Dr Urooj Iqbal, Dr Fawad Ashraf, Dr M. Faizan Arshad
Introduction: Obesity is a growing public health hazard worldwide. The proportion of global adult women with overweight increased from 29.8% (29.3–30.2%) in 1980 to 38.0% (37.5–38.5%) in 2013, and the increasing trend was observed in both high income and middle-income countries. Objectives of the study: The main objective of the study is to find the effect of maternal obesity on mode of delivery and in local female population of Pakistan. Material and methods: This cross-sectional study was conducted at DHQ hospital, Hafizabad during January 2018 to July 2018. The data was collected from 100 female patients who visited the OPD of hospital regularly and then proceed to delivery in the same hospital. The demographic variables that we assessed were; age, race, height and weight, smoking status, gestation at delivery, delivery outcome including onset of delivery, mode of delivery, reason for delivery mode, labour length (first, second and third stages), estimated blood loss, second and third-degree tears and episiotomy. Results: The data were collected from 100 female patients. The mean age was 25±5.65 years. According to the pre-pregnancy BMI, 56 women (11.5%) were underweight, 8 (67.1%) were of normal weight, 14 (16.1%) were overweight and 22 (5.3%) were obese (Table 1). The level of glycated hemoglobin was significantly higher in the overweight and obese groups than in normal weight and underweight groups (P < 0.05). In addition, birth weight was significantly higher in overweight or obese women than in underweight women (P < 0.05). Conclusion: It is concluded that great increase of the number of overweight and obese pregnant women in both high income and middle-income countries. High early pregnancy BMI is associated with poor maternal, perinatal, and neonatal outcomes in Pakistan.