EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

ASIAN OR WHO INTERNATIONAL CUTOFF OF BODY MASS INDEX, A BETTER PREDICTOR OF ADVERSE PREGNENCY OUTCOME?-RETROSPECTIVE STUDY IN A TERTIARY CARE CENTRE IN NORTH KERALA

Dr. Beena B., *Dr. Mini C. H., Dr. Libu G. K., Dr. Marin Mariyam Mathew and Dr. Ajitha B. K.

ABSTRACT

Background: Obesity has become an important public health problem and the prevalence of obesity is increasing in pregnancy. The revised guidelines for Asian Indians categorize overweight as a BMI of 23.0 – 24.9 and obesity as a BMI≥25. Objectives: To assess the impact of revised guidelines of Body Mass Index (BMI) on the prevalence of obesity and overweight in pregnant women and to compare Asian Indian BMI with World Health Organization (WHO) BMI in prediction of adverse pregnancy outcome. Materials and Methods: A retrospective analysis of record based data of 790 women, at a tertiary care centre (Dept; of Obstetrics and Gynaecology, Govt. Medical College, Calicut, Kerala). BMI was categorised using the revised consensus guidelines for Asian Indians and the World Health Organization (WHO) criteria. The study was approved by the Institutional Ethical Committee. Results: There were a total of 790 patients and the mean age was 26.69.The prevalence of obesity increased from 20.4% by WHO criteria to 74.7% with the revised consensus guidelines and led to the re-classification of 156(19.74%) women from a low risk to highrisk. Gestational diabetes, Gestational hypertension and caesarean section was associated more with high risk. Conclusion: On applying the revised guidelines, the prevalence of the high risk Asian Indian pregnant women showed a definite increase (3.6 times). Therefore, it would be a better alternative to support adoption of the revised guidelines in obstetric management of Asian Indians.

Keywords: Obesity, BMI, Asian Indian BMI, WHO BMI, adverse outcome, pregnancy.


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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI )