Implications of Early Pregnancy Obesity on Maternal, Fetal and Neonatal Health: Retrospective cohort study from Oman
Objectives: This study aimed to determine the prevalence of early pregnancy obesity among Omani women and to review maternal antenatal complications, intrapartum and postpartum events and neonatal complications among such women in comparison to women of normal weight. Methods: This retrospective coh...
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| Format: | Article |
| Language: | English |
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Sultan Qaboos University
2018-04-01
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| Series: | Sultan Qaboos University Medical Journal |
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| Online Access: | https://journals.squ.edu.om/index.php/squmj/article/view/2522 |
| _version_ | 1811280567277191168 |
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| author | Anita Zutshi Jayasree Santhosh Julie Sheikh Fareeha Naeem Ahmed Al-Hamedi Shahla Khan Eishthiag Al-Said |
| author_facet | Anita Zutshi Jayasree Santhosh Julie Sheikh Fareeha Naeem Ahmed Al-Hamedi Shahla Khan Eishthiag Al-Said |
| author_sort | Anita Zutshi |
| collection | DOAJ |
| description | Objectives: This study aimed to determine the prevalence of early pregnancy obesity among Omani women and to review maternal antenatal complications, intrapartum and postpartum events and neonatal complications among such women in comparison to women of normal weight. Methods: This retrospective cohort study included 2,652 pregnant Omani women who delivered at the Royal Hospital, Muscat, Oman, between November 2011 and April 2012. The patients’ electronic medical records were reviewed for antenatal, intrapartum and postpartum data. Body mass index was measured during the first trimester (≤12 gestational weeks) and classified according to the World Health Organization categories. Maternal and neonatal complications were compared between obese women and those of normal weight. Obstetric outcomes in uncomplicated pregnancies were also compared. Results: In the study cohort, there were 901 (34%) obese women and 912 (34.4%) women of normal weight; of these, 440 (48.8%) and 672 (73.7%) had uncomplicated pregnancies, respectively. Obese women had a significantly increased incidence of gestational diabetes (relative risk [RR]: 2.23; 95% confidence interval [CI]: 1.70–2.92; P <0.01), gestational hypertension (RR: 3.04; 95% CI: 1.63–5.65; P <0.01), Caesarean delivery (RR: 1.48; 95% CI: 1.08–2.03; P <0.01), postpartum haemorrhage (RR: 2.10; 95% CI: 1.11–4.10; P = 0.01) and fetal macrosomia (RR: 2.71; 95% CI: 1.21–6.09; P <0.01). Conclusion: Approximately one-third of the studied Omani women were obese. These women had a significantly increased risk of various maternal antenatal complications, intrapartum and postpartum events and neonatal complications. |
| first_indexed | 2024-04-13T01:17:01Z |
| format | Article |
| id | doaj.art-dd19da777d3b4a7a85078dbcabb22556 |
| institution | Directory Open Access Journal |
| issn | 2075-051X 2075-0528 |
| language | English |
| last_indexed | 2024-04-13T01:17:01Z |
| publishDate | 2018-04-01 |
| publisher | Sultan Qaboos University |
| record_format | Article |
| series | Sultan Qaboos University Medical Journal |
| spelling | doaj.art-dd19da777d3b4a7a85078dbcabb225562022-12-22T03:08:53ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal2075-051X2075-05282018-04-01181475310.18295/squmj.2018.18.01.0082325Implications of Early Pregnancy Obesity on Maternal, Fetal and Neonatal Health: Retrospective cohort study from OmanAnita Zutshi0Jayasree Santhosh1Julie Sheikh2Fareeha Naeem3Ahmed Al-Hamedi4Shahla Khan5Eishthiag Al-Said6Department of Obstetrics & Gynaecology, Royal Hospital, MuscatDepartment of Obstetrics & Gynaecology, Royal Hospital, MuscatDepartment of Obstetrics & Gynaecology, Royal Hospital, MuscatDepartment of Obstetrics & Gynaecology, Royal Hospital, MuscatFamily & Community Medicine Residency Programme, Oman Medical Specialty Board, MuscatDepartment of Obstetrics & Gynaecology, Royal Hospital, MuscatDepartment of Obstetrics & Gynaecology, Royal Hospital, MuscatObjectives: This study aimed to determine the prevalence of early pregnancy obesity among Omani women and to review maternal antenatal complications, intrapartum and postpartum events and neonatal complications among such women in comparison to women of normal weight. Methods: This retrospective cohort study included 2,652 pregnant Omani women who delivered at the Royal Hospital, Muscat, Oman, between November 2011 and April 2012. The patients’ electronic medical records were reviewed for antenatal, intrapartum and postpartum data. Body mass index was measured during the first trimester (≤12 gestational weeks) and classified according to the World Health Organization categories. Maternal and neonatal complications were compared between obese women and those of normal weight. Obstetric outcomes in uncomplicated pregnancies were also compared. Results: In the study cohort, there were 901 (34%) obese women and 912 (34.4%) women of normal weight; of these, 440 (48.8%) and 672 (73.7%) had uncomplicated pregnancies, respectively. Obese women had a significantly increased incidence of gestational diabetes (relative risk [RR]: 2.23; 95% confidence interval [CI]: 1.70–2.92; P <0.01), gestational hypertension (RR: 3.04; 95% CI: 1.63–5.65; P <0.01), Caesarean delivery (RR: 1.48; 95% CI: 1.08–2.03; P <0.01), postpartum haemorrhage (RR: 2.10; 95% CI: 1.11–4.10; P = 0.01) and fetal macrosomia (RR: 2.71; 95% CI: 1.21–6.09; P <0.01). Conclusion: Approximately one-third of the studied Omani women were obese. These women had a significantly increased risk of various maternal antenatal complications, intrapartum and postpartum events and neonatal complications.https://journals.squ.edu.om/index.php/squmj/article/view/2522obesitypregnancyfirst trimesterpregnancy complicationsobstetric labor complicationsfetal diseasesoman. |
| spellingShingle | Anita Zutshi Jayasree Santhosh Julie Sheikh Fareeha Naeem Ahmed Al-Hamedi Shahla Khan Eishthiag Al-Said Implications of Early Pregnancy Obesity on Maternal, Fetal and Neonatal Health: Retrospective cohort study from Oman Sultan Qaboos University Medical Journal obesity pregnancy first trimester pregnancy complications obstetric labor complications fetal diseases oman. |
| title | Implications of Early Pregnancy Obesity on Maternal, Fetal and Neonatal Health: Retrospective cohort study from Oman |
| title_full | Implications of Early Pregnancy Obesity on Maternal, Fetal and Neonatal Health: Retrospective cohort study from Oman |
| title_fullStr | Implications of Early Pregnancy Obesity on Maternal, Fetal and Neonatal Health: Retrospective cohort study from Oman |
| title_full_unstemmed | Implications of Early Pregnancy Obesity on Maternal, Fetal and Neonatal Health: Retrospective cohort study from Oman |
| title_short | Implications of Early Pregnancy Obesity on Maternal, Fetal and Neonatal Health: Retrospective cohort study from Oman |
| title_sort | implications of early pregnancy obesity on maternal fetal and neonatal health retrospective cohort study from oman |
| topic | obesity pregnancy first trimester pregnancy complications obstetric labor complications fetal diseases oman. |
| url | https://journals.squ.edu.om/index.php/squmj/article/view/2522 |
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