AN ANALYTICAL STUDY OF PRE-PREGNANCY BMI AND ITS ASSOCIATION WITH FETO-MATERNAL OUTCOM

Abstract

Introduction: Obesity and overweight are risk factors for high morbidity and mortality in developing countries, including the feto-maternal outcomes. This study compares and assesses the impact of maternal body mass index in early pregnancy on feto-maternal outcome. Materials and methods: This comparative crosssectional study was done in pregnant women attending ANC clinic at SMS Jaipur during the period of January 2020 to February 2021. 120 pregnant women were enrolled in the study who were then divided into 3 groups using the WHO criteria for BMI classication which were compared using appropriate statistical test. Results: Among the overweight women 40% had GDM, 35% had Preclamsia, 20% had Gestational Hypertension, 12.5% Eclampsia and 15% showed Abruption. On statistical analysis it was found that GDM, hypertension, IUGR, APH, abnormal colour doppler, and LSCS are signicantly associated with increased BMI. The fatal complications like NICU admissions (35%), early neonatal deaths (15.0%), IUD (12.5%), macrosomia (2.5%) and APGAR score at 1 and 5 minutes, were found statistically signicant in overweight pregnant women compare to normal and underweight women. All these parameters were found negatively co-related to the increased BMI. Conclusion: The study shows the deleterious effect of increased BMI and overweight on the feto-maternal outcome. Proper risk management of maternal obesity can improve the feto-maternal outcomes associated with