Correlation of obesity and underweight with fetomaternal outcome
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 10
Abstract
The World Health Organisation (WHO) categorises a BMI equal or greater than 25 as ‘overweight’, equal or greater than 30 as ‘obese’ and equal to or less than 18.5 as ‘underweight’ Objective: This study was conducted to study impact of underweight and obese women and their weight gain during pregnancy on fetomaternal outcome. Method: This is a prospective, non-interventional, observational study on 500 women (BMI between 20 and 30 were excluded). Women attending GVPIHC & MT OPD with singleton pregnancy at or before 16 weeks were included and BMI calculated in early pregnancy. Their weight gain during pregnancy was noted. Any complications in the mother or Neonatal were noted.Results: Incidence of obesity in our institute was 17% and that of underweight was 19%. Pre-Eclampsia, Gestational hypertensions, Gestational Diabetes mellitus, Antepartum hemorrhage, all were more common among obese women, while anemia and Fetal Growth rate babies were more common in the underweight. Post-dated pregnancy, induction of labor, cesarean delivery, and postpartum complications were more common in obese women. Fetal complications were also higher in obese patients. Conclusion: Lower as well as higher pre-pregnancy BMI is an independent risk factor that is associated with increased morbidity and mortality in both the mother and the fetus.
Authors and Affiliations
Dr Rajashree Dattatraya Nagarashi, Dr Bobbili Tarun Kesava Naidu, Dr A V Subhash
Keywords
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