Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 14 , ISSUE 6 ( November-December, 2022 ) > List of Articles

Original Article

Effect of High Prepregnancy Body Mass Index on Pregnancy Outcomes

Preeti Singh, Meenakshi Gupta, Nisha Kapoor

Keywords : Body mass index, Cesarean section, Fetal distress, Gestational hypertension, Intrauterine growth restriction

Citation Information : Singh P, Gupta M, Kapoor N. Effect of High Prepregnancy Body Mass Index on Pregnancy Outcomes. J South Asian Feder Obs Gynae 2022; 14 (6):685-689.

DOI: 10.5005/jp-journals-10006-2159

License: CC BY-NC 4.0

Published Online: 31-01-2023

Copyright Statement:  Copyright © 2022; The Author(s).


Aim: To assess the effect of high maternal body mass index (BMI) on complications during pregnancy, mode of delivery, complications of labor and delivery, and postnatal outcomes. Materials and methods: A prospective and comparative observational study was carried out in 350 antenatal women with singleton pregnancy in the first trimester, divided into two groups of 175 each based on BMI, after taking inclusion and exclusion criteria in the OBGY Department of Fortis Escorts Hospital, Faridabad. Patients were divided into two groups: group I – (Control group) BMI less than 25 and group II – (Study group) BMI equal to or more than 25. Maternal and fetal outcomes were studied during pregnancy, at the time of labor, during delivery, and postnatal stay. Results: In comparison with women of BMI less than 25 kg/m2, women with BMI more than 25 kg/m2 faced more risk of gestational hypertension (13.71% in group I and 33.71% in group II), gestational diabetes (8.57% in group I and 26.86% in group II), intrauterine growth restriction (IUGR) (5.71% in group I and 12% in group II), induction of labor (10.06% in group I and 24.42% in group II), nonprogress of labor (NPOL) (4.69% in group I and 17.55% in group II), and cesarean section (24% in group I and 48.57% in group II) with statistically significant increased incidence. In this study, we also found that high maternal BMI along with excessive gestational weight gain (above recommended value) has a statistically significant association with gestational hypertension and gestational diabetes (p-value <0.0001). Conclusion: We concluded that there is high prevalence of complications to the mother when the BMI of the mother is more or equal to 25. Clinical significance: The results of this study add to the emerging body of literature on the consequences of mothers being overweight and obese during pregnancy and childbirth.

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