Retrospective study on the effect of Body Mass Index (BMI) on maternal and neonatal outcome

Abstract

Background: Obesity has become health problem worldwide. Prevalence of obesity has increased globally with more incidence observed in female than male. Objective of present study was assessment of maternal outcome in term of associated medical disorder and mode of delivery and assessment of neonatal outcome.Methods: The retrospective study performed at Nowrosjee Wadia Maternity Hospital, a tertiary care centre between 1st January 2017 to 30th November 2017. Total 64 patients were enrolled. Maternal and neonatal outcomes were studied in all nulligravida women with high BMI using logistic regression adjusted for confounding variable.Results: Women with high BMI were at increased risk of hypertensive disorder of pregnancy (40.65%), diabetes (7.81%), induction of labour (62.5%), instrumental delivery (14.06%), operative intervention (42.18%), prolonged hospital stay and NICU admission (26.56%).Conclusions: This study observes increase risk of adverse outcome in pregnant women with high BMI.

Relation of High Maternal Body Mass Index to Perinatal and Maternal Outcome

“…We found a significantly rising incidence of low birth weight babies among BMI more than or equal to 35mothers 83.3%. which is similar to Takai et al, 2017 [15] results which may be due to dysregulation of proinflammatory cytokines as well as increased risk of infection in obese and overweight individuals as they will lead to reduced placental surface area and also their vasculature with consequent uteroplacental insufficiency [16] In our study, we found more incidence of IUGR and NICU admissions in the BMI group more than or equal to 35, which is like Shah PM et al 2018 results [17] .…”

Body mass index and gestational weight gain in pregnant women with gestational diabetes and its relation with adverse maternal and fetal outcome

“…28 Various Indian and international studies depicting similar results were found. [29][30][31] Also, we found higher odds for preterm, macrosomia, IUFD and NICU admissions in study group. In a cohort study by Doi relation between high maternal BMI and pregnancy outcome was studied.…”

“…33,34 Studies by Doi et al, Su et al, Castillejos et al, and Melchor et al also endorses similar results. 29,[30][31][32]35…”