Author:
Rani Shazia,Anjum Farhana,Amna Siddique Ambreen,Khan Sarosh,Kazi Khalil,Almas Sindhu
Abstract
Obesity has become a “silent epidemic and its prevalence is increasing in pregnant women. Objective: This study aims to highlight the impact of maternal obesity on the fetal and maternal outcome. Methods: The study was conducted on 320 pregnant women in their first trimester with viable singleton pregnancy at Department of Gynecology & Obstetrics, Liaquat University of Medical & Health Sciences, Jamshoro. The obese group (BMI > 25) of 160 women, were compared for feto-maternal outcome, with parity matched 160 women in non-obese group (BMI < 25). Results: There was increased incidence of antepartum, intrapartum and fetal complications in obese group as compared to non-obese group. Preeclampsia was seen in 42.1% vs 14.1%, GDM in 14.5% vs 10.3%, induction of labor in 31.9% vs 13.3%, in obese as compared to non-obese respectively. Lower segment caesarean second (37.5% vs 13.8%), macrosomia (22.4% vs 1.3%), shoulder dystocia (18.4% vs 3.8%), birth asphyxia (11.8% vs 5.1%) and neonatal intensive care unit (NICU) admission (12.7% vs 6.6%) were more common in obese as compared to non-obese. Conclusion: Maternal obesity is a risk factor for many antepartum, intrapartum, postpartum and fetal complications. All attempts should be made to prevent obesity in women of childbearing age” and to encourage weight loss before pregnancy
Publisher
CrossLinks International Publishers