ISSN (Online) : 2277-4572
Author(s): Najafiyan Mahin, Cheraghi Maria, Mahmodi Mandana
Weight gain and obesity are public health problems in pregnant women and is associated with increased risk of maternal and neonatal complications. Objective was to determine maternal, fetal and neonatal complications in obese women. A Prospective study was conducted at Gynecology ward, Razi medical and educational center, Ahvaz, Iran during year 2011. A total of 850 subjects were participated in this study for 18 weeks follow- up. The subjects were divided into two groups. Overweight/ obese (n= 300) and normal (n=550) groups. The outcomes measurement was gestational diabetes, pregnancy inducedhypertension, cesarean section, and intrauterine death and anesthesia complications. Data was analysed using SPSS, version 16. There was significant association between obesity and gestational diabetes 95% CI, 8.45-19.7, P < 0.0001). Hypertension pregnancy -induced was higher 4.3% in obese pregnant compared to normal weight pregnant women (95% CI, 2.1- 4.9, p < 0.0001). Postpartum infection and bleeding among obese women was 10 and 11.3 times higher than normal weight pregnant women (95% CI, 85-370, p < 0.0001) (p < 0.0001) respectively. Obesity in reproductive age has been known effect on pregnancy outcomes, labor and infants and even children in their later life. Therefore, at risk people should be identified. Pre-pregnancy weight should be closed to normal range with strict nutritional and health care.
