Maternal Obesity and Pregnancy Outcome in Almgarif Hospital -Ajdabiya/ Libya
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Abstract
Background: Obese women have increased risk of complications during pregnancy, at the
time of labor and delivery .The rate of successful vaginal delivery decreases progressively as
maternal BMI increase, it associated with greater cesarean delivery for both prim gravid and
multigravid, increased risk of intra-operative complications including increased infectious
morbidity and thromboembolic problems. In addition to greater fetal adverse effects.
Aims: This study was conducted to assess the effect of maternal obesity on pregnancy
intrapartum , postpartum and neonatal outcome.
Patients and methods: This study was cross sectional study conducted on two hundred obese pregnant women who had BMI more than 30 kg/m2 were randomly selected for the study. Age, occupation, gravidity, parity, abortion, gestational age, mode of pregnancy, maternal outcome (intrapartum and postpartum) , induction of labour, mode of delivery ( vaginal or cesarean section) and neonatal outcome were collected.
Results: Fetal complications included low birth weight in 13.5%, big sized baby in 26%, bad Apgar scores in 28%, asphyxia in 24%, brachial plexus injury in 7%, NTD and stillbirth in about 5%. Grade III obesity showed significant association with gestational DM ( X2= 10.1, P. value =
0.0006), DVT occurred more frequently with grade II and III obesity (X2= 6.11, P. value =0.04), and significant association between grade II and III obesity with big sized baby (X2= 18.75, P. value =0.001).
Conclusion: This study showed that maternal obesity carry multiple maternal and fetal complications, the most strongly associated with antenatal complications like urinary tract infection , gestational diabetes mellitus , pregnancy induced hypertension operative delivery, post operative complications such as wound infection and deep venous thrombosis also show strong associated with weaning and postpartum depression , Along with fetal post date, poor Apgar scores and birth asphyxia and neural tubal defect.