TITLE:
Obese Nulliparous Women and the Risk for Maternal and Fetal Complications
AUTHORS:
Hussein Attia Sharara, Laman Naji Abdul Rhaman, Firdous Ummunnisa, Naseera Aboubaker, Maisa Mohammed Abdullah, Nissar Shaikh
KEYWORDS:
Overweight; Obese Nulliparous; Gestational Diabetes; Pregnancy Induced Hypertension; Assisted Vaginal and Cesarean Deliveries
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.4 No.5,
March
20,
2014
ABSTRACT: Obesity is becoming a global health
care problem and an increasing number of obese female
patients are getting pregnant. Aim of our study was
to know the prevalence of obesity in nulliparous women and its impact on
pregnancy as well as fetus. Patients and Methods: All nulliparous women with
single pregnancy and gestational age of 37 weeks and above were included in the
study. Primigradvida with multiple pregnancies, fetal abnormalities, and
gestational age less than 37 weeks were excluded. Patients were divided into
normal, overweight and obese group according to their prepragnancy body mass
index (BMI). Results: Total 2243 nulliparous women were included in the study,
majority (56.8%) of patients were in the normal BMI group and only 24.8% were
obese. But a significantly higher number of obese
nulliparous women were in the age group of 18 to 29 years (P significantly higher (P 0.05)
in obese nulliparous women. Overweight and obese nulliparous patients required
significantly higher emergency caesarean section and assisted vaginal
deliveries compared to the normal BMI nulliparous women (P