Impact Of Pre-Pregnancy Body Mass Index, Anaemia And Gestational weight Gain On Neonatal Outcomes
Journal Title: Indian Obstetrics & Gynaecology - Year 2017, Vol 7, Issue 4
Abstract
Introduction:World Health Organization (WHO) study on maternal anthropometry and pregnancy outcomes across the world has indicated that mothers in the lowest quartile of pre-pregnancy weight were at the risk of increasing intrauterine growthrestrictonon (IUGR) and low birth weight (LBW) compared to the upper quartilele. Therefore, the present study was to assess the association between gestaonal weight gains (GWG), pre-pregnancy body mass index (BMI) and birth weight (BW) of the baby. Methods: A prospective hospital-based study was conducted on primi-gravida aged between 20 years and 30 years, gestation age 16 weeks to 18 weeks, haemo globin > 8g %, live singleton pregnancy and no medical or surgical illness. Women were grouped 1 and 2 based on the haemo globin level >11 g/dl, and 8 g/dl to 10.9 g/dl respectively. Diet and physical activity counselling at each visit besides routine antenatal care (ANC) were done. GWG, BW and gestaonal age at delivery (GAD) were compared between the two groups. Results: A total of 179 and 149 primi-gravidas in groups 1 and 2 respectively were studied. The mean values of GWG, BW and GADin two groups were 8.65 kg versus 8.46 kg (P=0.484), 2.75 kg versus 2.74 kg (P=0.930), and 38.56 weeks versus 38.60 weeks(P=0.833) respectively. Multiple linear regression analysis indicated that the variables such as BMI, GWG and GAD were found tobe significant predictors of BW. Using binary logistic regression analysis the same variables were found to be the significant positive effect on reducing LBW between 8 % and 41 %. The GAD and BW were maximum if the GWG was >11 kg followed by 7.1kg - 11.0 kg and <7.0 kg (p=<0.05). The moderate level anaemia showed no effect on either BW or LBW. Conclusions: Birth weight and LBW were found to be associated with GAD, GWG and BMI. The pregnant women should be targeted for GWG of >11 kg within the recommended guidelines to reduce LBW and increase BW.
Authors and Affiliations
Rohini Sehgal, Dr. Alka Kriplani, Dr. Vanamail Perumal, Dr. Arun Kumar, Dr. Leema Maiti, Dr. Shobha Kandpal, Dr. Neeta Kumar, Dr. Nomita Chandhiok, Dr. V. L Jindal, Dr. Suneeta Mittal
Keywords
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