Agrawal Sumi, Singh Abha
Department of Obstetrics & Gynaecology, Pt. J.N.M. Medical College, G-5, Anand Vihar, Near Telibandha, Raipur, 492001 Chhattisgarh India.
Department of Obstetrics & Gynaecology, Pt. J.N.M. Medical College, E-8, Shankar Nagar, Raipur, Chhattisgarh India.
J Obstet Gynaecol India. 2016 Dec;66(6):448-452. doi: 10.1007/s13224-015-0735-4. Epub 2015 Jul 18.
This study was conducted to compare underweight and obese women and their weight gain during pregnancy on fetomaternal outcome.
This is a prospective, non-interventional, observational study on 1000 women (BMI between 20 and 30 were excluded). Women attending ANC OPD with singleton pregnancy at or before 16 weeks were included and BMI calculated in early pregnancy. Their weight gain during pregnancy was noted. Any complications in the mother or perinate were noted.
Incidence of obesity in our institute was 17 % and that of underweight was 18 %. Pre-eclampsia, gestational hypertensions, gestational DM, antepartum hemorrhage, all were more common among obese women, while anemia was more common in the underweight. Post-dated pregnancy, induction of labor, cesarean delivery, and postpartum complications were more common in obese women. Fetal complications were also higher in obese patients.
Lower as well as higher prepregnancy BMI is an independent risk factor that is associated with increased morbidity and mortality in both the mother and the fetus.
本研究旨在比较体重过轻和肥胖女性及其孕期体重增加情况对母婴结局的影响。
这是一项针对1000名女性的前瞻性、非干预性观察性研究（排除BMI在20至30之间的女性）。纳入在16周及以前前来产前门诊就诊的单胎妊娠女性，并计算其孕早期的BMI。记录她们孕期的体重增加情况。记录母亲或围产儿的任何并发症。
我院肥胖发生率为17%，体重过轻发生率为18%。先兆子痫、妊娠期高血压、妊娠期糖尿病、产前出血，在肥胖女性中都更常见，而贫血在体重过轻女性中更常见。过期妊娠、引产、剖宫产及产后并发症在肥胖女性中更常见。肥胖患者的胎儿并发症也更高。
孕前BMI过低或过高都是一个独立的危险因素，与母亲和胎儿的发病率及死亡率增加相关。
