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Title

Impact of maternal body mass index on pregnancy outcomes among Indian women

 

Authors

Saloni Gandhi1, Kishor Chauhan2, Priyank Rajan3,*, Mayur Wanjari4, Labdhi Sangoi5 & Ravi Sangoi6

 

Affiliation

1Department of Obstetrics and Gynaecology, Sumandeep Vidyapeeth University, Gujarat, India; 2Department of Obstetrics and Gynaecology, Smt. B. K. Shah Medical Institute & Research Centre, Sumandeep Vidyapeeth University, Gujarat, India; 3Department of Paediatric Haematology Oncology, Royal Bristol Hospital for Children, Bristol, United Kingdom; 4Department of Research, Datta Meghe Institute of Higher Education & Research (DMIHER), Sawangi, Maharashtra, India; 5Department of Research, Government Medical College, Jalna, Maharashtra, India; 6Department of Internal Medicine, Government Medical College and General Hospital, Baramati, Pune, Maharashtra, India; *Corresponding author

 

Email

Saloni Gandhi - E - mail: salonigandhi605@gmail.com; Phone: +91 8454943664

Kishor Chauhan - E - mail: kishorchauhan52@yahoo.com; Phone: +91 9975083738

Priyank Rajan - E - mail: priyankrajan902@gmail.com; Phone: +91 8779670734

Mayur Wanjari - E - mail: Wanjari605@gmail.com; Phone: +91 8007356104

Labdhi Sangoi - E - mail: labdhisangoi101@gmail.com; Phone: +91 7259404071

Ravi Sangoi - E - mail: ravisangoi35@gmail.com; Phone: +91 90220589548

 

Article Type

Research Article

 

Date

Received October 1, 2024; Revised October 31, 2024; Accepted October 31, 2024, Published October 31, 2024

 

Abstract

Maternal body mass index is a key factor that essentially regulates pregnancy outcome with respect to maternal and neonatal health. Maternal bodies, whether underweight or obese during pregnancy, can significantly increase the risk of adverse outcomes for both mothers and newborns. Therefore, it is of interest to evaluate the impact of maternal BMI on pregnancy outcomes and feto-maternal complications related to various BMI categories in a tertiary care setting. Hence, we recruited 250 pregnant women and divided them into five subgroups based on their BMI. We collected data on pregnancy complications, modes of delivery and maternal and neonatal outcomes. We performed tests of significance between categories of BMI and clinical outcomes. Percentage distribution by BMI: normal weight 49.2%, underweight 28.4%, overweight 15.6%, obese 6% and morbidly obese 0.8%. There was significant variability in higher BMI with incidences of caesarean section, pre-eclampsia, gestational diabetes and NICU admissions. Anaemia rates were higher in underweight women, whereas pregnancy and childbirth-related complications like PPH and macrosomia were more pronounced in obese women. Severe extremes in BMI are associated with drastic adverse consequences, both for maternal and neonatal outcomes. Effective weight management is therefore key to achieving favourable pregnancy outcomes. Low BMI increases the risk of preterm birth and anaemia; high BMI raises the risk of gestational diabetes and hypertensive disorders. Key strategies include preconception counselling, tailored nutrition and physical activity.

 

Keywords

Maternal BMI, pregnancy outcomes, feto-maternal complications, caesarean section, pre-eclampsia, gestational diabetes, underweight.

 

Citation

Gandhi et al. Bioinformation 20(10): 1257-1260 (2024)

 

Edited by

Hiroj Bagde MDS, (PhD), PGDCR, PGDHHM, PGDL, PGDM

 

ISSN

0973-2063

 

Publisher

Biomedical Informatics

 

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.