STUDY OF THE ASSOCIATION BETWEEN EARLY PREGNANCY BMI AND GESTATIONAL WEIGHT GAIN IN RELATION TO NEONATAL BIRTH WEIGHT

Dr. Kumari Madhulika; Dr. Gajanan R. Daiv

Volume : VI, Issue : II, February - 2016

STUDY OF THE ASSOCIATION BETWEEN EARLY PREGNANCY BMI AND GESTATIONAL WEIGHT GAIN IN RELATION TO NEONATAL BIRTH WEIGHT

Dr. Kumari Madhulika, Dr. Gajanan R. Daiv

Abstract :

Birth weight plays an important role in infant mortality and morbidity, childhood development and adult health. Low birth weight has a risk of type 2 diabetes and ischemic heart diseases in later life. Macrosomia increases the risk of caesarean section, delivery complications (i.e. shoulder dystocia) and subsequent childhood obesity. By doing this study, it would be possible to investigate the independent and combined association between early pregnancy BMI and infant birth weight, after controlling other maternal factors. 110 Patients with Singleton Uncomplicated Pregnancy [12 Weeks of Pregnancy and Delivering at Term with No antenatal complications] booked at Dr. D. Y. Patil Hospital, Kolhapur were included in the study. Their booking BMI, every ANC visit and overall pregnancy outcome was studied with the help of pre designed questionnaires. It has been seen that: 1. Lower BMI is significantly associated with lower birth weight.2.Increased weight gain in 2nd & 3rd Trimester is proportional to increased birth weight. The study findings support the need to balance pre pregnancy weight and gestational wt gain against risk of LBW and Macrosomia among lean and obese women. With proper counselling and advice about proper nutrition, weight gain and physical activity can come up with recommended range of wt gain and better neonatal outcome.