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Corresponding Author

Hamdy Hamed Mohamed Nemr

Document Type

Original Article

Abstract

Background: Many illnesses have been linked to obesity as a risk factor, including the metabolic syndrome, diabetes mellitus, hypertension, preeclampsia, operative vaginal deliveries, caesarean deliveries, placental pathological lesions, and comorbidities in neonates (macrosomia, low APGAR score, neonatal intensive care unit admission). Aim and objectives: to evaluate the impact that body mass index (BMI) has on pregnant women's and neonates' outcomes. Subjects and methods: This prospective randomized controlled research trial was conducted in outpatient antenatal care clinics of the maternity hospital at Al-Hussein and Bab El-Sheirya (Sayed Galal) Hospitals, Al-Azhar University. 150 women participated in this study. Each patient was assigned to one of three groups: Group A, the control group (BMI = 18.5-24.9kg/m2), Group B, the overweight group (BMI = 25-29.9kg/m2), and Group C, the obese group (BMI > 30 kg/m). Result: There was a very substantial variation in LGA across the three study groups (p.001). There was a very substantial difference in SGA between the three research groups (p.001). Regarding ICU admission, Between the three groups that were analysed, there was a highly significant difference (p =.001).Conclusion: Obesity causes serious maternal and foetal problems and has a considerable negative impact on the outcome of pregnancy when it is present. Maternal BMI was significantly correlated with mode of delivery, child sex, Gestational age, APGAR 5 min, Birth weight, child length, head circumference, LGA, SGA and admission to neonatal-ICU.

Keywords

a high body mass index; a large or small foetus during the gestational period

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