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Weight gain in pregnancy and impact of obesity on the obstetric outcome: A retrospective study in a secondary care hospital in South India.

Authors :
Inian, Sandhana
Nadar, Sharon R.
Marconi, Sam
Sukumar, Ashwin
Cherian, Anne G.
Source :
Journal of Family Medicine & Primary Care; Oct2024, Vol. 13 Issue 10, p4293-4298, 6p
Publication Year :
2024

Abstract

ABSTRACT: Objective: To evaluate the patterns of weight gain in pregnancy and the outcomes of pregnancy in overweight and obese mothers. Materials and Methods: A retrospective cohort study was performed on 1,352 mothers between October 2020 and August 2021. All pregnant women who presented for antenatal checkups from 20 weeks or earlier, with a singleton pregnancy, were included in the study. Details such as comorbidities, total duration of labor, complications during labor, and neonatal complications were included. Results: At the first antenatal visit, 16% of mothers were underweight, 51% of mothers were normal weight, and 33% of mothers were overweight or obese. Women with poor weight gain were two times more prone to give birth to a child with low birth weight than those with adequate weight gain. Excess weight gain in pregnancy in women with a normal body mass index (BMI) had an association with the development of pre-eclampsia. The odds of overweight/obese pregnant women developing gestational diabetes mellitus (GDM) were 2.1 times higher than in pregnant women with normal BMI. The odds of pregnant overweight/obese women undergoing cesarean section were 1.6 times higher than in pregnant women with normal BMI. Conclusion: Overweight/obese pregnant women had increased odds of developing GDM and undergoing a cesarean section. Excess weight gain was also seen in overweight/obese women. It is therefore important for physicians to educate women on acceptable weight gain during their pregnancy. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
22494863
Volume :
13
Issue :
10
Database :
Complementary Index
Journal :
Journal of Family Medicine & Primary Care
Publication Type :
Academic Journal
Accession number :
181263057
Full Text :
https://doi.org/10.4103/jfmpc.jfmpc_350_24