Abstract
Objective: To determine the various pregnancy outcomes in females with high pre pregnancy BMI.
 Study Design: Descriptive case series.
 Setting: Sheikh Zayed Hospital, Rahim Yar Khan.
 Duration: 30-06-2016 to 31-12-2017.
 Methodology; In the present study, pregnant females with age of gestation less than 12 weeks presenting with their first ante natal visit falling in the age range of 20-40 years having pre pregnancy BMI > 25 kg/m2 were included. Then these cases were followed for their whole pregnancy to look for various outcomes.
 Results; In the present study there were 150 subjects enrolled with high pre pregnancy BMI. Mean age of the participants was 28.41±4.67 year and mean BMI was 28.31±3.57 kg/m2. Regarding various outcome the most common one was C section which was seen in 42 (28%) of the cases, followed by PIH seen in 35 (23.34%) of the cases, while pregnancy remained uneventful in only 21 (14%) of the cases.
 Conclusion: High pre pregnancy BMI leads to various complication, which are seen in almost 8 out of 10 cases and the most common one is C section.
 Key words: BMI, C section, PIH
Highlights
Pre-pregnancy obesity is not uncommon and has emerged as a great obstetric health concern globally in the recent era
In the present study there were 150 subjects enrolled with high pre pregnancy Body Mass Index (BMI)
The findings of our study revealed that regarding various outcome the most common one was C section which was seen in 42 (28%) Of the cases, followed by pregnancy induced hypertension (PIH) seen in 35 (23.34%) of the cases
Summary
Pre-pregnancy obesity is not uncommon and has emerged as a great obstetric health concern globally in the recent era. It’s number is rising as overall incidence of obesity is rising. Local data is lacking but the data from Australia has revealed this prevalence in 34% of the cases.[1] The data has shown that both pre pregnancy obesity and rapid gain of weight during the pregnancy both can impact the pregnancy outcome in various ways and can result in a wide variety of outcomes. 2 The most consistently developed maternal complications during pregnancy and delivery are pregnancy induced hypertension (PIH), preeclempsia, venous thromboembolism, gestational diabetes mellitus (GDM), labor induction, postpartum hemorrhage, miscarriage, urinary tract infections and effects on mode of deliveries like instrumentation and/or surgery. Maternal overweight is related to a higher risk of cesarean section (CS) deliveries and a higher incidence of anesthetic and postoperative complications in these deliveries. Maternal overweight is related to a higher risk of cesarean section (CS) deliveries and a higher incidence of anesthetic and postoperative complications in these deliveries. 3-5 Obese women are said to experience increased rates of puerperal infection and decreased rates of breastfeeding initiation or continuation
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