A Comparative Study Of The Effect Of BMI On Labour Outcomes, Delivery Process, And Postpartum Women's Health, At Governmental Hospitals In Two Libyan Cities

Obaid A. Alwan, Fahima A. Albeshti, Adel Mahfoud, Islam M. Hamoudah

Abstract


Abstract – This clinical study was carried out on postpartum women in two public hospitals during mid-2020. Analysis of collected data was done by using Descriptive statistics (frequencies and percentages Inferential statistics (X2-test &t-test), p-value less than 0.05 considered to be statistically significant. The 95% confidence interval was used to estimate a value range for an unknown parameter. The results of comparison between average age, height, weight, and body mass index characteristics of postpartum women for overweight and normal-weight groups in the study areas were addressed, there was no statistical significance at p 0.05 except for the weight and height variables in the normal- weight group, which in turn showed statistically significant differences. On the other hand, the results of labor induction and cesarean delivery were statistically significant in overweight and obese group compared to normal weight in the studied community at Zawia Hospital, where (Chi-square value = 13.52, p <0.00, 95% CI of OR = 3.702 (1.818, 7.541) And (Chi-square value = 63.43, p <0.00, 95% CI of OR = (0.116 (0.054, 0.251)). In the same context, statistical analyzes showed that there is a statistical significance when induction of labor for women with normal weight compared to overweight And obese patients in Al-Galaa Hospital, and their values were (Chi-square value = 8.72, p <0.003, 95% CI of OR = 0.348 (0.171, 0.710).

 

Aim: This study aims to compare and investigate the effect of body mass index on labour outcomes at two Libyan city hospitals in mid-2020.


Keywords


BMI , labour outcomes , delivery , postpartum women .

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References


References

-Aditi Saini, Syed Masuma Rizvi and Anumodan Gupta.2018 . Body mass index and body adiposity index in maternal obesity and its implication on the mother and her offspring: A hospital-based prospective observational study. International Journal of Clinical Obstetrics and Gynaecology; 2(4): 01-05.

-Alkhansa Osama Mohamed, Khalda Mirghani Hamza, Asaad Mohammed Ahmed Babker . 2016. Physiological changes in some hematological and coagulation profiles among Sudanese healthy pregnant women. International Journal of Medical Science and Public Health. 5:5.

-Annick Bogaerts, Lieveke Ameye, Evelyne Martens, , and Roland Devlieger: 2015. Weight Loss in Obese Pregnant Women and Risk for Adverse Perinatal Outcomes The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health 125: 3.

-Ashraf Kazemi, Aazam Dadkhah, Fatemeh Torabi .2020. Changes of Health-Related Quality of Life during Pregnancy based on Pregnancy Context: A prospective study doi.org/10.21203/rs.3.rs-17798/v1.

-Athukorala C, Rumbold AR, Willson KJ, Crowther CA. 2010.The risk of adverse pregnancy outcomes in women who are overweight or adverse pregnancy outcomes in women who are overweight or obese. BMC Pregnancy Childbirth.;10. 10. 10-56

-Bhattacharya S, Campbell MD, Liston WA, Bhattacharya S. 2007. Effect of Body Mass Index on pregnancy outcomes in nulliparous women delivering singleton babies. BMC Public Health; 7:168.

-BMI Calculator - Calculator.net https://www.calculator.net › fitness & health.

-Body Mass Index (BMI) Charts http://www.vertex42.com/ExcelTemplates/bmi-chart.html .

-Cedergren M. 2010. Effects of gestational weight gain and body mass index on obstetric outcome in Sweden. Int J of Obstet Gynecol 2006; 93:269-74

-Fanny Aldana-Parra1 , Gilma Olaya1 and Mary Fewtrell .2020.: Effectiveness of a new approach for exclusive breastfeeding counseling on breastfeeding prevalence, infant growth velocity and postpartum weight loss in overweight or obese women: International Breastfeeding Journal. 15:2.

