Prevalence of obesity among women of reproductive age is increasing worldwide. As the prevalence increases among the women of reproductive age group, so it does among pregnant females. This study was conducted with the aim to assess obesity-related adverse maternal, neonatal and perinatal outcomes using new Asian Indian guidelines.
Aims and Objectives: To correlate the body mass index in pregnancy with maternal and fetal outcome.
Methods: The present study was conducted in 150 women admitted in SMGS Hospital, GMC Jammu from January 2020 to December 2020. The above women were placed in standard BMI categories according to WHO and their obstetric and fetal outcome variables were evaluated.
Results: There was increased incidence of antepartum complications in obese women. The difference in the occurrence of hypertensive disorders of pregnancy (p=0.004), hypothyroidism (p=0.002) and GDM (p=0.0001) among the three categories was statistically significant. The risk of induction of labour was highest in obese women and so was the incidence of caesarean and instrumental deliveries and the difference was statistically significant (p=0.01). The difference in the onset of labour as well as mode of delivery among the three categories was statistically significant (p=0.002). In perinatal outcomes, the difference in mean birth weight of the babies among three categories was statistically significant (p<0.008). The difference in the incidence of NICU admissions was statistically not significant (p=0.114).
Conclusion: High BMI is associated with increased incidence of hypothyroidism, GDM, hypertensive disorders, instrumental delivery and caesarean delivery.