OBESITY RELATED MATERNAL COMPLICATIONS IN PREGNANT WOMEN

• Main Author: Wajeeha Syed
• Format: Article
• Language: English
• Published: Khyber Medical University 2014-11-01
• Series: Khyber Medical University Journal
• Online Access: https://www.kmuj.kmu.edu.pk/article/view/12563
• ISSN: 2305-2643; 2305-2651

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.