IMPACT OF MATERNAL OBESITY AND OTHER RISK FACTORS ON THE MODE OF DELIVERY

*Dr. Khetam Jehad Dawood

ABSTRACT

Background: Obesity is one of the most important threats to health in general and the health of pregnant women and pregnancy in particular. Aim: To determine the association between BMI and mode of delivery among pregnant during the study period. Method: A case-control study was conducted among pregnant women attending the labor room with induced or spontaneous labor at obstetrics department of Fatima Al-Zahra with the age range 15 to 45 years in Baghdad, Iraq. The case and controls were selected randomly from the list of patient admission. Sample size of this study was 362 (181 cases, 181 controls). Structured questionnaires were used for data collection. Data was checked for quality and statistical assumptions. STATA version 14 statistical packages were used to analyze the data and type 1 error was set at 5%. Results: - Our finding found that (38.4%) still in the age more than 35 years old. (77.3%) of pregnant were housewives, 265/362 (73.2%) of pregnant without university degree, 149 /362 (41.2%) were living under low SES. Overweight mothers had increased odds of caesarian birth (adjusted odds ratio [AOR] = 1.72; 95% Confidence Interval [CI] 0.8- 1.91), and also among women with obesity had increased the odds of caesarian (AOR=2.7 with 95%CI (1.23 to 4.11). Conclusion: There are associations between overweight and obese women with the mode of delivery at the p. value less than 0.05. Healthy lifestyle behaviors appear to protect females in professional and associate professional occupations from overweight and obese.

Keywords: Maternal, Age, Obese, Risk, Delivery.