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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 :
Sandhana Inian
Sharon R. Nadar
Sam Marconi
Ashwin Sukumar
Anne G. Cherian
Source :
Journal of Family Medicine and Primary Care, Vol 13, Iss 10, Pp 4293-4298 (2024)
Publication Year :
2024
Publisher :
Wolters Kluwer Medknow Publications, 2024.

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.

Details

Language :
English
ISSN :
22494863 and 22787135
Volume :
13
Issue :
10
Database :
Directory of Open Access Journals
Journal :
Journal of Family Medicine and Primary Care
Publication Type :
Academic Journal
Accession number :
edsdoj.6254765c394a4eb8b4aac22fb1de0403
Document Type :
article
Full Text :
https://doi.org/10.4103/jfmpc.jfmpc_350_24