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Abstract
Objective:
To determine feto-maternal outcomes in overweight and obese pregnant women.
Methods:
This cross-sectional study was conducted at the outpatient department and labor ward of the Department of Obstetrics and Gynecology of Fauji Foundation Hospital, Rawalpindi, from August 2024 to January 2025. The study involved 200 pregnant women who had a BMI of 25 kg/m2 or higher. Patients were monitor during labour and early puerperium. Labour and delivery outcome variables and associated data were recorded in structured questionnaire. Maternal and fetal outcomes were monitored for each patient.
Results:
The mean age was 30.8 years with a standard deviation of 5.3 years. Among the participants, 42 (21%) were primigravida. Maternal complications included gestational diabetes in 34 cases (17.0%), gestational hypertension in 93 cases (46.5%), assisted vaginal delivery in 31 cases (15.5%), cesarean section in 141 cases (70.5%), and postpartum hemorrhage in 9 cases (4.5%). Regarding fetal complications, macrosomia was observed in 57 cases (28.5%), stillbirth occurred in 6 cases (3.0%), fetal distress was reported in 9 cases (4.5%), and NICU admission was required for 23 cases (11.5%).
Conclusion:
Being overweight and obese is significantly associated with adverse maternal and neonatal complications.