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Corresponding Author

Mohammed Youssef Tammam

Document Type

Original Article

Abstract

Background: Obesity is a medical disorder that has the potential to adversely affect one's health due to excessive accumulation of body fat.

Aim: To evaluate maternal obesity in early pregnancy to find the relation between it and adverse maternal, fetal, and neonatal outcomes.

Patients and methods: This prospective controlled study was conducted on 140 Primigravida females attending antenatal care outpatient clinic for follow-up till delivery at the Department of Obstetrics & Gynecology - Faculty of Medicine - Al-Azhar University Hospital (Assuit) from February 2022 to December 2022. Patients were categorized into two groups (each included 70 pregnant females): Group A (non-obese group) and Group B (obese group).

Results: Gestational hypertension, preeclampsia, and gestational D.M. were statistically more frequent in obese cases (p= 0.009, 0.008, and 0.033), respectively. Cesarean section (C.S.) was the most frequent mode of delivery among obese patients, with a statistically significant value (P< 0.001). There was a statistically insignificant distinction among groups of study regarding intrapartum complications and other fetal complications such as shoulder dystocia, IUGR, IUFD, fetal distress (P> 0.05), NICU admission, Congenital anomalies, postpartum total bilirubin level and Apgar scores at one and five minutes (P > 0.05). Septic wound and Fetal macrosomia were statistically significantly more frequent among obese patients (p= 0.042).

Conclusion: Obesity with pregnancy increased the incidence of medical disorders such as gestational hypertension, preeclampsia, and gestational D.M. It also increased the rate of cesarean section, septic wound, and fetal macrosomia.

Keywords

Obesity, Fetal Macrosomia; Gestational Hypertension

Subject Area

Obstetrics and Gynecology

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