Vol. 1, Issue 1, Part G (2014)

Background: Maternal obesity is an increasing concern in India, with significant implications for maternal and neonatal health. Obesity during pregnancy is associated with complications such as gestational diabetes mellitus (GDM), pregnancy-induced hypertension (PIH), preterm delivery, and adverse neonatal outcomes, creating a need for targeted intervention strategies.

Materials and Methods: This prospective cohort study was conducted at the Department of obstetrics & Gynecology from October 2013 to October 2014. A total of 500 pregnant women were with BMI > 30 kg/m²). Data collection included demographics, obstetric characteristics, and pregnancy outcomes such as type of delivery, complications, and neonatal status.

Results: Of the 500 participants, 44% of obese women developed GDM, 30% experienced PIH, and 60% delivered preterm. Cesarean delivery was more frequent in the obese group (56%), with notable postpartum complications, including postpartum hemorrhage and retained placenta. Fetal outcomes were also affected, with a 3.6% stillbirth rate and 9% requiring NICU admission, indicating significant risks associated with maternal obesity.

Conclusion: This study underscores the impact of maternal obesity on pregnancy and neonatal outcomes, with higher rates of GDM, PIH, and cesarean deliveries among obese women. Implementing targeted interventions, such as preconception counseling and lifestyle modifications, is essential to improve health outcomes for both mothers and infants.