A STUDY OF ASSOCIATION OF GESTATIONAL WEIGHT GAIN WITH PERINATAL OUTCOME OF PREGNANCY IN PRIMIGRAVIDA WOMEN DELIVERING SINGLE LIVE BABY

Abstract

BACKGROUND: Gestational weight gain and the body mass index (BMI) of the woman are two important factors for a good perinatal outcome. Maternal nutrition during pregnancy may also have a lifelong consequence on the baby. AIM:1) To study gestational weight gain in primigravida women delivering a single live baby.2) To study the association of gestational weight gain with morbidity during pregnancy and perinatal outcome in primigravida women delivering a single live baby. MATERIALAND METHODS: 500 patients were included in the study. All primigravida in between 37 to 42 weeks of gestational age were included GWG, BMI and associations with the risks. RESULTS:Women with <18.5, 25- 29.9, >30 BMI had 65.3% of inadequate weight gain, 57.5% of excessive weight gain, 94.9% of excessive weight gain respectively.9.3 %, 3.7% of women with excessive weight gain showed preeclampsia, GDM respectively. 15.9%,17.4% of women with inadequate weight gain had oligohydramnios and BNNW admission respectively. 51% of women with excessive weight gain ended up in caesarean section. CONCLUSION: After analysing all the computed data in the present study, we can conclude that from the beginning of pregnancy, by keeping pre-pregnancy body weight under control and monitoring increase in gestational body weight within prescribed limits, few adverse outcomes of pregnancy can be prevented. CLINICAL SIGNIFICANCE: GWG is usually neglected. But increase or decrease in GWG can convert a normal pregnancy to high-risk pregnancy.