Assessment of the Pattern of Weight Gain in Pregnant Women and Effect on Maternal and Neonatal Outcome: A Comparative Observational Study
Authors/Creators
- 1. Senior Resident, Department of Obstetrics and Gynaecology, Bhagwan Mahavir Institute of medical Sciences, Pawapuri, Nalanda, Bihar, India
Description
Abstract
Aim: The aim of the present study was to assess the pattern of weight gain in pregnant women
and effect on maternal and neonatal outcome in Bihar region.
Methods: The present study was conducted at BMIMS, PAWAPURI, Nalanda, Bihar, India
for two years and 1000 women were enrolled in the study. In the present study, only single
pregnancy outcomes were investigated. Pre-pregnancy BMIs were classified into 4 types
namely: underweight, normal, overweight and obese women.
Results: There were significant differences in age, educational levels, occupations and family
member among the 4 pre-pregnancy BMI groups. In maternal outcomes, there were significant
differences in the delivery mode, GDM and Gestational Hypertension (GHp) among the 4 prepregnancy BMI groups. For neonatal outcomes, there were significant differences in birth
weights and GA among the 4 prepregnancy BMI groups.
Conclusion: Overweight and obesity before pregnancy and excessive GWG were linked to an
increased risk of GDM, GHp, macrosomia and LGA. In clinical practice, physicians can guide
pregnant women to manage and control weight gain during pregnancy in order to reduce the
risk of adverse pregnancy outcomes. Women of childbearing age can be advised on the
importance of maintaining an optimal BMI when planning to become pregnant. The risk for
adverse maternal and infant outcomes varied by gestational weight gain and across the range
of prepregnancy weights
Abstract (English)
Abstract
Aim: The aim of the present study was to assess the pattern of weight gain in pregnant women
and effect on maternal and neonatal outcome in Bihar region.
Methods: The present study was conducted at BMIMS, PAWAPURI, Nalanda, Bihar, India
for two years and 1000 women were enrolled in the study. In the present study, only single
pregnancy outcomes were investigated. Pre-pregnancy BMIs were classified into 4 types
namely: underweight, normal, overweight and obese women.
Results: There were significant differences in age, educational levels, occupations and family
member among the 4 pre-pregnancy BMI groups. In maternal outcomes, there were significant
differences in the delivery mode, GDM and Gestational Hypertension (GHp) among the 4 prepregnancy BMI groups. For neonatal outcomes, there were significant differences in birth
weights and GA among the 4 prepregnancy BMI groups.
Conclusion: Overweight and obesity before pregnancy and excessive GWG were linked to an
increased risk of GDM, GHp, macrosomia and LGA. In clinical practice, physicians can guide
pregnant women to manage and control weight gain during pregnancy in order to reduce the
risk of adverse pregnancy outcomes. Women of childbearing age can be advised on the
importance of maintaining an optimal BMI when planning to become pregnant. The risk for
adverse maternal and infant outcomes varied by gestational weight gain and across the range
of prepregnancy weights
Files
IJCPR,Vol15,Issue6,Article20.pdf
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Additional details
Dates
- Accepted
-
2023-05-28