Abstract
THE IMPACT OF BODY MASS INDEX IN PREGNANT WOMEN AND THEIR OBSTETRIC OUTCOMES IN A TERTIARY CARE HOSPITAL OF SOUTH INDIA FROM AUGUST 2013-2015

Dr. Roya Rozati, Dr. Akhila Reddy*, Dr. Surayya Tahseen, Dr. Nazima Allaudin, Dr. FatimaTahniyath, Dr. Fatima Hafeez and Ayyapathi Mehdi Gautam

ABSTRACT

OBJECTIVE To assess the prevalence of overweight and obesity, and the impact of body mass index (BMI) on maternal and neonatal outcomes, in a UK obstetric population. STUDY DESIGN: A retrospective study was conducted and data was collected from births between August 2013 to August 2015 within a tertiary referral unit, with over 3600 births per year. STUDY PERIOD: August 2013 – August 2015 STUDY SITE: This study was carried out in OWAISI HOSPITAL AND RESEARCH CENTRE as a clinical audit and therefore did not require approval from a Research Ethics Committee. Women were categorised according to World Health Organization classification: underweight (BMI < 18.50 kg/m2); normal weight (BMI 18.50–24.99 kg/m2; reference group); Over weight (BMI 25.00–29.99 kg/m2); obese class I (BMI 30.00– 34.99 kg/m2); obese class II (BMI 35–39.99 kg/m2); and obese class III (BMI _ 40 kg/m2). Maternal and neonatal outcomes were examined using logistic regression, adjusted for confounding variables. RESULTS : The study highlights a relationship between increasing BMI (from overweight to obese class III) and increasing risk of adverse outcomes, including gestational diabetes mellitus (GDM), hypertensive disorders of pregnancy, caesarean section, macrosomia, and neonatal unit admission, with women in the highest obesity group at risk of additional adverse out-comes, including stillbirth, a longer postnatal stay, and wound problems following caesarean section.By categorising women into overweight and obesity sub classifications (classes I –III), this study clearly demonstrates an increasing risk of adverse outcomes across BMI categories, with women who are overweight also at significant risk both in terms of maternal and neonatal outcomes.

Keywords: Body mass index, maternal and neonatal outcomes, obesity, pregnancy.


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