ISSN 0975-3583
 

Journal of Cardiovascular Disease Research



    The Effects of Maternal Body Mass Index on Maternal and Perinatal Outcome


    Reshma D Souza, Sunita S, S K Manjula, Manoj B M
    JCDR. 2023: 1144-1152

    Abstract

    The increasing prevalence of obesity is presenting a critical challenge to health care services. The precipitous rise in the prevalence of obesity is mirrored in the antenatal population and number of women entering pregnancy with obesity is high. In India 26% of pregnant women are overweight and 8% are obese. Objectives: To study the women from a variety of ethnic groups and socio-economic strata, to determine the effect of maternal BMI on maternal and perinatal outcome. Material and Methods: This was a prospective Observational study. A total of 248 pregnant mothers at first visit in first trimester attending the regular antenatal clinics of OBG Department at St. John’s medical college Hospital between November 2018 – November 2020 were sorted out based on inclusion and exclusion criteria and were included in the study after informed consent. BMI measured using formula of BMI = (weight in kilograms / height in meters2).The cut-off limits for Asians as per (WHO) was taken. Baseline (ANC) routine investigations were performed as per the hospital protocol. All findings were noted in a Performa and records were maintained till delivery. All pregnant mothers were counselled to have followed up visits till delivery. All the babies were be examined by the Neonatologist. APGAR scores of the babies, and neonatal intensive care unit (NICU) admissions were recorded. The required sample size was 248 for 80% power and 5% statistically significant. The Qualitative data was summarized by count and percentage. Quantitative data was summarized by mean and standard deviation (SD). The association between qualitative variable was assessed by chi square test and contingency table analysis. The quantitative variable was compared according different groups independent t test and ANOVA. Results: The study observed that there is strong association of increased BMI in pregnant mothers and complications like preeclampsia, GDM, caesarean delivery and larger babies. Whereas, underweight women had more chances of preterm delivery needing NICU care for the child. Conclusion: Maternal BMI and pregnancy outcome have strong correlation and young women who are conceiving are overweight. Therefore, it is essential to create awareness in the young women to have healthy life style and regular exercise to maintain normal BMI prior to conception as it is a modifiable risk factor

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    Volume & Issue

    Volume 14 Issue 4

    Keywords