DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20211438

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

Kavitha Garikapati, K. B. Gayathri, K. Naga Lalitha

Abstract


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.


Keywords


Body mass index, Macrosomia, Caesarean section, Pre-eclampsia, Neonatal intensive care unit

Full Text:

PDF

References


World Health Organisation. Diet, nutrition and the prevention of diseases: report of a joint WHO/FAO expert consultation. Technical report series 916. Geneva, Switzerland: World Health Organisation. 2002. Available at: https://www.who.int/diet physicalactivity/publications/trs916/en/. Accessed on 3 January 2021.

Kopelman PG. Causes and consequences of obesity. Med Int. 1994;22:385-8.

James WP. WHO recognition of the global obesity epidemic. Inj J Obs (Lond). 2008;32(7):20-6.

Haslam DW, James WP. Obesity. Lancet. 2005;366:1197-209.

Kopelman PG. obesity as a medical problem. Nature 2006:404.

Malik VS, Willett WE, Hu FB. Global obesity trends, risk factors and policy implications. Mart Rev endocrinol. 2013;9(1):13-27.

Catalano PM, Shankar K. Obesity and pregnancy, mechanisms of short term and long-term adverse consequences for mother and child. BMJ. 2017;356:1.

Torlani MR, Betran AP, Hota BL. Prepregnancy BMI and risk of gestational diabetes a systematic review of the literature with meta-analysis. Obes Rev. 2009;10-194.

Lisonkoya S, Muraca GM, Potts J. Associates between pre-pregnancy Body mass index and severe. Maternal morbidity. 2017;318:1777.

Santos S, Voerman E, Amiano P. Impact of maternal body mass index and gestational weight gain on pregnancy complications :an individual participant data meta-analysis of European, North American and Australian cohorts. BJOG. 2019;126:984.

Gunatilake RP, Perlow JH. Obesity and pregnancy: clinical management of the obese gravid. Am J Obstet Gynecol. 2011:204:106.

ACOG Practice Bulletin No 156: Obesity in pregnancy. Obstet Gynecol. 2015;126:e112.

Kumar HAS, Chellamma VK. Effect of Maternal Body Mass Index on Pregnancy Outcome. Int J Sci Stud 2017;4(10):81-4.

Bhushan N, Surinder K, Dinesh K, Khajuria R. The impact of maternal body mass index on maternal and perinatal outcome. Int J Reprod Contracept Obstet Gynecol. 2017;6:2862-6.

Bhuvaneshwari K, Gayathri. N, Prema Priya G, Dhingra S, Vimala D. A study on pre pregnancy body mass index and its effect on maternal and perinatal outcome. Obs Rev: J obstet Gynecol. 2019:5(4):181-85.

Ramya S, Kumar A, Sharan S, Ramaiah R. A study of body mass index in pregnancy and its correlation with maternal and perinatal outcome. New Indian J Obgyn. 2019:5(2):120-5.