Day 1 : Poster Presentations (Theme: Patient Safety)

Event Title

Obstetrical outcome for women with a body mass index ≥ 25Kg/M2

Presenter Information

Yasmin Irfana
Saadia Siddiqueb

Location

Auditorium Pond Side

Start Date

26-1-2013 10:30 AM

Abstract

Background: Maternal obesity & overweight has become one of the most commonly occurring risk factor in obstetrics. Obese and overweight women during pregnancy and labor are not only at increased risk of major complications like miscarriage, gestational diabetes, hypertension, preeclampsia, induction of labor, operative delivery, post partum hemorrhage, thromboembolism, urinary, genital and wound infection 4 but also suffer from minor complaints like heart burn, constipation, hyperemsis, itching, symphysis pubis dysfunction, headache and carpel tunnel syndrome.5 The obese women also need appropriate equipment and personal for their care, they also have more visits to hospitals than their healthier counter parts thus escalating the health and economic burden.

Objective was to compare the blood pressure (BP), plasma glucose levels at oral glucose tolerance test (OGTT), mode of delivery and neonatal birth weight of pregnant women having BMI < 25kg/m2 ( group 1) with those of having BMI ≥ 25kg/m2 (group 2). It was a hospital based prospective comparative study from 1st June; 2011 to 15th sep; 2012 with a sample size of 200 patients.

Methods: Pregnant women with singleton pregnancies without medical disorders. Comparisons were made between women of BMI < 25kg/m2 and those of BMI ≥ 25kg/m2.

Results: The mean age of participants was 25 years in Group 1 and 32 years in Group 2 (the p < 0.001) and the mean fasting, 1-hour, and 2-hour plasma glucose levels were 80 mg per deciliter (mg/dl), 116 mg/dl, and 87 mg/dl for Group 1 and 88mg/dl, 142mg/dl, and118 mg/dl for Group 2 respectively. P value for all 3 plasma glucose levels was fasting < 0.0003, 1 hour < 0.0001, and 2hours < 0.0001 respectively. In Group 1, the mean BP was 110/60mmHg, while in Group 2 mean BP was 123/78 mmHg (P < 0.0001). 6(6%) women had cesarean delivery in Group 1 and 20 (20%) had in Group 2. The mean neonatal birth weight was 2.7 kg in Group 1 and 3.4 kg in Group 2 (p < 0.0001).

Conclusion: Pregnant women with a BMI ≥ 25kg/m2 appears at higher risk of antenatal complications.

Key words: BMI, Pregnancy complications, Obesity.

This document is currently not available here.

Share

COinS
 
Jan 26th, 10:30 AM Jan 21st, 12:00 PM

Obstetrical outcome for women with a body mass index ≥ 25Kg/M2

Auditorium Pond Side

Background: Maternal obesity & overweight has become one of the most commonly occurring risk factor in obstetrics. Obese and overweight women during pregnancy and labor are not only at increased risk of major complications like miscarriage, gestational diabetes, hypertension, preeclampsia, induction of labor, operative delivery, post partum hemorrhage, thromboembolism, urinary, genital and wound infection 4 but also suffer from minor complaints like heart burn, constipation, hyperemsis, itching, symphysis pubis dysfunction, headache and carpel tunnel syndrome.5 The obese women also need appropriate equipment and personal for their care, they also have more visits to hospitals than their healthier counter parts thus escalating the health and economic burden.

Objective was to compare the blood pressure (BP), plasma glucose levels at oral glucose tolerance test (OGTT), mode of delivery and neonatal birth weight of pregnant women having BMI < 25kg/m2 ( group 1) with those of having BMI ≥ 25kg/m2 (group 2). It was a hospital based prospective comparative study from 1st June; 2011 to 15th sep; 2012 with a sample size of 200 patients.

Methods: Pregnant women with singleton pregnancies without medical disorders. Comparisons were made between women of BMI < 25kg/m2 and those of BMI ≥ 25kg/m2.

Results: The mean age of participants was 25 years in Group 1 and 32 years in Group 2 (the p < 0.001) and the mean fasting, 1-hour, and 2-hour plasma glucose levels were 80 mg per deciliter (mg/dl), 116 mg/dl, and 87 mg/dl for Group 1 and 88mg/dl, 142mg/dl, and118 mg/dl for Group 2 respectively. P value for all 3 plasma glucose levels was fasting < 0.0003, 1 hour < 0.0001, and 2hours < 0.0001 respectively. In Group 1, the mean BP was 110/60mmHg, while in Group 2 mean BP was 123/78 mmHg (P < 0.0001). 6(6%) women had cesarean delivery in Group 1 and 20 (20%) had in Group 2. The mean neonatal birth weight was 2.7 kg in Group 1 and 3.4 kg in Group 2 (p < 0.0001).

Conclusion: Pregnant women with a BMI ≥ 25kg/m2 appears at higher risk of antenatal complications.

Key words: BMI, Pregnancy complications, Obesity.