Farhatulain Ahmed, Attiqa Amin, Shumaila Yasir, Noor-i-kiran Naeem.
Impact of Obesity on Obstetrical Practice and Outcome.
Esculapio J Services Inst Med Sci Jan ;8(4):159-62.

Objective: To find out the complications occurring during pregnancy, delivery and in post partum period in obese and non-obese pregnant women. Material & Methods: This cross sectional study was conducted in Department of Gynaecology and Obstetrics, Fatima Memorial Hospital, Lahore. Sixty pregnant females with singleton pregnancy were selected. Women with BMI>30 were taken as obese and those less that 30 were taken as non-obese. Complications like gestational diabetes, hypertension, induction of labour, delay in second stage of labour, instrumental vaginal deliveries or operative deliveries, third or fourth degree perineal tear, wound infection and thromboembolism were assessed in all patients. Results: The mean age in group A was 25.0 + 2.9 years and in group B was 25.0+2.7 years. The complications during pregnancy were as follows: gestational diabetes and gestational hypertension were found in 6 (20%) and 14 (44.7%) in group A while 3 (10%) and 1(3.3%) in group B respectively. 16 (53.3%) patient had induction of labour in group A and 8 (26.7%) in group B. In group A only 8 (26.7%) patients had spontaneous vaginal delivery (SVD), 7 (23.3%) patients delivered by instrumental vaginal deliveries and 15 (50%) patients underwent Caesarean section. In group B, 18 (60%) were delivered by SVD, 4 (13.3%) had instrumental vaginal delivery and 8 (26.7%) had caesarean section. Third degree perineal tears occurred in 6 patients from group A and 5 patients from group B. Fourth degree perineal tears occurred in four patients only from group A. During postpartum period seven patients from group A and two patients from group B had wound infections. One patient from group A had thromboembolism. Conclusion: Obese pregnant patients have more complications during pregnancy, delivery and postpartum period than non-obese pregnant women.

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