Maternal Obesity & Feto-Maternal Outcomes: Maternal Obesity & Feto-Maternal Outcomes

Shazia  Rani; Farhana Anjum; Ambreen  Amna Siddique; Sarosh  Khan; Khalil  Kazi; Sindhu Almas

doi:10.54393/pbmj.v5i6.588

Authors

Shazia Rani Gyneacology & Obstetrics, Liaquat University of Medical & Health Sciences, Jamshoro
Farhana Anjum Gynecology & Obstetrics, Isra University Hyderabad
Ambreen Amna Siddique Gynecology & Obstetrics, Isra University Hyderabad
Sarosh Khan Surrey and Sussex Healthcare NHS Trust, United Kingdom
Khalil Kazi Department of Community Medicine, Indus Medical College - Tando Muhammad Khan
Sindhu Almas Department of Community Medicine & Public Health Sciences, Liaquat University of Medical & Health Sciences, Jamshoro

DOI:

https://doi.org/10.54393/pbmj.v5i6.588

Keywords:

Maternal Obesity; BMI; Foeto-maternal outcome, macrosomia

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

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