Syeda Uzma, Ambreen Anwer, Nighat Sultana.
Maternal Complications in Obese and Normal Weight Pregnant Women.
Ann Pak Inst Med Sci Jan ;10(2):84-8.

Objectives: To compare maternal outcome in terms of frequency of pregnancy induced hypertensive disorders, gestational diabetes mellitus and cesarean delivery between normal weight and obese pregnant women. Setting and Duration of Study: This study was conducted in outpatient department and wards of Obstetrics and Gynaecology, Combined Military Hospital Quetta, from 1st September, 2010 to 31st May, 2011. Materials and Methods: In this case control study a total of 98 patients (49 in each group) were included. Pregnant women were divided into two groups, control group with body mass index from 20-24.9 and Case group with body mass index from 30-34.9. In all patients pregnancy induced hypertensive disorders, gestational diabetes mellitus and mode of delivery were recorded. Results: Mean age of the patients was 25.9±3.1 and 25.2±3.5 in group-A and B, respectively. Hypertensive disorder was found to be significantly (P=0.025) higher (18.3%) in group-A vs. (4.1%) in group-B. Gestational diabetes was developed in 8.1% women in group-A while in none in groupB (P=0.041). Caesarean sections were more common in group A, 19 (38.7%) than in group-B 10 patients (20.4%). Conclusion: Maternal BMI shows strong associations with pregnancy complications and outcomes. Obesity is associated with increased incidence of pre-eclampsia, gestational hypertension, lower segment caesarean section and gestational diabetes.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com