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UNFAVORABLE FETO-MATERNAL RESULT AMONG OBESE PREGNANT FEMALES

Dr Muhammad Talha Bhatti, Dr Hamza Bhatti, Dr Areeba Sanaullah

Objective: The aim of this study is to compare unfavorable feto-maternal outcome in the obese and females with pregnancy having normal weight. Methods: This was a comparative research work. The duration of this research study was from November 2016 to October 2018. Two hundred pregnant females in which one hundred were obese and one hundred were with normal weight having the pregnancy period of 8 to 40 weeks were the part of this research work. Pregnant females with body mass index of 25 to 29.9 Kg/m2 were in the Group-A of obese & hundred females with normal body mass index of 18.50-24.90 were the healthy controls of Group-Bas controls were in-group B. for the comparison of the maternal as well as fetal outcomes, Chi square method was in use. P value of less than .050 was significant. Results: The range of the age was from 30 to 45 years with an average age of 30.0 ± 4.10 years for the participants of Group-A & B. Obese pregnant females found with high rate of preeclampsia (27.0% vs 9.0% in Group-B), PIH (24.0% vs 8.0% in Group-Bin controls), GDM (Gestational Diabetes Mellitus) (22.0% vs 5.0% in Group-B); long duration of labor (4.0% vs 6.0% in Group-B), Caesarean surgery (44.0% vs 16.0% in Group-B), infection of the wound (3.0% vs 2.0% in Group-B) & hemorrhage after delivery (5.0% vs 2.0% in Group-B). The significant P value was less than 0.001. The complications of fetal in obese pregnant females compared to the healthy controls as still birth (13.0% vs 2.0%), early death of neonates (11.0% vs 1.0%), dystocia of shoulder (5.0% vs 1.0%) and admissions in NICU (47.0% vs 10.0%). Conclusion: We found from the result that the outcome of this study shows dangerous effect of obesity on the maternal as well as fetal outcome. Keywords: Pregnancy, Fetal, Methodology, Complications, Dystocia, Neonate, Gestational, Diabetes, Hemorrhage.

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