Effect of the Obesity on Maternal and Fetal Outcome in Pregnant Women Presenting to Tertiary Care Hospital
Sana Islam, Sadia Anwar, Humaira Bashir, Safia Khan, Ammara Pirzada, Sherzaman Khan
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ABSTRACT
Background: Obesity
is well considered a well known risk factor for obstetric complications like
pre eclampsia, gestational diabetes mellitus, intrauterine death, dysfunctional
labour, meconium stained amniotic fluid, cesarean section, high birth weight
and shoulder dystocia. The objective of this study was to determine the
frequency of maternal and fetal outcome in obese pregnant women.
Material and Methods: This descriptive
case series study was conducted in department of obstetrics and gynaecology,
FGPC, Islamabad from Aug 1, 2017 to Feb
1, 2018. A total of 250 consecutive antenatal women with BMI > 30 Kg/m2
were included in the study. BMI was calculated according to weight and height
of the patient using the formula Kg/m2.
RESULTS: Out of
250 primigravidas , 84.4% had BMI of 30-35 Kg/m2 and 15 % BMI of 36-40 Kg/m2
. Gestational diabetes was diagnosed in 51 (20.4%) cases. Preeclampsia was
observed in 12 (4.8%) patients. Seventy pts (28%) patients ended on cesarean
section, 21 (8.4%) cases had induction of labour and 9 (3.6%) had pre term
birth. Apgar score (>7) was seen in 61 (24.4%) cases. Macrosomia was
observed in 55 (22%) cases. 20 (8%) patients had stillbirth.
Conclusions: Maternal
obesity in pregnancy is associated with high
maternal and fetal complications.
Keywords: complications. fetal, maternal; morbidity
,Obesity, overweight-; risk factors