Pregnancy Outcomes in Women with Morbid Obesity Presenting at Tertiary Care Hospital
DOI:
https://doi.org/10.70749/ijbr.v3i7.2659Keywords:
Cesarean section, Obstetric labor complications, Obstetric labor premature, Obesity morbid, Pregnancy outcome, Premature birth, Rupture premature fetal membranesAbstract
Background: Morbid obesity among pregnant women poses numerous metabolic and endocrine disorders that contribute to the negative impacts on pregnancy. Pregnant women, who have the body mass index of 40kg per square meter or higher, are at higher risk of experiencing pregnancy complications such as preterm delivery, preterm rupture of membranes, and cesarean delivery. Such impacts are of enormous importance to the well-being of the newborns. Objective: To determine the pregnancy outcomes in women with morbid obesity presenting at tertiary care hospital. Study Design: Descriptive study. Duration and Place of Study: This study was conducted from 16th February 2025 to 25th May 2025 in the Department of Obstetrics and Gynecology at Mardan Medical Complex in Mardan. Methodology: For the study, a total of 100 pregnant women aged 18 to 40 years with singleton pregnancy, gestational age of 37 weeks and beyond, and morbidly obese with a body mass index of 40 kilogram per meter square and beyond were selected. Follow-up of the subjects till delivery was performed for assessing the pregnancy outcome. Chi square test, Fisher exact test were used for the statistical analysis, with the significance level of p=0.05 and below. Results: The mean age of participants was 29.33 years with mean body mass index of 45.79 kilogram per meter square. Preterm birth occurred in 35 women (35%). Premature rupture of membrane was observed in 30 women (30%). Cesarean section deliveries were performed in 35 cases (35%). Conclusion: Morbid obesity in pregnancy is associated with high frequency of adverse outcomes including preterm birth, premature rupture of membranes, and cesarean section.
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