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Effect of pre-pregnancy BMI (Obesity) on pregnancy related complications with specific emphasis on Indian Studies: Systematic review based on PRISMA Guideline

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Original Article

Author Details : Alka Pawalia, Satya Savant, Sivachidambaram Kulandaivelan, Vikram Singh Yadav

Volume : 3, Issue : 3, Year : 2016

Article Page : 239-252

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Abstract

Background: Obesity is a modifiable risk factor associated with many complications in human beings.
Objective: To find and report the articles dealing with BMI on maternal (prenatal and perinatal) and child (perinatal and postnatal) complications with specific emphasis on Indian studies.
Data source: Pubmed and Google Scholar were searched with key terms within the limit of studies between 2008 and 2015.
Study eligibility criteria: Studies with at least 4 complications were compared with BMI classification, both cross-sectional and case-control studies; both prospective and retrospective studies were included.
Participants and intervention: Pregnant women, who were classified according to BMI criteria, were compared with prenatal, perinatal and immediate postnatal complications in both mother and child.
Study appraisal and synthesis methods: Since Pubmed is the primary source of selection of articles there was no separate appraisal of included studies other than eligibility criteria. 37 articles which met the eligibility included for results review and discussion.
Results: Odd ratio (OR) of gestational diabetes (4.62), pregnancy induced hypertension (3.23), cesarean section (2.88), preeclampsia (2.69), microsomia (4.65), macrosomia (3.95), NICU admission (3.39), perinatal death (3.17) in obese/overweight Indian mother is either equal or higher than western counterparts.
Limitation: Present study neither did meta-analysis nor did any inferential statistics.
Conclusion and implications of key findings: Present study concretely supports that obesity was associated with many pre, peri and postnatal complications in both mother as well as child. So, primary and secondary prevention measure has to be taken to control the weight in reproduction age females

Keywords: Mother complication, Prenatal complication, Perinatal complication, Postnatal child complication

How to cite : Pawalia A, Savant S, Kulandaivelan S, Yadav V S, Effect of pre-pregnancy BMI (Obesity) on pregnancy related complications with specific emphasis on Indian Studies: Systematic review based on PRISMA Guideline. Indian J Obstet Gynecol Res 2016;3(3):239-252

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