Feto-Maternal Outcome in Kashmiri Women with High Bmi – A Hospital Based Study

Abstract Background and Aim: To review the effects of obesity (BMI >30) on antepartum risk/intrapartum risk. Obese women are at an increased risk of various adverse pregnancy outcomes. The aim of our study was to evaluate the impact of obesity on maternal and neonatal outcomes in a tertiary referral center and to compare obstetric outcomes by the level of maternal obesity. Material and Methods: BMI of 400 pregnant women booked before 12 weeks calculated and categorized as normal, overweight, obese and morbidly obese at Lalla Ded hospital, Srinagar. Pregnant women with systemic disease and previous LSCS were excluded. Antepartum, intrapartum and neonatal variables were studied and statistical analysis was carried out. Results: Antepartum Variables: Maternal obesity is significantly associated with gestational hypertension, preeclampsia, gestational diabetes, prolonged pregnancy, PPROM, anemia, dystocia, induced labor, failed induction of labor, cesarean delivery. Postpartum Variables: PPH, pyrexia, prolonged hospital stay and thrombophlebitis are significantly associated with raised BMI. Neonatal Variables: IUGR, Preterm, post term, LBW, Large for gestational age and macrosomia and newborns with Apgar score < 7 after 5 min was only observed in women with BMI lying in severe overweight range.