Adverse Fetomaternal Outcomes In Overweight Pregnant Women

Rimla Ijaz; Faiza  Khanam; Ghanwa  Bareach; Faiza  Rasool; Haleema  Sadia; Semab  Qamar

doi:10.51253/pafmj.v76iSUPPL-7.13683

Authors

Rimla Ijaz Department of Gynaecology and Obstetrics, Combined Military Hospital Rawalpindi/National University of Medical Sciences (NUMS) Pakistan https://orcid.org/0009-0005-5194-5842
Faiza Khanam Department of Gynaecology and Obstetrics, Combined Military Hospital Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Ghanwa Bareach Department of Gynaecology and Obstetrics, Combined Military Hospital Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Faiza Rasool Department of Gynaecology and Obstetrics, Combined Military Hospital Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Haleema Sadia Department of Gynaecology and Obstetrics, Combined Military Hospital Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Semab Qamar Department of Gynaecology and Obstetrics, Combined Military Hospital Rawalpindi/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v76iSUPPL-7.13683

Keywords:

Intensive Care Units, Maternal, Neonatal, Obesity, Overweight, Pre-Eclampsia, Pregnancy

Abstract

Objective: To determine adverse fetomaternal outcomes in overweight pregnant women.

Study Design: Prospective observational study

Place and Duration of Study: Department of Gynaecology and Obstetrics, Combined Military Hospital Rawalpindi, Pakistan from Nov 2023 to Apr 2024.

Methodology: This study enrolled pregnant women with singleton pregnancy presenting for their first-trimester antenatal visit. Participants were classified into two groups based on body mass index (BMI): the overweight/obese group (Group-A), comprising 75 women with a BMI ≥25 kg/m2, and the normal-weight group (Group-B), consisting of 75 women with a BMI between 18.5-24.9kg/m2. Each participant underwent at least four scheduled assessments during pregnancy to monitor maternal and fetal outcomes. Data were analysed using SPSS version 27.0.

Results: The mean age was 28.10 ± 2.96 years. In normal-weight versus overweight/obese women, the outcomes were: cesarean section 25.33% vs. 29.33%, pre-eclampsia 9.33% vs. 25.33%, pregnancy-induced hypertension 12.00% vs. 16.00%, gestational diabetes mellitus 16.00% vs. 12.00%, assisted vaginal delivery 4.00% vs. 1.33%, wound infection 4.00% vs. 5.33%, postpartum hemorrhage 8.00% vs. 5.33%, shoulder dystocia 0.00% vs. 2.67%, stillbirth 0.00% vs. 0.00%, Apgar score ≤7 at one minute 33.33% vs. 13.33%, Apgar score ≤7 at five minutes 20.00% vs. 6.67%, early neonatal death 4.00% vs. 4.00%, and neonatal intensive care unit admissions 24.00% vs. 45.33%.

Conclusion: Maternal obesity is significantly associated with adverse maternal and fetal outcomes.

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