Maternal and perinatal outcome in pregnancy with high BMI
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20172588Keywords:
Abnormal uterine bleeding, Body mass index, Intensive care unit, Large for gestational age, Neonatal intensive care unit, Post-partum hemorrhage, Small for gestational ageAbstract
Background: BMI, body mass index is an important predictor of nutritional status of pregnant woman which has been considered as an important prognostic indicator of pregnancy outcomes. High maternal body mass index is related to various adverse pregnancy outcomes. This study is designed to see the effect of maternal BMI on pregnancy outcome and perinatal outcome.
Methods: this is a prospective hospital based study conducted from January 2015 to June 2015 in department of Obstetrics and Gynecology, Sultania Zanana Hospital, Bhopal, India. 20 Antenatal women attending OPD in Sultania Zanana hospital randomly selected for the study in their first trimester in their first visit fulfilling inclusion criteria. Their consent for the study was obtained.
Results: It was observed that majority of morbidly obese (66.6%) and obese (47.6%) women were belonging to upper socioeconomic class. Obesity is associated with increased incidence of pre-eclampsia, gestational hypertension, gestational diabetes, induced delivery, Instrument/assisted deliveries, caesarean delivery, ICU admissions complicating maternal outcome and LGA, NICU admissions and perinatal mortality complicating perinatal outcome.
Conclusions: Maternal BMI shows strong associations with pregnancy complications and outcomes. Obesity is associated with increased incidence of pre-eclampsia, gestational hypertension, gestational diabetes, induced delivery, Instrument/assisted deliveries, caesarean delivery, ICU admissions complicating maternal outcome and LGA, NICU admissions and perinatal mortality complicating perinatal outcome.
References
Institute of Medicine (US) Committee on Nutritional Status During Pregnancy and Lactation. Nutrition during pregnancy. Washington (DC): National Academies Press (US); 1990.
Garrow JS, Webster J. Quetelet's index (W/H2) as a measure of fatness. Int J Obesity. 1984;9(2):147-53.
National Family Health Survey (NFHS-3) India 2005-2006. Available at http://rchiips.org/NFHS/factsheet.shtml
Dasgupta A, Harichandrakumar KT, Habeebullah S. Pregnancy outcome among obese indians–a prospective cohort study in a tertiary care centre in South India. Int J Sci Stud. 2014;2(2):13-8.
Bhattacharya S, Campbell DM, Liston WA, Bhattacharya S. Effect of body mass index on pregnancy outcomes in nulliparous women delivering singleton babies. BMC Public Health. 2007 Jul 24;7(1):168.
Yazdani S1, Yosofniyapasha Y, Nasab BH, Mojaveri MH, Bouzari Z. Effect of maternal body mass index on pregnancy outcome and newborn weight. 2012;5:34.
Verma A, Shrimali L. Index maternal body mass and pregnancy outcome. J Clin Diagn Res. 2012;6(9):1531-3.
Christine Demont-Heinrich et al. The association of prepregnancy body mass index and adverse maternal and perinatal outcomes; colorado department of public health and environment. Health Statistics Section, Colorado Department of Public Health and Environment; 2009.
Pakniat H, Movahed F. Association between body mass index and weight gain during pregnancy with preterm delivery. J Qazvin Uni Medic Sci. 2013;17(3):12-9.
Kalk P, Guthmann F, Krause K, Relle K, Godes M, Gossing G et al. Impact of maternal body mass index on neonatal outcome. Eur J Med Res. 2009;14(5):216.
