Verma Anjana, Shrimali Lalit
Assistant Professor, Department of Gynecology, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India.
J Clin Diagn Res. 2012 Nov;6(9):1531-3. doi: 10.7860/JCDR/2012/4508.2551.
To evaluate the impact of the maternal body mass index on the pregnancy outcome.
Seven hundred eighty four women who had singleton pregnancies during a one year period, were categorized into 5 groups on the basis of their maternal Body Mass Index (BMI). The maternal and the neonatal outcome were noted in all the groups.
In the underweight group, the incidences of anaemia and growth retardation were more, while the overweight and the obese women had a higher risk for PIH, gestational diabetes and Large for gestational age (LGA). The groups 4 and 5 had higher incidences of LSCS, wound sepsis and neonatal ICU admissions. There was no significant increase in the perinatal mortality rate.
The health of women, throughout their childbearing ages, should be addressed, to improve their obstetrical and perinatal outcomes. Also, the high risk groups should be managed at tertiary centers.
评估孕妇体重指数对妊娠结局的影响。
784名单胎妊娠妇女在一年期间，根据其孕妇体重指数（BMI）分为5组。记录所有组的孕产妇和新生儿结局。
在体重过轻组中，贫血和生长发育迟缓的发生率更高，而超重和肥胖妇女患妊娠期高血压疾病、妊娠期糖尿病和大于胎龄儿（LGA）的风险更高。第4组和第5组剖宫产、伤口感染和新生儿入住重症监护病房的发生率更高。围产儿死亡率没有显著增加。
应关注育龄期妇女的健康，以改善其产科和围产儿结局。此外，高危人群应在三级中心进行管理。
