Effects of maternal obesity on antenatal, perinatal and neonatal outcomes
Muhittin Eftal Avcı1, Fatih Şanlıkan2, Mehmet Çelik2
1a Department of Perinatology , Tepecik Training and Research Hospital , Yenişehir , Izmir , Turkey .
Insights
Maternal obesity significantly increases the risk of pregnancy complications, leading to adverse outcomes for both mother and baby. This study highlights the critical impact of obesity on perinatal health.
Area of Science:
- Perinatal Medicine
- Obstetrics
- Public Health
Background:
- Maternal obesity is a growing concern impacting pregnancy.
- Obesity poses significant risks to both maternal and fetal well-being during the perinatal period.
Purpose of the Study:
- To investigate the complications associated with maternal obesity during pregnancy.
- To analyze the effects of obesity on maternal and fetal outcomes.
Main Methods:
- A cohort of 931 pregnant women was studied between March 2012 and March 2013.
- Participants were categorized into underweight, normal weight, overweight, and obese groups based on Body Mass Index (BMI).
Main Results:
- Obese women experienced higher rates of pregnancy-induced hypertension, gestational diabetes, cesarean delivery, and postpartum infections.
- Infants born to obese mothers had increased risks of preterm birth, perinatal mortality, low APGAR scores, NICU admission, hypoglycemia, and macrosomia.
- Low birth weight was more prevalent in underweight mothers compared to other BMI categories.
Conclusions:
- Maternal obesity is a significant risk factor for increased maternal-fetal morbidity and mortality.
- Addressing maternal obesity is crucial for improving perinatal health outcomes.
Objective:
Obesity is critically important to maternal and fetal health during the perinatal period. We have detected an increasing prevalence of maternal obesity in recent years and investigated its complications during pregnancy.
Methods:
A total of 931 pregnant females were investigated between March 2012 and March 2013. The patients were divided into four groups: body mass index (BMI) < 18.5 kg/m(2) was underweight, 18.5-24.9 kg/m(2) was normal weight, 25-29.9 kg/m(2) was overweight and ≥30 kg/m(2) was obese. The effects of obesity on fetal and maternal outcomes were investigated.
Results:
Significant increases in pregnancy-induced hypertension, gestational diabetes mellitus, cesarean delivery, premature rupture of membranes, shoulder dystocia, meconium-stained amniotic fluid, abnormal heart rate pattern and postpartum infection rates were found in the obese group during the perinatal period. Adverse maternal effects in obese cases were significantly more frequent than those in normal-weight cases. Preterm birth, perinatal mortality, low APGAR scores, newborn intensive care unit requirement, hypoglycemia and macrosomia rates were significantly higher in obese cases than those in non-obese cases. However, low birth weight infant rate was higher in the low BMI cases than that in the other BMI categories (p < 0.01).
Conclusion:
We conclude that obesity is an important factor associated with pregnancy complications and the increase in maternal-fetal morbidity and mortality.
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