MATERNAL OBESITY AND OBSTETRIC OUTCOME IN PREGNANT WOMEN ATTENDING PNS SHIFA KARACHI

Rabiah Anwar; Kashif Razzaq; Naheed Parveen

doi:10.51253/pafmj.v71iSuppl-1.2837

Authors

Rabiah Anwar Pakistan Naval Ship Shifa Hospital, Karachi Pakistan
Kashif Razzaq Pakistan Naval Ship Shifa Hospital, Karachi Pakistan
Naheed Parveen Liaquat University of Medical and Health Sciences, Jamshoro Pakistan

DOI:

https://doi.org/10.51253/pafmj.v71iSuppl-1.2837

Keywords:

Pregnancy, Cesarean delivery, Gestational hypertension, Gestational diabetes, Large for gestational age newborns, Obesity

Abstract

Objective: To evaluate the impact of obesity on maternal and neonatal outcome.

Study Design: Comparative cross sectional study.

Place and Duration of Study: Department of Gynaecology and Obstetrics, Pakistan Naval Ship, Shifa Hospital
Karachi, from Nov 2016 to Oct 2017.

Methodology: All singleton pregnant women of normal prepregnancy body mass index (BMI) and obese women having ≥30 body mass index, delivering newborn at 28-42 weeks of gestation were included. Comparison of antenatal complications and neonatal outcomes was done among both groups.

Results: Obese women significantly developed gestational hypertension (OR=7.4 95% CI, 4.84-11.4), preeclampsia (OR=2.22 95% CI, 1.36-3.6), gestational diabetes mellitus (OR=5.2; 95% CI, 3.57-7.58), labor induction (OR= 2.79 95% CI, 2.03-3.84), failed induction of labor (OR = 5.3 95% CI, 8.05-29.38), cesarean delivery (OR=1.89 95% CI, 1.41-2.5), large for gestational age newborn (OR=3.97 95% CI, 2.87-5.50). But there was no statistically significant difference in small for gestational age newborn (OR=0.91 95% CI, 0.42-1.98), new born with APGAR score ≤7 after 5 min after delivery (OR=2.168 95% CI, 0.97-4.82) among obese and normal weight pregnant women.

Conclusion: There is increased risk of gestational hypertension, preeclampsia, gestational diabetes, failed induction of labor, dystocia, cesarean delivery and large for gestational age newborns in obese women.
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