DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20164650

Study of correlation between maternal body mass index with maternal and perinatal outcome

Chandrashekhar Tharihalli, Varija Thathagari

Abstract


Background: To study the correlation between maternal body mass index (BMI) with maternal and perinatal outcome in women admitted to labour ward in Department of OBG, VIMS, Ballari.

Methods: This observation study was conducted in Department of OBG, VIMS, Ballari for a period of one year between 1st October 2014 to 30th September 2015. All women admitted to labour ward with full term singleton pregnancy were included in the study. The cases were classified into four groups as under-weight (BMI <20kg/m2), normal (BMI 20-24.9kg/m2), over-weight (BMI 25-29.9kg/m2) and obese (BMI >30kg/m2). The maternal and perinatal outcome noted and studied in the above groups.

Results: A total of 500 cases were included during the study period of one year, out of which 15% were under-weight, 68% were normal BMI, 12% were over-weight and 5% cases were obese(BMI >30kg/m2). The patients with low BMI had higher incidence of low birth weight (40%) and perinatal deaths. Increased BMI category was associated with higher incidence of PIH (25-28%), operative deliveries (50-68%), PPH (12%), microsomal babies (32%), low APGAR (24%) and perinatal deaths (12%).

Conclusions: Adverse maternal and perinatal outcomes are significantly related to extremes of BMI categories and least complications were seen in normal BMI group.


Keywords


BMI, Macrosomia, Obese, LSCS, Low birth-weight, PIH, PPH, Under-weight

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References


Lohman TG, Roche AF, Martorell R, Anthropometric standardisation reference manul Champaign: Human Kinetics Book; 1988.

Kabira W, Raynor BD, Obstetric outcomes associated with increase in BMI category during pregnancy. Am J Obstet Gynecol. 2004;191(3):928-38.

Sahu MT, Agarwal A, Das V. Impact of maternal body mass index on obstetric outcome. J Obstet Gynaecol Res. 2007;33(5):655-9.

Deepika J, Rakesk K, Veena C. effect of body mass index on pregnancy outcomes in nulliparous woman delivering singleton babies: observational study; Journal of Obstet Gynec of India. 2012;62(4):429-31.

Jain P, Joshi T, Kural MR. Relation of early pregnancy BMI with maternal and foetal outcome: a prospective study. International Journal of Science and Nature. 2013;4(4):642-5.

Bhattacharya S, Campbell DM, Liston WA. effect of body mass index on pregnancy outcomes in nulliparous women delivering singleton babies. BMC Public Health. 2007;7;168.

Sebire NJ, Jolly M, Harris JP. Maternal obesity and pregnancy outcome. A study of 287,213 pregnancies in London. Int J Obes. 2001;25:1175-82.

Scott-Pillai R, Spence D, Cardwell CR. the impact of body mass index on maternal and neonatal outcomes: a retrospective study in a UK obstetric population, 2004-2011. BJOJ. 2013;120(8):932-9.