Impact of Body Mass Index and Height on Hypertensive Disorders in Pregnancy
Introduction: Hypertension is common cause of morbidity and mortality in pregnant females. Hence, prevention and management of preeclampsia is necessity. Maternal Body Mass Index (BMI) and preeclampsia are inter-related. South Asian females are prone to obesity. Aim: To find relation among maternal...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2022-04-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/16244/51516_CE[Ra1]_F[SH]_PF1(SC_SS)_PFA(SC_KM)_PN(KM).pdf |
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| author | Shubham Prasad Harsha S Gaikwad Himanshu Shekhar Nishi Choudhary |
| author_facet | Shubham Prasad Harsha S Gaikwad Himanshu Shekhar Nishi Choudhary |
| author_sort | Shubham Prasad |
| collection | DOAJ |
| description | Introduction: Hypertension is common cause of morbidity and mortality in pregnant females. Hence, prevention and management of preeclampsia is necessity. Maternal Body Mass Index (BMI) and preeclampsia are inter-related. South Asian females are prone to obesity.
Aim: To find relation among maternal BMI, height and gestational hypertension or preeclampsia, and to assess the severity of hypertensive disorders during pregnancy and maternal and foetal outcomes.
Materials and Methods: This prospective observational cohort study was conducted in Department of Obstetrics and Gynaecology in Vardhman Mahavir Medical College and Safdarjung Hospital (tertiary care hospital), Delhi, India, from September 2013 to December 2014. The study involved pregnant women with gestational age less than 14 weeks. After registration, body weight and height of all the subjects were measured during the first prenatal visit and recorded. Blood pressure was measured at every antenatal visit. The subjects were followed-up once monthly till 32 weeks, every 15 days till 36 weeks and weekly thereafter till delivery. To compare the baseline parameters between the two groups of patients, Chi-square test was used for categorical variables. A two-sided p-value <0.05 was statistically significant. To find out the correlation between BMI and height with pregnancy Pearson correlation coefficient test was used.
Results: Total 375 consecutive pregnant women, 44 were lost to follow-up, hence, 331 were followed-up. Obese group constituted 21.8%, majority (38.1%) had normal BMI. Overweight/obese women suffered hypertensive complications more than normal and underweight women (p-value=0.001). Short height (<150 cm) pregnant females were more prone to develop hypertensive complications (p-value=0.03). The BMI (as continuous variable) was positively correlated with Pregnancy Induced Hypertension (PIH) (r=0.351; p-value <0.0001). As BMI increases, the PIH severity increases (p-value <0.0001). However, height (as continuous variable) of the patients was negatively correlated with PIH severity (r=-0.170; p-value=0.002) and as the height of patient decreases, risk of PIH severity increases.
Conclusion: Short stature and high BMI pregnant females are more prone to develop hypertensive disorders and preeclampsia. Preconception prior counselling regarding weight optimisation is must. |
| first_indexed | 2024-04-10T16:23:48Z |
| format | Article |
| id | doaj.art-ad71c986d71345419425789b85f8ffa8 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-10T16:23:48Z |
| publishDate | 2022-04-01 |
| publisher | JCDR Research and Publications Private Limited |
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| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-ad71c986d71345419425789b85f8ffa82023-02-09T09:12:40ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2022-04-01164QC09QC1310.7860/JCDR/2022/51516.16244Impact of Body Mass Index and Height on Hypertensive Disorders in PregnancyShubham Prasad0Harsha S Gaikwad1Himanshu Shekhar2Nishi Choudhary3Senior Resident, Department of Obstetrics and Gynaecology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.Professor, Department of Obstetrics and Gynaecology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.Tutor, Department of Community Medicine, Sri Krishna Medical College and Hospital, Bihar, India.Assistant Professor, Department of Obstetrics and Gynaecology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.Introduction: Hypertension is common cause of morbidity and mortality in pregnant females. Hence, prevention and management of preeclampsia is necessity. Maternal Body Mass Index (BMI) and preeclampsia are inter-related. South Asian females are prone to obesity. Aim: To find relation among maternal BMI, height and gestational hypertension or preeclampsia, and to assess the severity of hypertensive disorders during pregnancy and maternal and foetal outcomes. Materials and Methods: This prospective observational cohort study was conducted in Department of Obstetrics and Gynaecology in Vardhman Mahavir Medical College and Safdarjung Hospital (tertiary care hospital), Delhi, India, from September 2013 to December 2014. The study involved pregnant women with gestational age less than 14 weeks. After registration, body weight and height of all the subjects were measured during the first prenatal visit and recorded. Blood pressure was measured at every antenatal visit. The subjects were followed-up once monthly till 32 weeks, every 15 days till 36 weeks and weekly thereafter till delivery. To compare the baseline parameters between the two groups of patients, Chi-square test was used for categorical variables. A two-sided p-value <0.05 was statistically significant. To find out the correlation between BMI and height with pregnancy Pearson correlation coefficient test was used. Results: Total 375 consecutive pregnant women, 44 were lost to follow-up, hence, 331 were followed-up. Obese group constituted 21.8%, majority (38.1%) had normal BMI. Overweight/obese women suffered hypertensive complications more than normal and underweight women (p-value=0.001). Short height (<150 cm) pregnant females were more prone to develop hypertensive complications (p-value=0.03). The BMI (as continuous variable) was positively correlated with Pregnancy Induced Hypertension (PIH) (r=0.351; p-value <0.0001). As BMI increases, the PIH severity increases (p-value <0.0001). However, height (as continuous variable) of the patients was negatively correlated with PIH severity (r=-0.170; p-value=0.002) and as the height of patient decreases, risk of PIH severity increases. Conclusion: Short stature and high BMI pregnant females are more prone to develop hypertensive disorders and preeclampsia. Preconception prior counselling regarding weight optimisation is must.https://www.jcdr.net/articles/PDF/16244/51516_CE[Ra1]_F[SH]_PF1(SC_SS)_PFA(SC_KM)_PN(KM).pdfblood pressurefoetal outcomeintrauterine growth retardationobesitypreeclampsia |
| spellingShingle | Shubham Prasad Harsha S Gaikwad Himanshu Shekhar Nishi Choudhary Impact of Body Mass Index and Height on Hypertensive Disorders in Pregnancy Journal of Clinical and Diagnostic Research blood pressure foetal outcome intrauterine growth retardation obesity preeclampsia |
| title | Impact of Body Mass Index and Height on Hypertensive Disorders in Pregnancy |
| title_full | Impact of Body Mass Index and Height on Hypertensive Disorders in Pregnancy |
| title_fullStr | Impact of Body Mass Index and Height on Hypertensive Disorders in Pregnancy |
| title_full_unstemmed | Impact of Body Mass Index and Height on Hypertensive Disorders in Pregnancy |
| title_short | Impact of Body Mass Index and Height on Hypertensive Disorders in Pregnancy |
| title_sort | impact of body mass index and height on hypertensive disorders in pregnancy |
| topic | blood pressure foetal outcome intrauterine growth retardation obesity preeclampsia |
| url | https://www.jcdr.net/articles/PDF/16244/51516_CE[Ra1]_F[SH]_PF1(SC_SS)_PFA(SC_KM)_PN(KM).pdf |
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