Vishnu Priya, D (2021) Pre labour Body Mass Index and Its relation to Length of labour, Mode of Delivery and Feto-maternal Complications. Masters thesis, Tirunelveli Medical College, Tirunelveli.
Full text not available from this repository.Abstract
AIM OF THE STUDY: To estimate the effect of the maternal BMI on the progress of labour, mode of delivery and feto-maternal complications. OBJECTIVES OF THE STUDY: • Obstetric complications like non progression of labour, shoulder dystocia, fetal distress, meconium stained amniotic fluid, obstructed labour, birth injuries, postpartum haemorrhage, perineal tear and mode of delivery. • Perinatal outcome like still birth, Low birth weight, admission to NICU, APGAR score. MATERIALS AND METHODS: SOURCE OF THE DATA: Singleton Pregnant women attending labour room at TVMCH from March 2019 to June 2020 are enrolled in this study A cross sectional descriptive study of sample size of minimum 200 patients fulfilling the inclusion criteria will be part of this study. STUDY DESIGN AND SAMPLING: BMI is defined as the ratio of body weight in kilograms divided by square of height in meters. Pregnant women with BMI < 25kg/m2 are taken as group one and BMI >25 kg/m2 is considered as group two. History taking and examinations were done to all patients.Full term Singleton pregnant women cephalic presentation and no fetal congenital abnormalities included in this study.Multiple pregnancies, abnormal presentations and position,previous surgical history of uterus, twin pregnancy, women with associated pre existing medical disorder are excluded from the study. Data included are any complications of pregnancy, mode of delivery, any complications that occurred at birth and the condition of the baby. Data were analysed statistically by Chi-square test of the dependence of variables and a p-value of less than 0.05 was considered as statistically significant. RESULTS: The age distribution in our study showed that about 43% of women with BMI <25 kg/m2and about 38% of women with high BMI are in the age group between 20 to 24 years.Pre-eclampsia and gesational hypertension was seen with a higher incidence in the high BMI group with an incidence of 28% and 35% respectively. The incidence of Gestational Diabetes mellitus was found as 36% in the high BMI group. Oligohydramnios, Abruptio placenta and Premature rupture of the membrane were found to have no statistical significance in high BMI group. Induction rate was higher in the high BMI group in accordance with the previous studies with nearly 36% of women getting induced. Vaginal delivery was found to occur with a higher incidence in normal BMI group(65%) while the caesarean section was found with a higher incidence in high BMI mothers(44%), both were statistically significant. Instrumental deliveries were found to be equal in both the groups. Postpartum Haemorrhage incidence was 20% in high BMI group. Wound gaping was found to be statistically significant in the high BMI group. Shoulder dystocia was found in 12% of babies born to mothers with high BMI. Macrosomia was statistically significant in the high BMI group with an incidence of 10%. Preeclampsia, GDM, LSCS, postpartum haemorrage, Macrosomia and gestational hypertension are found to be dependent with BMI as their corresponding p-value of chi-square test is less than 0.05. CONCLUSION: Our study points out that the obstetric and neonatal complications are more in women with high body mass index and obesity, which pose a challenge to the obstetrician. Hence it is important that all women should be counseled preconceptionally about the adverse pregnancy outcomes due to excessive weight gain. Weight gain during pregnancy can lead to adverse effects on fetus. Thus preconceptional counselling regarding weight gain should be done to prevent adverse pregnancy outcome. Lifestyle modifications and healthy food habits can decrease the maternal and fetal complications thereby increase quality of life.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 221816361 |
| Uncontrolled Keywords: | Body mass index, Pre eclampsia, Gestational Diabetes Mellitus, Premature rupture of membranes, Anemia, Still birth, Post partum haemorrhage, Caeserean delivery, Wound infection, Oligohydramnios, Instrumental delivery, Pyrexia, gestational hypertension. |
| Subjects: | MEDICAL > Obstetrics and Gynaecology |
| Depositing User: | Subramani R |
| Date Deposited: | 24 Apr 2021 02:10 |
| Last Modified: | 03 Oct 2021 13:41 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/14985 |
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