Title: Contribution of maternal overweight and obesity to the occurrence of adverse pregnancy outcomes

Biography:

Dr Jhuma Biswas is working as a consultant gynaecologist and obstetrician since 2015. She is the youngest fellow in Bangladesh. And completed MCPS and FCPS from Bangladesh College of physician and surgeon (BCPS) and recently completed MRCOG from Royal college of Obstetrics and Gynaecology.

Abstract

Background: Obesity is a growing problem all over the world and it may have important impact on pregnancy. Alarming reports state that two-thirds of adults in world-wide are overweight or obese, with half of them in the latter category and the rate obese pregnant women is estimated at 18-36%. Obesity related reproductive complications range from infertility to a wide spectrum of disease such as hypertensive disorders, coagulopathies, gestational diabetes mellitus and fetal complications such as large-for-gestational age infant, congenital malformations, still birth and shoulder dystocia.
Objective: To determine effect of maternal pre-pregnancy obesity on pregnancy outcomes.
Methods: 100 women were recruited in the study. The patients were allocated in to two groups. Group 1 obese patients (50) BMI 30 or more and group 2 (50) non-obese patients BMI between19.4-24.9.
Results: Maternal overweight and obesity were associated with increased risk of gestational diabetes mellitus (GDM), pre-eclampsia, cesarean delivery, pre-term delivery (PTB), large for gestational age (LGA), and admission to the special care nursery or neonatal intensive care unit (SCN/NICU). The estimated proportion of adverse outcomes attributed to overweight and obesity in pre-pregnancy are 12% for GDM, 36% for pre-eclampsia, 58% for cesarean delivery, 6% for preterm labour, 38% for LGA and 6% for SCN/NICU admission.
Conclusion: Maternal overweight and obesity contribute to a large proportion of obstetric complications and adverse outcomes. So, they should be considered as high risk and counselled accordingly.