scholarly journals Utility of modified mid-pregnancy body mass index in predicting obstetric outcomes in Middle Eastern population

2021 ◽  
Vol 7 (1) ◽  
pp. 19-22
Author(s):  
Muzibunnisa A Begam ◽  
Sultan M Salahudheen
Keyword(s):  
Body Mass Index ◽  
Weight Gain ◽  
Body Mass ◽  
Middle Eastern ◽  
Obstetric Outcomes ◽  
Maternal Body Mass Index ◽  
Institute Of Medicine ◽  
Eastern Population ◽  
Significant Difference ◽  
Middle Eastern Population

Objective: To test the value of mid-pregnancy maternal body mass index (BMI) and weight gain in the second half of pregnancy in predicting pregnancy outcomes among Middle Eastern population where pre-gravid BMI was not available. Methods: Retrospective analysis of the obstetric outcomes of 290 women with singleton pregnancies who were categorized into underweight (UW), normal weight (NW), overweight (OW) and obese (OB) according to the BMI at 24-28 weeks of gestation and compared with recommended pre-gravid values by Institute of Medicine (2009). Results: The results showed that the gestational diabetes rate was significantly lower among the UW (2.4%) compared with the NW (8.8%, p<0.05), the OW (14.3%, p=0.006), and OB (20.5%, 0.001). The risk of having macrosomia was eight times higher among OW compared with NW women. The C-section rate was lowest among the UW group but there was no significant difference in terms C-section and low birth weight between groups. The obstetric outcomes among women whose weight gain was above the 90th and below the tenth centiles were not different. Conclusion: The prediction of obstetric outcomes by mid-pregnancy BMI is comparable to pre-gravid BMI. The results are encouraging, and further larger studies are needed to confirm the applicability

scholarly journals Impact of maternal body mass index and gestational weight gain on neonatal outcomes among healthy Middle-Eastern females

PLoS ONE ◽  
2017 ◽  
Vol 12 (7) ◽  
pp. e0181255 ◽  
Author(s):  
Tatiana Papazian ◽  
Georges Abi Tayeh ◽  
Darine Sibai ◽  
Hala Hout ◽  
Imad Melki ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Weight Gain ◽  
Gestational Weight Gain ◽  
Body Mass ◽  
Middle Eastern ◽  
Neonatal Outcomes ◽  
Maternal Body Mass Index ◽  
Maternal Body ◽  
Gestational Weight

Effect of Maternal Body Mass Index and Amniotic Fluid Index on the Accuracy of Sonographic Estimation of Fetal Weight in Late Gestation

2018 ◽  
Vol 35 (13) ◽  
pp. 1235-1240 ◽  
Author(s):  
Burton Rochelson ◽  
Leah Stork ◽  
Stephanie Augustine ◽  
Meir Greenberg ◽  
Cristina Sison ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Amniotic Fluid ◽  
Body Mass ◽  
Fetal Weight ◽  
Maternal Body Mass Index ◽  
Amniotic Fluid Index ◽  
Maternal Body ◽  
Significant Difference ◽  
Substantial Error ◽  
Maternal Bmi

Objective The objective of this study was to determine the effect, if any, of maternal body mass index (BMI) and amniotic fluid index (AFI) on the accuracy of sonographic estimated fetal weight (EFW) at 40 to 42 weeks' gestation. Methods This was a retrospective cohort study of singleton gestations with ultrasound performed at 40 to 42 weeks from 2010 to 2013. In this study, patients with documented BMI and sonographic EFW and AFI, concurrently, within 7 days of delivery were included. Chronic medical conditions and fetal anomalies were excluded from this study. The primary variable of interest was the rate of substantial error in EFW, defined as absolute percentage error (APE) >10%. Results A total of 1,000 pregnancies were included. Overall, the APE was 6.0 ± 4.5% and the rate of substantial error was 17.4% (n = 174). There was no significant difference in APE or rate of substantial error between BMI groups. In the final multivariable logistic regression model, the rate of substantial error was increased in women with oligohydramnios (OR 1.79; 95% CI: 1.10–2.92). Furthermore, oligohydramnios was significantly more likely to overestimate EFW while polyhydramnios was more likely to underestimate EFW. Maternal BMI did not affect the accuracy of sonographic EFW. Conclusion Sonographic EFW may be affected by extremes of AFI in the postdates period. Maternal BMI does not affect EFW accuracy at 40 to 42 weeks.

scholarly journals Effect of body mass index on maternal outcome in pregnancy

2021 ◽  
Vol 10 (5) ◽  
pp. 1983
Author(s):  
Somya Jindal ◽  
Rachna Chaudhary ◽  
Shakun Singh ◽  
Vandana Dhama
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Induction Of Labor ◽  
Obstetric Outcomes ◽  
Maternal Body Mass Index ◽  
Maternal Complications ◽  
Medical College ◽  
Group 12 ◽  
Overweight Group ◽  
Underweight Patients

Background: Maternal body mass index during pregnancy is one of the important parameter which gives us the clue regarding maternal complications. The objectives of this study were to study distribution of antenatal patients in underweight, normal, overweight (and obese) categories according to booking BMI, to examine the association of BMI with obstetric outcomes in singleton pregnancies.Methods: This prospective Study was conducted over a period of 1 year from July 2019 to June 2020 on antenatal women attending OPD in the Department of Obstetrics and Gynecology in LLRM Medical College. The enrolled patients were divided into three equal groups (n=50) according to their BMI. In all the groups obstetric outcome was assessed.Results: In normal BMI group 12% patients had preterm vaginal delivery. While In group of underweight patients 32% patients landed up in preterm delivery which has three times higher incidence. In overweight group 48% patients had caesarean section, while in normal BMI group it is only18% patients i.e. 3 times higher caesarean rate in high BMI group. 10% of patients belonging to normal BMI group needed induction of labor while 26% of patients in overweight group required induction .Thus incidence of induction of labor is more than double in overweight group. While only 16% patients had PPH in normal BMI group, 44% patients had PPH in overweight group i.e. three times higher. The frequency of preeclampsia was 22% in the overweight category and <1% in the normal group.Conclusions: Higher prevalence of complications to the mother when BMI is not in the recommended normal range. 

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