Impact of Maternal Body Mass Index (BMI) and Age on Pregnancy Outcomes at a Tertiary Care Hospital
DOI:
https://doi.org/10.51985/JBUMDC2023195Keywords:
Body Mass Index (BMI), obesity, gestational age, Lower-Segment Cesarean Section (LSCS).Abstract
Objectives: To analyze the role of maternal BMI and age on pregnancy outcomes.
Study design and Setting: A retrospective cohort study CMH, Abbottabad from 1st August 2022 to 31st January 2023 Methodology:A retrospective cohort study was done over a period of 6 months in 500 post-natal women whose BMI were calculated and recorded at first trimester during their booking visit and eventually delivered at combined military hospital, Abbottabad. Data related to age, BMI, gestational age at the time of delivery, spontaneous or induction of labour and mode of delivery were evaluated.
Results: The study included 500 female patients. The mean age and BMI were 32±11.5 years and 28.8±8 respectively. 140 (28%) females had normal weight, 310(62%) and 50(10%) were overweight and obese respectively. The variable age at the time of booking was divided into three groups = 20 years, 21-35 years, and 36-42 years which included 80(16.4%), 275(55%) and 145(29%) patients respectively. Multigravida were 285(57%) and prim gravida were 215(43%). Induction was given to 275(55%) and those who went into spontaneous labour were 225(45%). Delivery at term that is = 37 weeks was 455(91%) and only 45(9%) were delivered before 37 weeks. Percentage of women having a spontaneous vaginal delivery was 230(46%) and 250(50%) had LSCS and 20(4%) underwent instrumental delivery.
Conclusion: It was evident that raised BMI and maternal age had confounding effects on pregnancy outcomes. The incidence of LSCS was more in patients with higher BMI and age
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