-Feyza Ertop,1 Nuray Egelioglu Cetisli. 2020. Postpartum depression breastfeeding in overweight/obese and non-obese mothers JPMA Vol 70, N.2: 219.

-Institute of Medicine, National Research Council Committee. 2009. In Weight Gain during Pregnancy Reexamining the Guidelines Washington.

-Islam A, Khan NA, Ehsan A. Complications of raised BMI in pregnancy. Professor Med J Sep.; 17(3):498-504.

-Madhuri Taranikanti. 2018. Physiological Changes in Cardiovascular System during Normal Pregnancy. Cardiovasc Dis Women-WIN CARS 3:62–67.

-Nathalie J. Farpour-Lambert, Louisa J. Ells, Begoña Martinez de Tejada and Courtney Scott. 2018. Obesity and Weight Gain in Pregnancy and Postpartum: An Evidence Review of Lifestyle Interventions to Inform Maternally and Child Health Policies: Front. Endocrinol. DOI: 10.3389.

-Obaid A. Alwan and Amin O. Igwegbe . 2016. Evaluation of the commonly served Meals at Home and Schools to determine their Contributions in Meeting the Nutritional Needs of Pupils enrolled for Morning School Hours in selected Schools in Al-Zawiyya City, Libya. The first scientific conference on food security and food safety. 16 to 17 October 2016. Misrata -Libya.

-Oluoch D, Nyongesa P, Mwaliko E, Odunga J. 2018 . Body Mass Index and Pregnancy Outcomes in Expectant Women at Moi Teaching and Referral Hospital, Eldoret Kenya, WJMER, Vol.17: 1.

-Pediredla Ooha,Sri Tanaya ,K. Vandana. 2020. Consequences of maternal body mass index on the pregnancy outcome: International Journal of Scientific Research vol - 9:11.

-Priya Soma-Pillay, Catherine Nelson-Piercy, Heli Tolppanen, Alexandre Mebazaa .2016. Physiological changes in pregnancy, Cardiovascular Africa Journal of Africa. Volume 27: 2.

-Rathnamma P and Deepika N. 2020. Study of the effect of BMI and maternal weight gain during pregnancy on maternal and fetal outcome. International journal of clinical Obstetrics and Gynaecology; 4(3): 16-21.

-Roland.Devlieger ,Lieveke Ameye , Tinne Nuyts ,elat . 2020. Reappraisal of Gestational Weight Gain Recommendations in Obese Pregnant Women of 337,590Briths Obes Facts.13:333–348.

-Sahu MT, Agarwal A, Das V, Pandey A. 2007. Impact of maternal body mass index on obstetric outcome. J Obstet Gynaecol Res.;33.9-655: (5).

-Santo Monte, Oriana Valenti, Elsa Giorgio. 2011. Maternal weight gain during pregnancy and neonatal birth weight: a review of the literature J Prenat Med. 5(2): 27–30

-Scott-Pillai R, Spence D, Cardwell CR, Hunter a., & Holmes VA. 2004-2011. The impact of body mass index on maternal and neonatal outcomes: a retrospective study in a UK obstetric population. BJOG: An International Journal of Obstetrics and Gynaecology. 120:932.

-Van Der Linden EL, Browne JL, Vissers KM, et al. 2016 . Maternal body mass index and adverse pregnancy outcomes: a Ghanaian cohort study index and adverse pregnancy outcomes: a Ghanaian cohort study Obesity.24:215-222.

-World Health Organization: World health statistics .2016. https://www whoint/gho/publications/world_ health_ statistics/2016/en Accessed 21 Sept 2018.

-Yvon E.G. Kim D.G, Elise O.etal . 2020. The impact of interpregnancy weight change on perinatal outcomes in women and their children: A systematic review. https://doi.org/10.1002/oby.21210.




DOI: http://dx.doi.org/10.52155/ijpsat.v26.1.2976

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