TO ASSESS THE EFFECT OF MATERNAL BMI ON OBSTETRICAL OUTCOME

DR Pancharam; Dr Purnima Pachori; Dr Narendra Mahawar; Dr Suchitra Narayan

Volume : VI, Issue : IX, September - 2016

TO ASSESS THE EFFECT OF MATERNAL BMI ON OBSTETRICAL OUTCOME

Dr Pancharam, Dr Purnima Pachori, Dr Narendra Mahawar, Dr Suchitra Narayan

Abstract :

OBJECTIVE:– The objective of this study was to assess the effect of maternal BMI on obstetrical outcome i.e. ante partum complications, mode of delivery, Intra and Post–partum complications and Neonatal outcomes. METHODS: A comparative prospective study was carried out in the Obst and Gynae department, J.L.N. Medical College and Associated Group of Hospitals, Ajmer. The study enrolled 200 pregnant women. They were divided into 2 groups based on their BMI, more than or equal to 30.0 kg/m2 were categorized as obese and less than 30 kg/m2 as non obese respectively. Feto–Maternal outcomes in both types of patients were studied. RESULTS : In this study incidence of PIH (20%), pre–eclampcia (11%), GDM (12%), Need for induction(21%) were significantly increased. Rate of caesarean section was also significantly high in obese group (4% vs 24%). The rate of Intra and post partum complications were higher in obese group but not significant. Incidences of neonatal complications were also higher in obese group but not significant. CONCLUSION: As the obstetrical outcome is significantly altered due to obesity, we can improve feto–maternal outcome by overcoming obesity. As obesity is a modifiable risk factor, preconception counseling, proper physical exercise, creating awareness regarding health risk associated with obesity should be encouraged and obstetrical complications reduced