| Maternal obesity and pregnancy outcome: a prospective analysis. | |
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MedLine Citation:
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PMID: 21887903 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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OBJECTIVE: To analyze whether the obese women have an increased risk of pregnancy complications and adverse fetal outcome. METHODS: The longitudinal prospective study was carried out in the Obst and Gynae department, IPGME and R, Kolkata. The study enrolled 422 pre-pregnant obese women with pregnancy as study population and equal number of non obese pregnant mothers as controls. Body mass index (BMI) was > or = 30.0 kg/m2 and 20-22 kg/m2 in obese and control group respectively. RESULTS: In comparison to average weight pregnant women, obese pregnant women were at increased risk of gestational diabetes mellitus (19.43 vs 3.79%; p < 0.001), pregnancy induced hypertension (12.32 vs 2.36%; p < 0.001), pre-eclampsia (8.76 vs 3.31%; p < 0.001), preterm labor in less than 34 week gestation (7.58 vs 3.55%; p < 0.001), cesarean section (36.72 vs 17.53%; p < 0.001), instrumental deliveries (12.32 vs 5.21%; p < 0.001) and postpartum infection morbidities (9.95 vs 3.79%; p < 0.001). These women were more prone to develop overt diabetes (2.36% vs 0) and chronic hypertension (5.21 vs .47% ) in future as well. Neonates of obese women were mostly large for gestational age, macrosomic and they had high incidences of birth injuries, shoulder dystocia, premature deliveries, late fetal deaths and congenital malformations particularly spina bifida, cleft lip, cleft palate and heart defect. CONCLUSION: As obesity is considered to be a modifiable risk factor, preconception counseling and creating awareness regarding health risks associated with over weight and obesity should be encouraged. |
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Authors:
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Debasmita Mandal; Saroj Manda; Abhijit Rakshi; Ram Prasad Dey; Subhash Chandra Biswas; Amal Banerjee |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of the Association of Physicians of India Volume: 59 ISSN: 0004-5772 ISO Abbreviation: J Assoc Physicians India Publication Date: 2011 Aug |
Date Detail:
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Created Date: 2011-09-05 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7505585 Medline TA: J Assoc Physicians India Country: India |
Other Details:
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Languages: eng Pagination: 486-9 Citation Subset: IM |
Affiliation:
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Department of Obst and Gynae, IPGME and R, 244 AJC Bose Road, Kolkata-700 020. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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