gynecology and obstetrics medical project, gynecology journal, obstetrics, gynecologic oncology, reproductive medicine, gynecological endoscopy, ultrasonography, gynecology articles

Ginekologia i Poloznictwo
ISSN 1896-3315 e-ISSN 1898-0759

Effect of body mass index (BMI) on mode of delivery and maternal and neonatal complications in nulliparous women


Author(s): Mohamed Mahmoud Salman*, Reda Mokhtar Kamal Ghanem, Arsany Nabil Foad Wasef and Mohamed Mahmoud Abd El Aleem

Background and Aim: Over the last decades, overweight and obesity have become an increasing health problem in the world, including Egypt. We attempted to determine the effect of BMI on mode of delivery and maternal and neonatal complications in nulliparous women.

Methods: this comparative cross-sectional observational study was conducted at Ain Shams University Hospitals and performed on total of 330 nulliparous pregnant women who attended the pre-labor unit starting from June 2021 till January 2022 with inclusion and exclusion criteria.

Results: The following outcomes showed the same tendency: underweight group showed the best (the most favorable) outcomes, then increasing worse with the weigh, and the morbid obese group showed worst: 1) Cesarean delivery frequency (least frequent in underweight? most frequent in morbid obese, 2) duration of 1st stage of labor, 3) duration of 2nd stage of labor, 4) APGAR-1 score and APGAR-5 score, 5) NICU admission, 6) postpartum hemorrhage. Neonatal weight was lowest in underweight group then increases gradually to be highest in morbid obese group, the difference statistically was significant.

Conclusion: We here reconfirmed that obese women had poorer pregnancy outcomes and thus weight control before pregnancy may be an important preventative method to reduce poor materno-fetal outcomes.