Sadia Nazir, Naseem Noor Elahi, Pakeeza Aslam.
Effect of Raised Maternal Body Mass Index on Neonatal Outcome.
Pak J Med Health Sci Jan ;7(3):808-10.

Aim: To assess the effect of raised maternal body mass index (BMI) on neonatal outcome. Methods: This cohort study was carried out in the Department of Obstetrics and Gynecology District Hospital Dera Ghazi Khan, from March 2011 to September 2011. Total of 240 primigravida at 24 to 36 weeks pregnant women (120 with raised BMI and 120 with normal BMI were included in this study). Pregnant ladies with raised BMI and normal BMI were followed by regular antenatal visits and neonatal outcome was observed after delivery. Results: Mean age was found to be 26.3±7.1 and 26.9±6.3 in exposed and non-exposed group. In exposed 23 neonates (19.1%) and 7 neonates (5.9%), in non-exposed group found to be macrocosmic Relative Ratio (RR=3.29, P =.001). Congenital birth defects were developed in 9 neonates (7.5%) of exposed group and 2 neonates (1.7%) of non-exposed group (RR=4.50, P= 0.30). In exposed group 10 neonates (8.3%) and in non- exposed group 3 neonates (2.5%) were delivered preterm (RR=3.33. P= 0.045) Still birth took place in 6 neonates (5.0%) of exposed group and in 1 neonate (0.8%) of non- exposed (RR =6.00, P= .0.055). In exposed group 8 neonates (6.7%) and in non- exposed group 2 neonates (1.7%) died (RR = 4.00, P=0.052). 12 Neonates 10.0% of exposed group and 3 neonates 2.5% of non- exposed group were admitted to NICU (RR = 4.00, P = 0.016). Conclusion: Our study confirmed the previously established association between raised maternal BMI and macrosomia, birth defect, preterm birth, still birth, neonatal death and admission to NICU.

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