Abstract
Objective: To determine the effect of obesity on pregnancy compared to non-obese pregnant Saudi women. Methodology: This is a prospective cohort research conducted over seven months in Jeddah Maternity and Children Hospital (MCH), Jeddah, Saudi Arabia. Sample included pregnant women with single fetus and cephalic presentation came to the booking clinic. Participants were classified into five groups depending on their BMI according to WHO criteria as underweight, normal weight, overweight, obese & morbidly obese. SPSS was used with p-value of< 0.05 to calculate statistical significance. Results: The frequency of abortion, postdated pregnancy and Caesarean section were higher in obese women compared to non-obese women. Conclusion: Obese women pregnancy is a high risk for pregnancy and labor complications. It is advisable to achieve normal BMI before conception.
Highlights
The best parameter used to divide body weight is based on body mass index (BMI), defined as weight in kilograms divided by height in squared meters
This is a prospective cohort research conducted in Jeddah Maternity and Children Hospital (JMCH), Jeddah, Saudi Arabia
Maternal complications according to categories (Table 2)
Summary
The best parameter used to divide body weight is based on body mass index (BMI), defined as weight in kilograms divided by height in squared meters (kg/m2). The World Health Organization (WHO) divided BMI ranges into six categories to define different body weights from underweight, to obesity. WHO BMI Categories are; Underweight (Less than 18.5), Normal weight (18.5–24.9), overweight (25.0–29.9), Obesity class I (30.0–34.9) Obesity class II (35.0–39.9), Obesity class III (40 or greater) [2]. Certain congenital anomalies risk increases in the offspring of obese women compared to non-obese women such as neural tube defects, hydrocephaly, cardiovascular, oro-facial, and limb reduction anomalies [3, 4]. It was noticed that obese women compared with normal-weight women, are at increased risk of cardiac dysfunction, proteinuria, sleep apnea, nonalcoholic fatty liver disease [5], gestational diabetes mellitus [6], and preeclampsia [7]. A seldom number of studies carried out in Saudi Arabia to study prevalence of obesity and overweight in general population, and all concluded that obesity is high in both Saudi males and females [9,10,11,12,13]
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