title: Adverse fetomaternal outcome among pregnant overweight women.
abstract: OBJECTIVE
  To compare the adverse fetometernal out come in overweight and normal weight pregnant women.
  
  
  METHODS
  This comparative cohort study was conducted from 1(st) October 2010 to 30 September 2012. Total 200 gravid women 100 were overweight and 100 normal weight pregnant women with gestational age for 08-40 weeks were included. Women having BMI (25 - 29.9 Kg/m(2)) were measured overweight and included in group A and 100 women having normal BMI of 18.5 to 24.9 as controls were in-group B. Chi-square test was applied to compare the proportion of maternal and fetal outcomes. Significant P - value of < 0.05 was considered.
  
  
  RESULTS
  The age range was between 30 to 45 years with mean age of 30±4.1 years in both groups. Overweight pregnant women had significantly high frequency of pre-eclampsia (27% versus 9% in controls), PIH (24% versus 8% in controls), gestational diabetes mellitus (22% versus 5% in controls), prolonged labour (4% versus 6% in controls), Caesarean section (44% versus 16% in controls), Wound infection (3% versus 2% in controls) and Postpartum Hemorrhage (5% versus 2% in controls). P-value < 0.001 was considered significance. Fetal complications in overweight pregnant women compared to controls i.e. Still birth (13% versus 2%), Early neonatal death (11% versus 1%), shoulder dystocia (5% versus 1%) and NICU admission (47% versus 10%). Results were statistically significant except shoulder dystocia.
  
  
  CONCLUSIONS
  We conclude that the result of present study indicates obesity exerts deleterious effect, both on fetal and maternal outcome.
authors.affiliation: Shazia Awan, Research Associate, Dept. of Gynae & Obstretics, Liaquat University of Medical & Health Sciences, Jamshoro, Sindh, Pakistan.
authors.forename: Shazia
authors.initials: S
authors.lastname: Awan
authors.affiliation: Dr. Seema Bibi, Associate Professor, Dept. of Gynae & Obstretics, Liaquat University of Medical & Health Sciences, Jamshoro, Sindh, Pakistan.
authors.forename: Seema
authors.initials: S
authors.lastname: Bibi
authors.affiliation: Asadullah Makhdoom, Assistant Professor, Department of Orthopaedic Surgery & Traumatology, Liaquat University of Medical & Health Sciences, Jamshoro, Sindh, Pakistan.
authors.forename: Asadullah
authors.initials: A
authors.lastname: Makhdoom
authors.affiliation: Dr. Sumaiya Farooq, Senior Registrar, Department of Gynae & Obstretics, Liaquat University of Medical & Health Sciences, Jamshoro, Sindh, Pakistan.
authors.forename: Sumaiya
authors.initials: S
authors.lastname: Farooq
authors.affiliation: Syed Muhammad Tahir, Assistant Professor, Department of Burn Surgery, Liaquat University of Medical & Health Sciences, Jamshoro, Sindh, Pakistan.
authors.forename: Tahir
authors.initials: T
authors.lastname: Sm
authors.affiliation: Dr. Roshan Ara Qazi, Professor, Dept. of Gynae & Obstretics, Liaquat University of Medical & Health Sciences, Jamshoro, Sindh, Pakistan.
authors.forename: Roshan Ara
authors.initials: RA
authors.lastname: Qazi
keywords: Adverse Fetomaternal; Outcome; Pregnant Overweight Women