PREGNANCY OUTCOMES DO INFLUENCE BY EXTREMES OF BODY MASS INDEX

Objective: To investigate whether extreme of body mass index (BMI) is associated with pregnancy outcomes. Study Design: Retrospective cohort study. Place and Duration of Study: Hamdard University Hospital, Karachi, Pakistan, from Feb 2019 to Jan 2020. Methodology: We conducted a retrospective cohort...

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Autores principales:	Lubna Razzaq, Ramna Devi, Sana Tariq, Anchal Seetlani, Saira Jamshed
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2021
Materias:	pregnancy outcome body mass index obesity large for gestational age Medicine R Medicine (General) R5-920
Acceso en línea:	https://doi.org/10.51253/pafmj.v71i2.4841 https://doaj.org/article/41d70d3fa22c46cb8dc2fbad3c01773b
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spelling	oai:doaj.org-article:41d70d3fa22c46cb8dc2fbad3c01773b2021-12-02T18:01:18ZPREGNANCY OUTCOMES DO INFLUENCE BY EXTREMES OF BODY MASS INDEXhttps://doi.org/10.51253/pafmj.v71i2.48410030-96482411-8842https://doaj.org/article/41d70d3fa22c46cb8dc2fbad3c01773b2021-04-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/4841https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To investigate whether extreme of body mass index (BMI) is associated with pregnancy outcomes. Study Design: Retrospective cohort study. Place and Duration of Study: Hamdard University Hospital, Karachi, Pakistan, from Feb 2019 to Jan 2020. Methodology: We conducted a retrospective cohort study of 1000 women delivered in between February 2019 to January 2020. BMI is categorized into four groups according to the Asian-Pacific cutoff points as underweight (<18.5 kg/m2), normal weight (18.5–22.9 kg/m2), overweight (23–24.9 kg/m2), and obese (>25 kg/m2). Maternal outcomes measured were pre-eclampsia, gestational diabetes, delivery by cesarean section, instrumental delivery, anemia, postpartum hemorrhage and fetal outcome included small for gestational age and large for gestational age. Logistic regression model was used to adjust the confounder. Maternal outcomes were evaluated with relative risks and 95% confidence intervals. Results: In results, 13%, 54%, 22%, 9% and 2% were underweight, normal body mass index, overweight, obese and morbidly obese categories respectively. The gestational diabetes, pre-eclampsia, labour induction, frequency of cesarean section, post-partum hemorrhage increased linearly with increasing body mass index and expressed as adjusted odds ratio (95% confidence interval) respectively: 10.0 (95% CI 3.5, 28.7), 5.3 (95% CI 2.0, 14.1), 2.7 (95% CI 1.1, 6.8), 4.9 (95% CI 2.8–8.8), 2.5 (95% CI 0.31–20.6). The anemia and small for gestational age were found in underweight group with adjusted odd ratio2.47 (95% CI 1.6–3.6), 4.6 (95% CI 2.6, 8.1) respectively. Conclusion: Obese women are more prone to have maternal and fetal complication which includes preeclampsia, gestational diabetes, caesarean section rate, labor induction and macrosomic babies. Underweight women are not risk free for complica-tion as they are associated with anemia and small for gestational age.Lubna RazzaqRamna DeviSana TariqAnchal SeetlaniSaira JamshedArmy Medical College Rawalpindiarticlepregnancy outcomebody mass indexobesitylarge for gestational ageMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 71, Iss 2, Pp 690-693 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	pregnancy outcome body mass index obesity large for gestational age Medicine R Medicine (General) R5-920
spellingShingle	pregnancy outcome body mass index obesity large for gestational age Medicine R Medicine (General) R5-920 Lubna Razzaq Ramna Devi Sana Tariq Anchal Seetlani Saira Jamshed PREGNANCY OUTCOMES DO INFLUENCE BY EXTREMES OF BODY MASS INDEX
description	Objective: To investigate whether extreme of body mass index (BMI) is associated with pregnancy outcomes. Study Design: Retrospective cohort study. Place and Duration of Study: Hamdard University Hospital, Karachi, Pakistan, from Feb 2019 to Jan 2020. Methodology: We conducted a retrospective cohort study of 1000 women delivered in between February 2019 to January 2020. BMI is categorized into four groups according to the Asian-Pacific cutoff points as underweight (<18.5 kg/m2), normal weight (18.5–22.9 kg/m2), overweight (23–24.9 kg/m2), and obese (>25 kg/m2). Maternal outcomes measured were pre-eclampsia, gestational diabetes, delivery by cesarean section, instrumental delivery, anemia, postpartum hemorrhage and fetal outcome included small for gestational age and large for gestational age. Logistic regression model was used to adjust the confounder. Maternal outcomes were evaluated with relative risks and 95% confidence intervals. Results: In results, 13%, 54%, 22%, 9% and 2% were underweight, normal body mass index, overweight, obese and morbidly obese categories respectively. The gestational diabetes, pre-eclampsia, labour induction, frequency of cesarean section, post-partum hemorrhage increased linearly with increasing body mass index and expressed as adjusted odds ratio (95% confidence interval) respectively: 10.0 (95% CI 3.5, 28.7), 5.3 (95% CI 2.0, 14.1), 2.7 (95% CI 1.1, 6.8), 4.9 (95% CI 2.8–8.8), 2.5 (95% CI 0.31–20.6). The anemia and small for gestational age were found in underweight group with adjusted odd ratio2.47 (95% CI 1.6–3.6), 4.6 (95% CI 2.6, 8.1) respectively. Conclusion: Obese women are more prone to have maternal and fetal complication which includes preeclampsia, gestational diabetes, caesarean section rate, labor induction and macrosomic babies. Underweight women are not risk free for complica-tion as they are associated with anemia and small for gestational age.
format	article
author	Lubna Razzaq Ramna Devi Sana Tariq Anchal Seetlani Saira Jamshed
author_facet	Lubna Razzaq Ramna Devi Sana Tariq Anchal Seetlani Saira Jamshed
author_sort	Lubna Razzaq
title	PREGNANCY OUTCOMES DO INFLUENCE BY EXTREMES OF BODY MASS INDEX
title_short	PREGNANCY OUTCOMES DO INFLUENCE BY EXTREMES OF BODY MASS INDEX
title_full	PREGNANCY OUTCOMES DO INFLUENCE BY EXTREMES OF BODY MASS INDEX
title_fullStr	PREGNANCY OUTCOMES DO INFLUENCE BY EXTREMES OF BODY MASS INDEX
title_full_unstemmed	PREGNANCY OUTCOMES DO INFLUENCE BY EXTREMES OF BODY MASS INDEX
title_sort	pregnancy outcomes do influence by extremes of body mass index
publisher	Army Medical College Rawalpindi
publishDate	2021
url	https://doi.org/10.51253/pafmj.v71i2.4841 https://doaj.org/article/41d70d3fa22c46cb8dc2fbad3c01773b
work_keys_str_mv	AT lubnarazzaq pregnancyoutcomesdoinfluencebyextremesofbodymassindex AT ramnadevi pregnancyoutcomesdoinfluencebyextremesofbodymassindex AT sanatariq pregnancyoutcomesdoinfluencebyextremesofbodymassindex AT anchalseetlani pregnancyoutcomesdoinfluencebyextremesofbodymassindex AT sairajamshed pregnancyoutcomesdoinfluencebyextremesofbodymassindex
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PREGNANCY OUTCOMES DO INFLUENCE BY EXTREMES OF BODY MASS INDEX

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