Indian Journal of Obstetrics and Gynecology Research
  • Year: 2016
  • Volume: 3
  • Issue: 3

Effect of pre-pregnancy BMI (Obesity) on pregnancy related complications with specific emphasis on Indian Studies: Systematic review based on PRISMA Guideline

  • Author:
  • Alka Pawalia1, Satya Savant2, Sivachidambaram Kulandaivelan3,, Vikram Singh Yadav4
  • Total Page Count: 14
  • Page Number: 239 to 252

1Research Scholar & Assistant Professor, GJUST, Hisar

2Senior, Gynaecologist, Savant Nursing Home, Hisar

3Assistant Professor, GJUST, Hisar

4Assistant Professor, College of Physiotherapy, Pt. BDS University of Health Sciences, Rohtak

*Corresponding Author: Email: tryhard2024@yahoo.co.in

Online published on 23 September, 2016.

Abstract

Obesity is a modifiable risk factor associated with many complications in human beings.

To find and report the articles dealing with BMI on maternal (prenatal and perinatal) and child (perinatal and postnatal) complications with specific emphasis on Indian studies.

Pubmed and Google Scholar were searched with key terms within the limit of studies between 2008 and 2015.

Studies with at least 4 complications were compared with BMI classification, both cross-sectional and case-control studies; both prospective and retrospective studies were included.

Pregnant women, who were classified according to BMI criteria, were compared with prenatal, perinatal and immediate postnatal complications in both mother and child.

Since Pubmed is the primary source of selection of articles there was no separate appraisal of included studies other than eligibility criteria. 37 articles which met the eligibility included for results review and discussion.

Odd ratio (OR) of gestational diabetes (4.62), pregnancy induced hypertension (3.23), cesarean section (2.88), preeclampsia (2.69), microsomia (4.65), macrosomia (3.95), NICU admission (3.39), perinatal death (3.17) in obese/overweight Indian mother is either equal or higher than western counterparts.

Present study neither did meta-analysis nor did any inferential statistics.

Present study concretely supports that obesity was associated with many pre, peri and postnatal complications in both mother as well as child. So, primary and secondary prevention measure has to be taken to control the weight in reproduction age females

Keywords

Mother complication, Prenatal complication, Perinatal complication, Postnatal child complication