The Effect of Body Mass Index on the Outcome of Pregnancy

Obesity is one of the most common nutritional problems of complicating pregnancy.Compared with normal-weight women, obese women have a greater risk of developing.complications during pregnancy Objective: The aim of this study is to compare maternal outcome of pregnancy in relation to .body mass index.Study design: Prospective study.Setting: Kirkuk General Hospital, from 1st of January 2017 to the end of June 2017Patients and methods: A total number of 150 pregnant women are included in this study. The studied women are divided into three groups according to their BMI of; first group with BMIfrom (18.5kg/m2-24.9kg/m2), the second group (25 kg/m2 to 29.9kg/m2), and the third group from 30kg/m2 and above. Each group consists of 50 pregnant women. Singleton pregnancy,both primigravida and multigravida of completed 37 weeks-42 weeks are included in this study. Women with previous caesarean section, women with history of severe hyperemesisgravidarum, pregnant women with heart diseases and thyroid disorders, generalized oedema,.blood diseases and autoimmune diseases are excluded from this study Results: In this study highly significant relation is found between hypertension and increase BMI (p=0.000). Equal number of diabetes mellitus is found in all groups 2% (p=1.000). It is noticed that history of infertility and intrauterine death rose with increasing BMI. The results shows that most of women with normal BMI delivered vaginally compared with overweight and obese women. While delivery by Cesarean section is more frequent in both over weight.)and obese pregnant women, the relation is highly significant (p= 0.000:Conclusions: Regarding the results of this study, the following can be concluded.High BMI significantly increases the risk of delivery by cesarean sectionObesity is associated with increased incidence of hypertension, infertility, and IUD.