Obesity is becoming a global health
care problem and an increasing number of obese female
patients are getting pregnant. Aim of our study was
to know the prevalence of obesity in nulliparous women and its impact on
pregnancy as well as fetus. Patients and Methods: All nulliparous women with
single pregnancy and gestational age of 37 weeks and above were included in the
study. Primigradvida with multiple pregnancies, fetal abnormalities, and
gestational age less than 37 weeks were excluded. Patients were divided into
normal, overweight and obese group according to their prepragnancy body mass
index (BMI). Results: Total 2243 nulliparous women were included in the study,
majority (56.8%) of patients were in the normal BMI group and only 24.8% were
obese. But a significantly higher number of obese
nulliparous women were in the age group of 18 to 29 years (P < 0.05).
Comorbidities were significantly higher in obese primigravida. The incidence of
gestational diabetes and pregnancy induced hypertension was significantly higher (P < 0.05)
in obese nulliparous women. Overweight and obese nulliparous patients required
significantly higher emergency caesarean section and assisted vaginal
deliveries compared to the normal BMI nulliparous women (P < 0.03).
Conclusion: Maternal obesity leads to prepartum, peripartum as well as fetal
complication. Obese pregnant patients had a significant risk of developing
gestational diabetes and pregnancy induced hypertension. In these patients the
prevalence of assisted vaginal and cesarean deliveries is significantly high.
Cite this paper
Sharara, H. , Rhaman, L. , Ummunnisa, F. , Aboubaker, N. , Abdullah, M. and Shaikh, N. (2014) Obese Nulliparous Women and the Risk for Maternal and Fetal Complications. Open Journal of Obstetrics and Gynecology
, 239-242. doi: 10.4236/ojog.2014.45039
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