Abstract :
Objective: This research was done to learn the impact of pre-pregnancy BMI and gestational weight gain (GWG) on subsequent risks of adverse pregnancy outcomes in a tertiary care teaching institution in North Kerala, India.
Design: A descriptive study in a tertiary care teaching institution in Kozhikode, North Kerala.
Participants: 296 singleton pregnant women with BMI categorised as per Asian Standards and adverse maternal outcomes were looked out for.
Pregnant women were underweight (82.8%) achieved less than recommended weight during pregnancy as compared to 18.4% obese mothers. Mothers with high BMI gained more than recommended weight during pregnancy as compared to the underweight and normal weight woman. GDM was 3.03 times(p=0.019)and Hypertensive disorders of pregnancy was 1.116 times more common in higher pre-pregnancy BMI mothers. In the present study, gestational weight gain had no impact on maternal anaemia, Gestational diabetes, Gestational hypertension, foetal growth restriction and rate of caesarean deliveries. A statistically significant positive correlation was obtained between pre-pregnancy BMI and baby weight, p
Conclusions: Weight gain during pregnancy had no significant impact on maternal pregnancy outcomes and caesarean delivery.
Keyword :
Asian Indians, Gestational weight gain, Institute of Medicine, Pregnancy outcomes, World Health Organization.