Evaluation of Maternal, Fetal and Neonatal Complications according to Body Mass Index in Women Referred to Shiraz Health Choice Centers, 2009

Document Type : Original Article

Authors

1 M.Sc. of Midwifery, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.

2 M.Sc. of Midwifery, Faculty of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.

3 PhD. Student of Vital Statistics, Faculty of Health, Tehran University of Medical Sciences, Tehran, Iran.

Abstract

Introduction: Obesity is a risk factor for pregnant women and fetus, undoubtedly. Maternal obesity is one of the important risk factors related to maternal and fetal mortality followed with extensive range of medical complications.
The purpose of this study was the evaluation of maternal, fetal and neonatal complications according to BMI in women referred to Shiraz health choice centers.
Methods: This descriptive study was done on 860 delivered women admitted in post partum ward of Hafez and Zeinabieh hospitals in Shiraz. Women were divided in 2 groups according to preconception of BMI: Group 1 with normal weight (19.8< BMI≤25), and group 2 with abnormal weight (BMI>25). Participants were studied for age, parity, pregnancy complications, parturition and neonatal complications.
 
Results: Mean age was 26.9±5.39 yrs. 68.3% (608) of women had normal BMI and 31.7% (282) had abnormal BMI. The most common complication during pregnancy was back pain 25.4% (226). The prevalence of back pain, high blood sugar, hypertension, induced labor, post partum hemorrhage, post partum infection, duration of hospitalization , cesarean section and neonatal apnea were higher in abnormal weight group than normal weight group which the difference of variables was significant between two groups (p<0.05). The most odds ratio was post partum infection which the possibility of post partum infection in abnormal weight group was 179.8 times in compare to the normal weight group (95% CI: 85.5-378).
 
Conclusion: Obesity is an important risk factor in pregnant women followed with adverse maternal, neonatal and fetal outcomes.

Keywords

References

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The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 14, Issue 8 - Serial Number 8
February 2012
Pages 25-33

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