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A clinical study of maternal and neonatal outcome in pregnant women with obesity (BMI more than 30) at a tertiary hospital

    Author

    • Dr. Anurag Sonawane, Dr. Shrinivas Gadappa, Dr. Sandeep S Mannikatti, Dr. Rupali A Gaikwad .

    Department of Obstretrics & Gynaecology, Government Medical College And Hospital, Aurangabad, Maharashtra, India.

,

Document Type : Research Article

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Abstract

Background: Obesity is one such pre-existing maternal morbidity that puts a pregnancy at risk. Maternal obesity is a frequent high-risk factor with substantial prenatal, intranasally, and postnatal problems. This study aimed to analyze maternal and fetal outcome in obese pregnant women (BMI more than 30) at our tertiary care teaching hospital.
Material and Methods: This study was prospective & observational study, conducted in pregnant women, gestational age > 28 weeks, with BMI > 30, delivering at our labour room. Maternal and neonatal outcomes were analysed.
Results: Among 453 pregnant women with BMI > 30kg/m2, majority were from 19—25 years age group (45.1 %), 48.03% were primigravida, 82.33% had > 37 weeks of gestation. In the study group 78.43% were moderately obese, 15.69% were severely obese and only 5.88% were morbidly obese. Most common pre pregnancy medical disorder in obese women were preeclampsia (21.57 %), previous LSCS (20.59 %), severe anaemia (19.54 %), gestational diabetes mellitus (12.75 %), gestational hypertension (9.80 %) & multiple pregnancy (1.96 %). Common intrapartum events were Preterm labor (16.67 %), PPH (6.78 %), Abruptio placenta (4.90 %), Mal presentation Breech (4.90%) & Eclampsia(1.96%).63.71%of obese pregnant women delivered by normal vaginal delivery, 31.37% of obese pregnant women underwent cesaerian section & 4.90% of obese women were requiring instrumental delivery. Common indication for NICU admission were infant of diabetic mother (22.55 %), preterm (14.71 %), meconium aspiration (5.88 %), macrosomia (3.92 %), asphyxia (1.96 %) & transient tachypnia of new born (1.96%). No maternal or neonatal mortality observed in present study.
Conclusion: In obese pregnant women with BMI >30kg/m2, higher incidence of gestational hypertension, preeclampsia, gestational diabetes mellitus, anaemia, malpresentation, cephalopelvic disproportions and hypothyroidism isnoted,

Keywords

  • obese pregnant women
  • BMI >30kg/m2
  • gestational hypertension
  • Preeclampsia
  • gestational diabetes mellitus
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    • Article View: 138
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European Journal of Molecular & Clinical Medicine
Volume 9, Issue 3
February 2022
Page 1123-1129
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  • Article View: 138
  • PDF Download: 145

APA

., D. A. S. D. S. G. D. S. S. M. D. R. A. G. (2022). A clinical study of maternal and neonatal outcome in pregnant women with obesity (BMI more than 30) at a tertiary hospital. European Journal of Molecular & Clinical Medicine, 9(3), 1123-1129.

MLA

Dr. Anurag Sonawane, Dr. Shrinivas Gadappa, Dr. Sandeep S Mannikatti, Dr. Rupali A Gaikwad .. "A clinical study of maternal and neonatal outcome in pregnant women with obesity (BMI more than 30) at a tertiary hospital". European Journal of Molecular & Clinical Medicine, 9, 3, 2022, 1123-1129.

HARVARD

., D. A. S. D. S. G. D. S. S. M. D. R. A. G. (2022). 'A clinical study of maternal and neonatal outcome in pregnant women with obesity (BMI more than 30) at a tertiary hospital', European Journal of Molecular & Clinical Medicine, 9(3), pp. 1123-1129.

VANCOUVER

., D. A. S. D. S. G. D. S. S. M. D. R. A. G. A clinical study of maternal and neonatal outcome in pregnant women with obesity (BMI more than 30) at a tertiary hospital. European Journal of Molecular & Clinical Medicine, 2022; 9(3): 1123-1129.

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