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Effect of Pre-pregnancy Maternal Body Mass Index on Obstetric Outcomes in a Tertiary Care Hospital in Goa, India

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Abstract

Introduction

Maternal body mass index (BMI) is a vital predictor of the nutritional status of any pregnant woman. Several developing countries like India are facing the double burden of both obesity and malnutrition due the extreme socioeconomic distribution of our population. Thus, this study was undertaken to study the effect of pre-pregnancy maternal BMI on the obstetric outcomes.

Materials and methods

A retrospective observational study was conducted during the time period of 1 year (December 2018–December 2019), wherein we analysed 3940 women who delivered in Goa Medical College. Depending on the maternal BMI calculated at the first antenatal visit, all the study participants were divided into five BMI groups and their obstetric outcomes were studied.

Results

Majority of the study participants were in the normal BMI category (49.8%); however, a large number of women were overweight (37.3%), 3.2% were obese, 0.1% were morbidly obese, and 9.6%were underweight. Antenatal complications like anaemia and IUGR were more common in underweight women, whereas pre-eclampsia, GDM, macrosomia, antepartum haemorrhage and preterm labour were more common in obese women. Increased rate of Caesarean sections and postpartum complications like PPH, wound sepsis and puerperal sepsis were observed in overweight and obese women.

Conclusion

Thus, adverse obstetric outcomes were observed in extremes of maternal BMI. Hence, there is a need to provide pre-conception counselling to all women in the reproductive age group so that they can achieve normal BMI prior to conception and thus reduce maternal morbidity and mortality rates in our country.

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References

  1. Ahirwar R, Mondal PR. Prevalence of obesity in India: A systematic review. Diabetes Metab Syndr. 2019;13(1):318–32.

    Article  PubMed  Google Scholar 

  2. National Family Health Survey 4, 2015–16, State Fact Sheet- Goa, International Institute for Population Sciences, Mumbai. 2015–16.

  3. Yazdani, et al. Effect of maternal body mass index on pregnancy outcome and newborn weight. BMC Res Notes. 2012;5:34.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Kumar HSA, Chellamma VK. Effect of maternal body mass index on pregnancy outcome. Int J Sci Stud. 2017;4(10):81–4.

    Google Scholar 

  5. Bhuyar S, Dharmale N. Effect of maternal body mass index on pregnancy outcomes. Int J Reprod Contracept Obstet Gynecol. 2018;7(12):4949–55.

    Article  Google Scholar 

  6. Simko M, et al. Maternal body mass index and gestational weight gain and their association with pregnancy complications and perinatal conditions. Int J Environ Res Public Health. 2019;16(10):1751.

    Article  PubMed Central  Google Scholar 

  7. "BMI Classification (2006). Global database on body mass index. World Health Organization.

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Funding

No funding obtained from any sources for the study.

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Authors and Affiliations

  1. Department of Obstetrics and Gynaecology, Goa Medical College, Bambolim, Goa, India

    Rini Naik, Deepa Karmali, Ajit Nagarsenkar, Sneha Mainath & Guruprasad Pednekar

Authors
  1. Rini Naik
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  2. Deepa Karmali
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  3. Ajit Nagarsenkar
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  4. Sneha Mainath
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  5. Guruprasad Pednekar
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Corresponding author

Correspondence to Rini Naik.

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Conflict of interest

No conflict of interest in amongst the authors.

Ethics approval

Institutional Ethical committee approval was obtained prior to commencement of the study.

Informal consent

Informed consent was obtained from all the participants included in the study.

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Dr. Rini Naik, Senior Resident, Department of Obstetrics and Gynaecology, Goa Medical College, Bambolim, Goa. Dr. Deepa Karmali, Assistant Professor, Department of Obstetrics and Gynaecology, Goa Medical College, Bambolim, Goa. Dr. Ajit Nagarsenkar, Associate Professor, Department of Obstetrics and Gynaecology, Goa Medical College, Bambolim, Goa. Dr. Sneha Mainath, Junior Resident, Department of Obstetrics and Gynaecology, Goa Medical College, Bambolim, Goa. Dr. Guruprasad Pednekar, Professor and Head of Department, Department of Obstetrics and Gynaecology, Goa Medical College, Bambolim, Goa.

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Naik, R., Karmali, D., Nagarsenkar, A. et al. Effect of Pre-pregnancy Maternal Body Mass Index on Obstetric Outcomes in a Tertiary Care Hospital in Goa, India. J Obstet Gynecol India 72, 141–146 (2022). https://doi.org/10.1007/s13224-021-01565-z

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  • DOI: https://doi.org/10.1007/s13224-021-01565-z

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