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Obesity or Underweight—What is Worse in Pregnancy?

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Abstract

Objective

This study was conducted to compare underweight and obese women and their weight gain during pregnancy on fetomaternal outcome.

Method

This is a prospective, non-interventional, observational study on 1000 women (BMI between 20 and 30 were excluded). Women attending ANC OPD with singleton pregnancy at or before 16 weeks were included and BMI calculated in early pregnancy. Their weight gain during pregnancy was noted. Any complications in the mother or perinate were noted.

Results

Incidence of obesity in our institute was 17 % and that of underweight was 18 %. Pre-eclampsia, gestational hypertensions, gestational DM, antepartum hemorrhage, all were more common among obese women, while anemia was more common in the underweight. Post-dated pregnancy, induction of labor, cesarean delivery, and postpartum complications were more common in obese women. Fetal complications were also higher in obese patients.

Conclusion

Lower as well as higher prepregnancy BMI is an independent risk factor that is associated with increased morbidity and mortality in both the mother and the fetus.

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Compliance with Ethical Requirements and Conflict of Interests

Abha Singh and Sumi Agrawal declares that they have no conflict of interest. As this was prospective observational study, not an interventional or case control study, informed conset with human subjects for being included in the study was not necessary, however all procedures followed were in accordance with ethical standard of the responsible committee on human experiments (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008(5).

Author information

Authors and Affiliations

  1. Department of Obstetrics & Gynaecology, Pt. J.N.M. Medical College, G-5, Anand Vihar, Near Telibandha, Raipur, 492001, Chhattisgarh, India

    Sumi Agrawal

  2. Department of Obstetrics & Gynaecology, Pt. J.N.M. Medical College, E-8, Shankar Nagar, Raipur, Chhattisgarh, India

    Abha Singh

Authors
  1. Sumi Agrawal
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  2. Abha Singh
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Corresponding author

Correspondence to Sumi Agrawal.

Additional information

Sumi Agrawal is Assistant Professor at Pt. JNM Medical College Raipur, Chhattisgarh, India; Abha Singh is Director, Professor & HOD at Pt. JNM Medical College Raipur, Chhattisgarh, India.

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Agrawal, S., Singh, A. Obesity or Underweight—What is Worse in Pregnancy?. J Obstet Gynecol India 66, 448–452 (2016). https://doi.org/10.1007/s13224-015-0735-4

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  • DOI: https://doi.org/10.1007/s13224-015-0735-4

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