Trends in maternal BMI, glycaemic control and perinatal outcome among type 1 diabetic pregnant women in 1989–2008

ABSTRACT Objectives To analyze the significant risk associated with obesity and its consequences on obstetrics management and perinatal outcome. Materials and methods A prospective study was carried out in the Department of Obstetric and Gynecology, MGM Medical College and My Hospital, Indore. The study enrolled 200 pregnant women with body mass index (BMI) >25 and equal number of women with normal BMI (18-24.9) as control. Results A total of 76 (38%) out of 200 pregnant women were overweight, 70 (35%) were obese type 1 (BMI: 30-34.9), 44 (22%) had BMI (35-39.9) and 10 (5%) had BMI >40. In comparison to normal BMI pregnant women, women with BMI >25 had significant risk of gestation hypertension (p = 0.004), pre-eclampsia (p = 0.04) gestational diabetes mellitus and shoulder dystocia (p = 0.021), cesarean section (0.0001), induced labor (0.0001) and decreased incidence of VBAC (p = 0.037) with postoperative wound infection. Neonates of these women were mostly macrosomic (p = 0.021) and had high incidence of shoulder dystocia. Conclusion High maternal BMI at booking is associated with increased risk of pregnancy complications. Achieving a normal BMI prior to conception with the institution of healthy eating and exercise regimens may represent an ideal option. How to cite this article Dave A, Maru L, Daksha S, Natu N. Weight does Matter! A Study of Effect of Obesity on Pregnancy and its Outcome. J South Asian Feder Obst Gynae 2013;5(3): 107-110.

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Chubby mothers-maternal and perinatal outcome in high body mass index

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20211438 ◽

2021 ◽

Vol 10 (5) ◽

pp. 1809

Author(s):

Kavitha Garikapati ◽

K. B. Gayathri ◽

K. Naga Lalitha

Keyword(s):

Body Mass Index ◽

Pregnant Women ◽

Body Mass ◽

Perinatal Outcome ◽

Neonatal Intensive Care ◽

Perinatal Outcomes ◽

High Body Mass Index ◽

Tissue Mass ◽

Increased Risk ◽

Maternal Bmi

Background: Obesity is a state of excess adipose tissue mass. Body mass index (BMI) is a crucial predictor of nutritional status of pregnant women. High BMI may lead to various adverse maternal and perinatal outcomes. This study is designed to see the effect of maternal BMI on pregnancy outcome and perinatal outcome according to Asian standards.Methods: This is an institutional retrospective, descriptive study of 100 pregnant women conducted in the department of obstetrics and gynaecology of a rural tertiary centre Dr. PSIMS and RF, Chinaoutpalli, Gannavaram, Vijayawada, AP, India from June 2017 to July 2019.Results: It was observed that as BMI increased risk of complications increased like hypertension disorders in pregnancy, gestational diabetes mellitus, preterm labour. Also risk of macrosomia, operative delivery, Neonatal intensive care unit (NICU) admissions increased.Conclusions: As maternal BMI is a good predictor has strong correlation with pregnancy complications and outcomes, measures should be taken to motivate for pre pregnancy counselling regarding weight management and close surveillance in antenatal period to diagnose at the earliest any complications.

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