OBESITY RELATED MATERNAL COMPLICATIONS IN PREGNANT WOMEN
OBJECTIVE: To determine the frequency of maternal complications in obese antenatal women. METHODOLOGY: This descriptive cross sectional study was conducted in department of obstetrics and gynecology, Lady Reading hospital, Peshawar-Pakistan, from April 2010 to March 2011. Total 250 consecutive antenatal patients with BMI >25kg/m2 (as per criteria for Asian population) were included in the study that fulfilled the inclusion criteria. Maternal complications associated with obesity like
... ity like gestational diabetes, pregnancy induced hypertension (PIH), pre-eclampsia, cesarean section and reduced vaginal birth after cesarean section (VBAC) was determined. Data was analyzed by SPSS version 10. RESULTS: Out of 250 obese antenatal women, 189 (75.6%) were multigravida and 61 (24.4%) were primigravida. In 212 (84.8%) cases, BMI ranged from 26-30 kg/m2 and in 38 (15.2%) cases it was 31-36kg/m2. Majority (n=166; 66.8 %) were ranging in age from 21-30 years and 190 (76%) cases had gestational age of 36-40 weeks. Gestational diabetes (20.4%), pregnancy induced hypertension (17.2%), pre-eclampsia (4.8%), increased, cesarean rate (30.4%), reduced VBAC rates (13.2%) were the common maternal complications in obese antenatal women. CONCLUSION: Obesity in pregnancy is associated with adverse maternal outcome like gestational diabetes, pregnancy induced hypertension, pre-eclampsia, increased, cesarean rate and reduced VBAC rates. KEY WORDS: Body mass index (BMI), Pregnancy induced hypertension (PIH), Vaginal birth after cesarean section (VBAC) THIS ARTICLE MAY BE CITED AS: Syed W. Obesity related maternal complications in pregnant women. Khyber Med Univ J 2014;6(3): 128-130.