MATERNAL OBESITY AND OBSTETRIC OUTCOMES IN A TERTIARY CARE CENTER

Abstract

BACKGROUND: Pregnancy is unique, yet normal physiological chapter in women’s life. Pre-existing morbidity can complicate pregnancy affecting mother and fetus resulting in high risk pregnancy .One of which is obesity causing antepartum, intrapartum and postpartum complications both in mother and child. AIM OF THE STUDY: The aim of this study is to evaluate the effect of obesity on the maternal and perinatal outcome in pregnancies complicated by obesity. MATERIALS: A prospective study is done in Govt. RSRM lying in hospital during June 2019-june 2020 .Among antenatal mothers attending antenatal outpatient department, mothers were chosen in their first trimester who had Body Mass Index>30kg/m2 as study group and mothers with a Body Mass Indexbetween18.5kg/m2and25kg/m2 as control group. Detailed history taking and investigations done and they were followed up to delivery and postpartum until discharge and outcome studied. RESULTS: In the present study, increasing age, sedentary lifestyle and low socio economic status show a positive relation to obesity. The proportion of primiparous Women was more in obese group(51.9%)when compared to control group(48.1%). Higher incidence of gestational diabetes and pre eclampsia are seen in obese group. Higher rates of cesarean deliveries among this group. Preterm delivery in obese women 10.4% compared to control group. CONCLUSION: Maternal BMI has a strong association with pregnancy complications and outcome. The best time of intervention may be before a woman considers a pregnancy and attempts are to be made to maintain a normal BMI in women of childbearing age.