Maternal Obesity and Pregnancy Outcome: in Perspective of New Asian Indian Guidelines

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Prevalence of obesity among women of reproductive age is increasing worldwide. As the prevalence increases among the women of reproductive age group, so it does among pregnant females. This study was conducted with the aim to assess obesity-related adverse maternal, neonatal and perinatal outcomes using new Asian Indian guidelines.


Pregnant women up to 16-week gestation on first visit were enrolled. There were two exposure groups: one with BMI < 25 kg/m2 and second with BMI ≥ 25 kg/m2 matched for maternal age and parity, 100 in each group. The study focused on development of various adverse maternal and foetal/perinatal complications. Comparative analysis of data was done to estimate the odds of each outcome taking non-obese group as reference.


There was a significant increase in risk among obese mothers compared to non-obese mothers for maternal complications like hypertensive disorders of pregnancy{OR 3.83}, preeclampsia{OR 9.2}, gestational diabetes mellitus{OR 4.85} and insulin requirement{OR 12.46}, induction of labour{OR 2.71}, caesarean section post induction{OR 8.50}, prolonged labour{OR 4.69}, caesarean sections{OR 5.18} and postpartum haemorrhage{OR 2.21}. Also, there was a significant increase in risk among obese mothers compared to non-obese mothers for foetal and perinatal complications like miscarriages{OR 4.85}, preterm newborns{OR 4.63}, medically indicated preterm{OR 6.59}, shoulder dystocia{OR could not be calculated}, large for gestational age{OR 5.91}, hyperbilirubinaemia {OR 4.26} and neonatal intensive care unit admissions{OR 3.26}.


It was concluded that obesity defined by Asian Indian guidelines (BMI ≥ 25 kg/m2) is associated with adverse pregnancy outcomes at odds comparable to western studies with obesity taken as BMI ≥ 30 kg/m2.

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Correspondence to Imran Kutchi.

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Imran Kutchi, P. Chellammal and A. Akila declare that we have no conflict of interest to declare.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee (Sri Gokulam Hospital Ethical Committee, Salem, Tamilnadu) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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This article does not contain any studies with animals performed by any of the authors.

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Informed consent was obtained from all individual participants included in the study.

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Dr. Imran Kutchi is an Ex DNB Resident, Sri Gokulam Hospital and also Consultant OBGYN, Khushbu Hospital, Botad; Dr. P. Chellammal is a Consultant and Head of Department, Department of OBGYN, Sri Gokulam Hospital, Salem; Dr. A. Akila is a Consultant, Department of OBGYN, Sri Gokulam Hospital, Salem.

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Kutchi, I., Chellammal, P. & Akila, A. Maternal Obesity and Pregnancy Outcome: in Perspective of New Asian Indian Guidelines. J Obstet Gynecol India (2020).

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  • Maternal obesity
  • Asian guidelines
  • Pregnancy outcome
  • Perinatal outcome