ABSTRACT… Objectives:To determine the frequency of postpartum haemorrhage in obese primigravid women. Study Design: Case series study. Period: Six months was conducted from 1st October 2014 to 30 March 2015. Setting: Department of gynecology and obstetrics at Liaquat University Hospital Jamshoro. Patients and Methods: All the primigravid obese (≥30kg/m2) ladies 18 to 35 years of age with 37-42 weeks of gestational age were evaluate for the occurrence of PPH by estimating blood loss of greater than 500 ml of blood following vaginal delivery or 1000 ml of blood loss following caesarean section. All data was entered and analyzed through statistical package SPSS version 17, the chi-square statistical test was applied and the p-value ≤0.05 was considered as statistical significant. Results: Total 203 primigravid obese ladies were studies, the age group was analyzed which shows that in age group between 18-25 years were 105(52.00%) women, in age group of 26-30 years were 62(30.69%) women and age group of 30 years and above were 35 (17.31%) women. The modes of delivery were evaluated which shows that 66.5% women underwent C-section and 33.4% women had normal vaginal delivery. The PPH was observed in 34.97% patients (70.4% with C-Section and 29.6 with NVD). Conclusion: Obesity carries a significant increased risk of complications during pregnancy and maternal risks during labour are PPH and more frequent C-section and nulliparous obese women have twofold high risk for PPH Key words:Postpartum haemorrhage, Obesity, Primigravid. FCPS-II Resident Department of Obstetrics andGynecology unit-IV, Jamshoro.

ABSTRACT… Objectives:To determine the frequency of macrosomia in obese primigravid women. Study Design: Case series study. Period: Six months. Setting: Department of Gynecology and Obstetrics Department Jamshoro. Patients and Methods: The inclusion criteria of the study were primigravida women between age 18 to 35 years with singleton pregnancy and gestational duration of 37 to 42 weeks, and during labour with BMI 30 or >30kg/ m2 and All booked women who were primigravid during antenatal visit try to come and BMI calculated by weight in kg and height in meter square. The variables include post-delivery if the weight of baby is 4.5 kg is macrosomic and mode of the delivery. The data was analyzed in SPSS version 17, the frequency and percentage was calculated while the chi-square test was applied on categorical variables and the p-value ≤0.05 was considered as significant. Results: During six months study period total 203 pregnant obese ladies were observed for macrosomic babies. Age group was analyzed which shows that in age group between 18-25 years were 105(52.00%) women, in age group of 26-30 years were 62 (30.69%) women and age group of 30 years and above were 35 (17.31%) women with mean age ± SD of ladies was 24.6 ±6.2 years. Regarding modes of delivery shown 132 (65.02%) ladies had C-section and 71 (34.97%) ladies had vaginally delivery. Weight of the babies was assessed which shows 27 (13%) were born with less than 2.5 Kg, babies having weight between 2.6-3 Kg were 71 (35.3%) , babies were having weight 3 kg to 4.5kg 38 (18.7%) and babies having more than 4.5kg which shows 67 (33%). Neonatal complications observed were macrosomic babies 67 (33.1%). Frequency of macrosomic babies was higher in women with BMI more than 3.5kg/m2 44(21.67%) and in women with BMI between 30 to 35kg/m 2 25(12.31%). Conclusion: Obesity responsible for complications during pregnancy and delivery for both mother and babies. Fetal complications are macrosomia and these obese ladies should motivate for maintenance of weight. Key words:Macrosomia, Obesity, Primigravid. Article Citation: Junejo RR, Junejo RR, Sikandar R, Baloch S, Khaskheli M. Obese primigravid women; frequency of macrosomia.

Objectives: To determine the frequency of postpartum haemorrhage in obeseprimigravid women. Study Design: Case series study. Period: Six months was conductedfrom 1st October 2014 to 30 March 2015. Setting: Department of gynecology and obstetricsat Liaquat University Hospital Jamshoro. Patients and Methods: All the primigravid obese(≥30kg/m2) ladies 18 to 35 years of age with 37-42 weeks of gestational age were evaluate forthe occurrence of PPH by estimating blood loss of greater than 500 ml of blood following vaginaldelivery or 1000 ml of blood loss following caesarean section. All data was entered and analyzedthrough statistical package SPSS version 17, the chi-square statistical test was applied and thep-value ≤0.05 was considered as statistical significant. Results: Total 203 primigravid obeseladies were studies, the age group was analyzed which shows that in age group between 18-25years were 105(52.00%) women, in age group of 26-30 years were 62(30.69%) women and agegroup of 30 years and above were 35 (17.31%) women. The modes of delivery were evaluatedwhich shows that 66.5% women underwent C-section and 33.4% women had normal vaginaldelivery. The PPH was observed in 34.97% patients (70.4% with C-Section and 29.6 with NVD).Conclusion: Obesity carries a significant increased risk of complications during pregnancyand maternal risks during labour are PPH and more frequent C-section and nulliparous obesewomen have twofold high risk for PPH

Objectives: To determine the frequency of macrosomia in obese primigravidwomen. Study Design: Case series study. Period: Six months. Setting: Department ofGynecology and Obstetrics Department Jamshoro. Patients and Methods: The inclusioncriteria of the study were primigravida women between age 18 to 35 years with singletonpregnancy and gestational duration of 37 to 42 weeks, and during labour with BMI 30 or >30kg/m2 and All booked women who were primigravid during antenatal visit try to come and BMIcalculated by weight in kg and height in meter square. The variables include post-delivery ifthe weight of baby is 4.5 kg is macrosomic and mode of the delivery. The data was analyzed inSPSS version 17, the frequency and percentage was calculated while the chi-square test wasapplied on categorical variables and the p-value ≤0.05 was considered as significant. Results:During six months study period total 203 pregnant obese ladies were observed for macrosomicbabies. Age group was analyzed which shows that in age group between 18-25 years were105(52.00%) women, in age group of 26-30 years were 62 (30.69%) women and age group of30 years and above were 35 (17.31%) women with mean age ± SD of ladies was 24.6 ±6.2years. Regarding modes of delivery shown 132 (65.02%) ladies had C-section and 71 (34.97%)ladies had vaginally delivery. Weight of the babies was assessed which shows 27 (13%) wereborn with less than 2.5 Kg, babies having weight between 2.6-3 Kg were 71 (35.3%) , babieswere having weight 3 kg to 4.5kg 38 (18.7%) and babies having more than 4.5kg which shows67 (33%). Neonatal complications observed were macrosomic babies 67 (33.1%). Frequencyof macrosomic babies was higher in women with BMI more than 3.5kg/m2 44(21.67%) andin women with BMI between 30 to 35kg/m2 25(12.31%). Conclusion: Obesity responsible forcomplications during pregnancy and delivery for both mother and babies. Fetal complicationsare macrosomia and these obese ladies should motivate for maintenance of weight.