EFFECTS OF LIFESTYLE MODIFICATION ON FETOMATERNAL OUTCOME IN ANTENATAL WOMEN WITH INCREASED BMI
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 30
Abstract
BACKGROUND Overweight and obese women represent a significant and increasing problem encountered in obstetric practice. With most authors agreeing that overweight and obese women show increased maternal and perinatal morbidity. Controlled weight gain by various lifestyle changes has proved to be useful in decreasing maternal and foetal risks. We wanted to determine the change in gestational weight gain with lifestyle modifications and its effect on various maternal and foetal outcomes. METHODS A prospective observational study was done for 2 years with a total of 482 antenatal women after considering the inclusion and exclusion criteria. The study participants were divided into 2 groups- 241 cases and 241 controls and were advised specific lifestyle modifications with thorough follow up in one group and routine advise without repeated follow ups in another. RESULTS Non-compliants and controls were found to have more gestational weight gain. Although the overall rate of developing GDM was found to be comparable in all 3 groups- compliant (13.1%), non-compliant (19.2%) and controls (14.1%), hypertensive disorders were found to be higher among non-compliants (24.7%) and controls (27.4%) as compared to compliant cases (11.3%). Rates of Inductions and post-partum complications were also comparable in all 3 groups. However, compliants showed higher rates of normal delivery while rates of Caesarean section were found to be higher among non-compliants and controls. In case of foetal outcomes, non-compliants and controls had more babies with birth weight >3.5 kg and greater NICU admissions. CONCLUSIONS Lifestyle modification has significant positive impact on foetomaternal outcome
Authors and Affiliations
Kairavi Harkisandas Gokani, Nina Mansukhani
Keywords
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- EP ID EP670358
- DOI 10.18410/jebmh/2019/410
- Views 99
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