International Journal of Nursing Education

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A Correlative Study to Assess the Effect of first Trimester Bmi on Obstetric Outcome


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1 Manipal College of Nursing, Manipal University, Manipal-576104, Karnataka, India
     

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Healthy body weight on conception and adequate weight gain during pregnancy is important to ensure that the mother and baby remain well. About 30% of women living in South Asia enter pregnancy with severe or moderately severe underweight and do not gain sufficient weight during gestation to allow the fetal growth to proceed unimpeded. In India, out of twenty million babies born every year, about seven million are low birth weight.1 The aim of the present study was to determine the effects of first trimester BMI on pregnancy, labour and fetal outcomes, which will help to identify how significant is the BMI monitoring in antenatal period for preventing complications. Antenatal and intranatal records of 250 primi gravid women were studied over a period of one month for knowing the complications which had occurred to mother and her fetus during antenatal and intranatal period. Statistical analysis was done by using SPSS 11.5 package and relation was found using logistic regression. Complications like gestational diabetes mellitus, gestational hypertension, preterm delivery, meconium stained liquor, low birth weight, small for gestational age and IUGR were found to be more in abnormal first trimester BMI categories. Abnormal first trimester BMI revealed to be associated with severe maternal and neonatal complications. Therefore pregnant women should maintain a normal BMI to achieve a healthy pregnancy outcome.

Keywords

Primigravida Women, First Trimester BMI, Obstetric Outcome.
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  • A Correlative Study to Assess the Effect of first Trimester Bmi on Obstetric Outcome

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Authors

C. Sreedevi
Manipal College of Nursing, Manipal University, Manipal-576104, Karnataka, India
Blessy Prabha Valsaraj
Manipal College of Nursing, Manipal University, Manipal-576104, Karnataka, India
Maria Pais
Manipal College of Nursing, Manipal University, Manipal-576104, Karnataka, India

Abstract


Healthy body weight on conception and adequate weight gain during pregnancy is important to ensure that the mother and baby remain well. About 30% of women living in South Asia enter pregnancy with severe or moderately severe underweight and do not gain sufficient weight during gestation to allow the fetal growth to proceed unimpeded. In India, out of twenty million babies born every year, about seven million are low birth weight.1 The aim of the present study was to determine the effects of first trimester BMI on pregnancy, labour and fetal outcomes, which will help to identify how significant is the BMI monitoring in antenatal period for preventing complications. Antenatal and intranatal records of 250 primi gravid women were studied over a period of one month for knowing the complications which had occurred to mother and her fetus during antenatal and intranatal period. Statistical analysis was done by using SPSS 11.5 package and relation was found using logistic regression. Complications like gestational diabetes mellitus, gestational hypertension, preterm delivery, meconium stained liquor, low birth weight, small for gestational age and IUGR were found to be more in abnormal first trimester BMI categories. Abnormal first trimester BMI revealed to be associated with severe maternal and neonatal complications. Therefore pregnant women should maintain a normal BMI to achieve a healthy pregnancy outcome.

Keywords


Primigravida Women, First Trimester BMI, Obstetric Outcome.

References