EFFECT OF EARLY PREGNANCY BODY MASS INDEX ON PREGNANCY OUTCOMES IN WOMEN DELIVERING SINGLETON BABIES- AN OBSERVATIONAL STUDY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 17
Abstract
BACKGROUND Maternal overweight/obesity causes many complications during pregnancy and delivery. It can also increase neonatal and infant morbidity and mortality. BMI is an important measure of under/overweight. This observational study examines the correlation between maternal Body Mass Index (BMI) with maternal outcome in women. MATERIALS AND METHODS This study was conducted at Department of Obstetrics and Gynaecology, Government Medical College, Kottayam, Kerala, for a period of one year. A sample of 300 pregnant women with intrauterine pregnancy of gestational age <12 weeks at first visit was taken for this study with an age between 18 and 35 years with singleton pregnancy. BMI of these women were calculated and they were classified into two categories (BMI <23 kg/m2 and BMI ≥23 kg/m2 ). The Chi-square test was done to find the association of BMI and various maternal outcomes. RESULTS In the sample of 300 pregnant women, 39% were having BMI <23 kg/m2 and 61% were having BMI ≥23 kg/m2 . Pregnant women with BMI ≥23 kg/m2 were found to have significantly increased risk of developing gestational hypertension, gestational diabetes and macrosomia. We found that a significantly increased need of induction and increased risk of developing intrapartum and postpartum complications in those with BMI ≥23 kg/m2 . Our study also found out that an increased incidence of elective as well as emergency caesareans and increased risk of neonatal complications in women whose BMI ≥23 kg/m2 . CONCLUSION Adverse maternal and perinatal outcomes are significantly related to extremes of BMI categories and least complications were seen in normal BMI group. Therefore, it is ideal to reduce the body weight to an optimal level so that the complications, which are attributed to overweight and obesity can be reduced. We recommended future research on the association of BMI and maternal outcomes involving large samples comparable to those done in developed countries.
Authors and Affiliations
Divya Vishnu, Bessy Binu Sam, Kala Bahuleyan Santha, Anu Susan Sam
Keywords
Related Articles
- EP ID EP214945
- DOI 10.18410/jebmh/2017/188
- Views 119
- Downloads 0
A STUDY OF HAEMATOLOGICAL MANIFESTATIONS IN HUMAN IMMUNE DEFICIENCY VIRUS POSITIVE PATIENTS BEFORE AND AFTER ANTIRETROVIRAL THERAPY
BACKGROUND HIV infection is a multisystem disease and haematological abnormalities are among the most common complications of HIV. HIV associated haematological abnormalities seem to be dependent on the level of virus re...
A COMPARATIVE STUDY OF EFFICACY OF LOCAL INSULIN VERSUS TOPICAL PHENYTOIN IN DIABETIC FOOT ULCER
BACKGROUND Diabetic foot ulcer is the common complication and it affects almost 15% of all diabetic patients. Majority of the ulcer can heal. Healing is better in neuropathic ulcer than neuroischaemic ulcer. In India, di...
OCULAR FINDINGS OF HIV/AIDS PATIENTS AND THEIR CORRELATION WITH CD4 COUNT
BACKGROUND Ocular involvement in HIV/AIDS includes various clinical presentations including both anterior and posterior segment, most of the manifestations are those of the posterior segment. The severity of these poster...
AN ANALYSIS OF MALIGNANCIES PRESENTING AS ACUTE GENERAL SURGICAL EMERGENCIES
BACKGROUND Malignancies in the setting of acute general surgical emergencies are rare to present. The commonly presenting malignancies to the general surgeon in emergency conditions are perforation, obstruction, haemorrh...
PATHOLOGICAL SPECTRUM OF NON- NEOPLASTIC DISEASES IN THE NEPHRECTOMY SPECIMENS
There is an increase in the number of nephrectomies with the extensive use of imaging techniques in the recent years. In India management of chronic kidney diseases is posing a great challenge as dialysis and kidney tran...