CORRELATION OF OBESITY AND UNDERWEIGHT WITH FOETOMATERNAL OUTCOME- A PROSPECTIVE OBSERVATIONAL STUDY IN KIMS, KARAD
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 38
Abstract
BACKGROUND Obesity and being underweight in pregnancy are related to an increased risk of maternal and foetal morbidity, yet their prevalence is often unknown. The present study aimed to identify neighbourhoods with a higher than average prevalence or ‘hot spots’ of obesity and/or being underweight among mother and foetal outcome. MATERIALS AND METHODS This is a prospective, non-interventional, observational study on 1500 women (BMI between 20 and 30 were excluded). Women attending ANG OPD with singleton pregnancy at or before 14 weeks were included and BMI was calculated in early pregnancy. Their weight gain during pregnancy was noted. Any complications in the mother or perinate were noted. RESULTS Incidence of obesity in our institute was 19% and that of underweight was 21%. Pre-eclampsia, gestational hypertension, gestational DM and antepartum haemorrhage all were more common among obese women, while anaemia and IUGR babies were more common in the underweight. Post-dated pregnancy, induction of labour, caesarean delivery and postpartum complications were more common in obese women. Foetal 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 foetus.
Authors and Affiliations
Manisha M. Laddad, Gauri Shinde, N. S. Khirsagar, Sanjaykumar Patil
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