High Body Mass Index in Pregnancy, its Effects on Maternal and Fetal Outcome

Abstract Background: Increasing BMI in women poses multiple threat of illness especially in the reproductive age group impacting pregnancy. Pregnant women with overweight and obesity are at a higher risk of developing complications at all stages of the physiological pregnancy. Methods: The study was conducted among the pregnant women attending the antenatal clinic in Mahatma Gandhi Medical College and Hospital from January 2023 to October 2023. A total 100 primigravida included. BMI was calculated on first visit and in each trimester, all booked patient was followed throughout pregnancy and delivery for any maternal and fetal complications. Results: (58.0%) of patients were with normal BMI, (14.0%) were underweight, (22.0%) were overweight and (6.0%) patients were obese. APH was seen in (3.57%) cases in high BMI. PIH was present in total 7 cases, (25.0%) cases belonged to high BMI grade. Anemia was present in total 8 cases. GDM was present in 11 cases, belonged to high BMI grade. PPH was present in total 4 cases of high BMI. 4 cases of high BMI had birth weight less than 2.5 kg and 24 cases having more than 2.5 kg. Conclusions: There is importance of pre-pregnancy counseling in maintaining weight of women during pregnancy to avoid pregnancy maternal and fetal outcomes.