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Research Paper | Obstetrics and Gynecology | India | Volume 12 Issue 2, February 2023
A Prospective Observational Study of Maternal Outcome in Pregnancy with BMI 25 - 29.9 Kg/M2 (Overweight Pregnant Women) in Tertiary Health Care Center of South Gujarat
Dr. Vrunda Gandhi | Dr. Kedar Trivedi [3] | Dr. Anjani Shrivastava [4]
Abstract: Background: Obesity and overweight in a pregnant state, is a worldwide problem with significant consequences. It is not only increases incidence of chronic diseases in mother and child but also increases risk of intra natal complications like postdated pregnancy, labor induction, failure of induction, non progression of labor, increases the incidence of instrumental delivery, increases incidence of cesarean delivery, shoulder dystocia, perineal tear, meconium stained liquor. Method: This prospective study was carried out in department of obstetrics and gynecology.50 consecutive subjects fulfilling inclusion criteria admittedto labor room, enrolled period of 4 months after HREC approval. Results: Majority of the subjects (44%) belonged to age group of 26 - 35 years, according to modified kuppu - swamiclassification, majority of subjects were belongs to lower middle class (40%), majority of pregnant subjects were primipara (60%), majority of subjects had hypothyroidism (14%), 80% were admitted to hospital with gestational age at 37 - 40 weeks,, majority of subjects had hypertensive disorder (22% - gestational hypertension - 16%, pre eclampsia - 6%), anaemia (14%), post datism (8%), oligohydramnios (6%), preterm labor (4%), IUGR (2%), IUFD (2%), PROM (2%), gestational diabetes (2%). majority of subjects (70%) had spontaneous onset of labour, 30% had required induction of labour. Majority of subjects had induction of labour due to hypertensive disorders (12%) out of which 52% subjects had vaginal delivery, 42% subjects undergone LSCS, 6% subjects had instrumental delivery. Majority of LSCS were due to fetal distress (18%)., majority of subjects had perineal tear (40% in which 6% due to 1st degree perineal tear and 34% due to 2nd degree perineal tear), 22% subjects had postpartum complication. Conclusion: From this study we conclude that, increasing weight influence the health of pregnant women and also posses critical risk complications to maternal and fetal healthcare. As it is modifiable and preventable, enhance preconception counselling and creating awareness regarding associated health risks are highly desirable and become more vigilance during delivery.
Keywords: High BMI, Maternal outcome, labor outcome, postnatal morbidity
Edition: Volume 12 Issue 2, February 2023,
Pages: 291 - 295