Abstract

Obesity has significant consequences for the reproductive system, depending upon the amount and distribution of body fat. Epidemiological evidence clearly shows that being overweight contributes to menstrual disorders, infertility, an increased risk of a number of serious adverse pregnancy outcomes, including miscarriage, fetal congenital anomaly, thromboembolism, gestational diabetes, pre-eclampsia, dysfunctional labour, postpartum hemorrhage wound infections, stillbirth and neonatal death. AIMS AND OBJECTIVES; To analyze the significant risk associated with obesity and its consequences on obstetrics management and perinatal outcome. Maternal and Methods: A prospective study was carried out in GMC SHAHDOL, The study enrolled 200 pregnant women with BMI > 25 and equal no. of women with normal BMI (18- 24.9) as control. RESULTS; 76(38%) out of 200 pregnant women were overweight,70(35%) were obese type 1 (BMI 30-34.9), 44(22%) had BMI (35-39.9) and 10(5%) had BMI > 40.In comparison to normal BMI pregnant women, women with BMI >25 had significant risk of gestation hypertension(p=0.004), preeclampsia(p=0.04) GDM and shoulder dystocia (P=0.021), caesarean rate(0.0001) induced labor (0.0001) and decreased incidence of VBAC (p=0.037) with post operative wound infection. Neonates of these women are mostly macrosomic (p=0.021) and high incidence of shoulder dystocia. CONCLUSION; High maternal BMI at booking is associated with increased risk of pregnancy complications. Achieving a normal BMI prior to conception with the institution of healthy eating & exercise regimens may represent an ideal option.

Description

.