title: Impact of HIGH BMI on Pregnancy: Maternal and Foetal Outcome.
abstract: OBJECTIVE
  To review the effects of obesity (BMI > 30) on antepartum risk/intrapartum risk. To study neonatal outcome of pregnant women with raised BMI.
  
  
  METHODS
  BMI of 500 pregnant women booked before 12 weeks calculated and categorised as normal, overweight, obese and morbidly obese at GMCH, Aurangabad. Pregnant women with systemic disease and previous LSCS were excluded. Antepartum, intrapartum and neonatal variables were studied, and statistical analysis was carried out.
  
  
  RESULTS
  Antepartum variables: prolonged pregnancy (<0.05), severe PIH (<0.05), PPROM (<0.05), gestational DM (<0.05) and anaemia (<0.05) are strongly associated with raised BMI, whereas abortion (>0.05), oligohydramnios (>0.05), UTI (>0.05) and abruption (>0.05) are not associated with raised BMI. Postpartum variables: PPH (<0.05), pyrexia (<0.05), prolonged hospital stay (<0.05) and lactational dysfunction (<0.05) are strongly associated with raised BMI, whereas UTI (>0.05), thrombophlebitis (>0.05) and endometritis (>0.05) are not associated with raised BMI. BMI Neonatal outcome: IUGR (<0.05), preterm (<0.05), postterm (<0.05), LBW (<0.05) and macrosomia (>0.05) are strongly associated with raised BMI, whereas stillbirth (>0.05), intubation (>0.05), RDS (>0.05) and baby died within 24 (>0.05) are not associated with raised BMI.
  
  
  CONCLUSIONS
  Overweight and obesity are risk factors for AP/IP/PP complication.
authors.affiliation: Department of Obstetrics and Gynaecology, Government Medical College, Aurangabad, India.
authors.forename: Varsha L
authors.initials: VL
authors.lastname: Deshmukh
authors.affiliation: Department of Obstetrics and Gynaecology, Government Medical College, Aurangabad, India.
authors.forename: Milind
authors.initials: M
authors.lastname: Jadhav
authors.affiliation: Department of Obstetrics and Gynaecology, Government Medical College, Aurangabad, India.
authors.forename: Kanan
authors.initials: K
authors.lastname: Yelikar
keywords: Antepartum complications; BMI; Morbidity; Obesity; Perinatal