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Impact of HIGH BMI on Pregnancy: Maternal and Foetal Outcome

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Abstract

Aim and Objectives

To review the effects of obesity (BMI > 30) on antepartum risk/intrapartum risk. To study neonatal outcome of pregnant women with raised BMI.

Material Method

BMI of 500 pregnant women booked before 12 weeks calculated and categorised as normal, overweight, obese and morbidly obese at GMCH, Aurangabad. Pregnant women with systemic disease and previous LSCS were excluded. Antepartum, intrapartum and neonatal variables were studied, and statistical analysis was carried out.

Results

Antepartum variables: prolonged pregnancy (<0.05), severe PIH (<0.05), PPROM (<0.05), gestational DM (<0.05) and anaemia (<0.05) are strongly associated with raised BMI, whereas abortion (>0.05), oligohydramnios (>0.05), UTI (>0.05) and abruption (>0.05) are not associated with raised BMI. Postpartum variables: PPH (<0.05), pyrexia (<0.05), prolonged hospital stay (<0.05) and lactational dysfunction (<0.05) are strongly associated with raised BMI, whereas UTI (>0.05), thrombophlebitis (>0.05) and endometritis (>0.05) are not associated with raised BMI. BMI Neonatal outcome: IUGR (<0.05), preterm (<0.05), postterm (<0.05), LBW (<0.05) and macrosomia (>0.05) are strongly associated with raised BMI, whereas stillbirth (>0.05), intubation (>0.05), RDS (>0.05) and baby died within 24 (>0.05) are not associated with raised BMI.

Conclusions

Overweight and obesity are risk factors for AP/IP/PP complication.

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Authors and Affiliations

  1. Department of Obstetrics and Gynaecology, Government Medical College, Aurangabad, India

    Varsha L. Deshmukh (Registrar), Milind Jadhav (Prof.) & Kanan Yelikar (HOD)

Authors
  1. Varsha L. Deshmukh
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  2. Milind Jadhav
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  3. Kanan Yelikar
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Corresponding author

Correspondence to Varsha L. Deshmukh.

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Additional information

Varsha L. Deshmukh is Associate Professor & Unit Incharge of Obstetrics and Gynaecology at Government Medical College; Milind Jadhav is Resident of Obstetrics and Gynaecology at Government Medical College; Kanan Yelikar is HOD of Obstetrics and Gynaecology at Government Medical College.

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Deshmukh, V.L., Jadhav, M. & Yelikar, K. Impact of HIGH BMI on Pregnancy: Maternal and Foetal Outcome. J Obstet Gynecol India 66 (Suppl 1), 192–197 (2016). https://doi.org/10.1007/s13224-015-0825-3

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  • DOI: https://doi.org/10.1007/s13224-015-0825-3

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