Objective: To determine the frequency of maternal complications in obese antenatal women.
Methodology: This descriptive cross sectional study was conducted in department of obstetrics and gynecology, Lady Reading hospital, Peshawar-Pakistan, from April 2010 to March 2011. Total 250 consecutive antenatal patients with BMI >25kg/m2 (as per criteria for Asian population) were included in the study that fulfilled the inclusion criteria. Maternal complications associated with obesity like gestational diabetes, pregnancy induced hypertension (PIH), pre-eclampsia, cesarean section and reduced vaginal birth after cesarean section (VBAC) was determined. Data was analyzed by SPSS version 10.
Results: Out of 250 obese antenatal women, 189 (75.6%) were multigravida and 61 (24.4%) were primigravida. In 212 (84.8%) cases, BMI ranged from 26-30 kg/m2 and in 38 (15.2%) cases it was 31-36kg/m2. Majority (n=166; 66.8 %) were ranging in age from 21-30 years and 190 (76%) cases had gestational age of 36–40 weeks. Gestational diabetes (20.4%), pregnancy induced hypertension (17.2%), pre-eclampsia (4.8%), increased, cesarean rate (30.4%), reduced VBAC rates (13.2%) were the common maternal complications in obese antenatal women.
Conclusion: Obesity in pregnancy is associated with adverse maternal outcome like gestational diabetes, pregnancy induced hypertension, pre-eclampsia, increased, cesarean rate and reduced VBAC rates.
World Health Organization. Global Health Observatory (GHO). Obesity: Situation and trends. Cited on October 23, 2013]. Available from URL: http://www.who.int/gho/ncd/risk_factors/obesity_text/en/
Lingam KMG, Faroohi NG, Greer IA, Sattar N. Changes in booking body mass index over a decade: retrospective analysis from a Glasgow maternity hospital. Br J Obstet Gynacecol 2005;112:1431–3.
World Health Organization, Western Pacific Region. The International Association for the Study of Obesity and the International Obesity Task Force. The Asia–Pacific perspective: redefining obesity and its treatment. Sydney, Australia: Health Communications Australia Pty Limited; 2000. [Cited on December 03, 2013]. Available from URL: www.diabetes.com. au/pdf/obesity_report.pdf
Choo V. WHO reassesses appropriate body- mass index for Asian populations. Lancet 2002; 360: 235.
Nanan OJ. The obesity pandemic implications for Pakistan. J Pak Med Assoc 2002;52:342-6.
Kanagalingam MG, Forouhi NG, Greer lA, Sattar N. Changes in booking body mass index over a decade: retrospective analysis from a Glasgow Maternity Hospital. Br J Obstet Gynecol 2005:112: 1431-3.
Bilal N, Akbar N, Khan AB. Obesity is a gateway to complications. Ann Pak Inst Med Sci 2005;1:230–3.
Linne Y. Effects of obesity on women's reproduction and complications during pregnancy. Obes Rev 2004;5:137-43.
Vyas S, Ghani L, Khazaezadeh N and Oteng - Ntim E. Pregnancy and obesity. In: Studd J, Tan SL, Chervenak FA (editors). Progress in obstetrics and gynecology. China. Elsevier Publishers; 2008:11-28.
Vahratian A, Siega-Riz AM, Savitz OA, Zhang I. Maternal pre-pregnancy overweight and obesity and the risk of caesarean delivery in nulliparous women . Ann Epidemiol 2005:15467-74.
Sheiner E, Levy A, Menes TS, Silverberg D, Katz M, Mazor M. Maternal obesity as an independent risk factor for caesarean delivery. Paediatr Perinat Epidemiol 2004;18:1- 20%
Castro LC, Avina RL. Maternal obesity and pregnancy out comes. Curr Opin Obstet Gynecol 2002;14:601-6.
de Groot LC. High maternal body weight and pregnancy outcome. Nutr Rev 199;57: 62-4.
Jaleel R. Impact of maternal obesity on pregnancy outcome. J Surg Pak 2009;14:2–6.
Ali HS, Lakhani N. Effect of obesity and its outcome among pregnant women. Pak J Med Sci 2011;27(5):1126-8.
Shabab U, Tahir S. Effect of obesity on cesarean Section rate. J Surg Pak (Internat) 2010;15 (2):92-6.
Sebire NJ, Jolly M, Harris JP, Joffe M, Regan L et al. Maternal obesity and pregnancy out come . Internat J Obesity 2001;25:1175-82.
Callaway LK, Prins JB, Chang AM, McIntyre HD. The prevalence and impact of overweight and obesity in an Australian obstetric population. Med J Australia 2006;184: 56-9.
Arendas K, Qin Q, Gruslin A. Obesity in pregnancy: pre-conceptional to postpartum consequences. J Obstet Gyaenecol Can 2008;30:477-88.
Gartier F, Raingeard I, Renard E, Boulot P, Bringer J. Optimizing the outcome of pregnancy in obese women: from pregestational to long term management. Diabetes Metab 2008;34:19-25.
Abenhaim HA, Kinch RA, Morin L, Benjamin A, Usher R. Effect of pre pregnancy body mass index categories on obstetrical and neonatal outcomes. Arch Gynecol Obstet 2007;275:39-43.
Chauhan SP, Magann DR, Carroll CS, Barrilleaux PS, Scardo JA, Martin Jr JN. Mode of delivery for morbidly obese with prior cesarean delivery. Vaginal versus repeat cesarean section. Am J Obstet Gynecol. 2007;185: 349 –54 .
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