ABVIMS & Dr RML Hospital, New Delhi, India
Shivam Pandey Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India
Trishala Mohan Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20250182

Keywords:

Waist circumference, High-risk pregnancy, BMI, GDM, LSCS, Waist-to-hip ratio, Macrosomia, Waist-to-height ratio

Abstract

Background: This prospective study was planned to study the correlation of all physical metabolic markers (BMI, WC, WHR, and WHtR) in the antenatal period with perinatal outcomes.

Methods: All pregnant women who had first antenatal visit before 20 weeks were recruited into the study for period of 1 year. Detailed history was taken followed by a thorough general physical examination (including BMI, WC, WHR, and WHtR as per Indian standards).

Results: In multivariate logistic regression model none of parameters actually predicted the onset of GDM. Incidence of LSCS showed significant association with WC and WHtR. BW>3.5 kgs and NICU admission had a significant statistical association with WHtR.

Conclusions: BMI, WC, WHR and WHtR should be measured in all pregnant women at the first antenatal visit. WC predicts caesarean delivery, BMI predicts large for gestational age baby, and WHtR is a novel marker which predicts both.

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