MATERNAL BMI WITH PERINATAL OUTCOME

Amitun Nessa*, Kamrun Nahar, Fahmida Elahi, Nasrin Sultana and Faria Anjuman Hossain

ABSTRACT

Background: Maternal obesity has been associated with adverse pregnancy outcomes, such as pre-eclampsia, eclampsia, pre- and post-term delivery, induction of labor, macrosomia, increased rate of caesarean section, and post-partum hemorrhage. Objective: To find out any relationship between maternal BMI with perinatal outcome. Methodology: It was cross sectional observational study carried out Department of Obstetrics and Gynaecology, Institute of Child and Mother health, Matuail (ICMH), Dhaka. Patient attending inpatient department of Obstetrics and Gynaecology in Institute of Child and Mother Health, Matuail of woman was enrolled for the study. After selection of the study subject according to inclusion and exclusion criteria, objectives, nature and potential risk of all procedures were used for the study was explained in details and written informed consent was taken. A detailed general, systematic, obstetric examination and medical history was taken. Results: This study found maximum (34%) were age group 21-25 years followed by 28% were ≤20 years, 26% were 26-30 years, 8% were 31-35 years and only 4% were 36-40 years. The average age was 25 years. Among these 145 pregnant women, 12% were underweight, 28% were normal weight, 38% were over weight and 22% were obese. Fetal outcome was good in majority (72%) of the cases and 15 perinatal death of which 6% NNDs and 4% still birth. It also found that good fetal outcome was more in normal weight mother (85.7%), 72.7% in over weight mother and less in obese. Asphyxiated baby was delivered mostly in obese (28.1%) and in underweight mother (17.6%). Neonatal sepsis mostly seen in obese (9.1%). Neonatal death mostly seen in obese (9.4%). The difference was statistically significant (P<0.05). Conclusion: This study shows maternal weight has emerged as maternal factors influencing the birth weight of the baby. Maternal weight should continue to be given importance in monitoring the health of pregnancies and bioelectrical impedance analysis and arm measurements should be further investigated as another simple way to track appropriate body composition changes across gestation, especially in resource-limited settings.

Keywords: BMI, birth weight, prenatal, birth asphyxia.