Abstract
Background: The increasing prevalence of obesity among women of childbearing age is a significant concern as it poses additional risks for both the mother and baby. This study aims to investigate the maternal and neonatal outcomes in pregnant women with obesity (BMI > 30) at a tertiary hospital to improve management strategies for this patient population. Methods: This study was a prospective observational study conducted at LD Hospital, Department of Obstetrics and Gynaecology, GMC Srinagar. The study included pregnant women with gestational age more than 28 weeks, BMI more than 30, delivering at the study hospital, and willing to participate. Detailed history and examination were performed, and data were documented. The women were followed up to delivery and postpartum until discharge, and their outcomes were studied. Data were collected using Microsoft Excel, and statistical analysis was performed using descriptive statistics. Results: Of the 130 patients, the majority were between 20-25 years of age, primi gravida, and had a BMI between 30-34.9 kg/m2. Gestational age ranged from 32-34 weeks to over 37 weeks. The most common event was preterm labor, affecting 19.2% of patients, followed by PPH, affecting 6.9% of patients. The least common event was eclampsia, affecting only 1.5% of patients. the majority of neonates had a weight in the range of 2.5-2.9 Kg, accounting for 65.4% of neonates. Only a small proportion of neonates had a birth weight less than 2.5 Kg (5.4%). The Apgar score, which measures the health of a newborn immediately after the birth, was less than 7 for 5.4% of neonates, while 94.6% of neonates had an Apgar score greater than or equal to 7. Conclusion: The study results emphasize the need for appropriate management strategies for obese pregnant women to reduce adverse outcomes. Early identification, close monitoring, and tailored interventions are crucial to reduce the risks associated with maternal obesity. Keywords: obese pregnant women, BMI >30kg/m2, gestational hypertension, preeclampsia, gestational diabetes mellitus
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