Pre-pregnancy Body Mass Index and Perinatal Outcomes in Tripoli Medical Center/Tripoli 2015-2016

الملخص

In Libya, high prevalence of obesity and overweight has been reported among women in reproductive age group,
with estimates reaching as high as around 40%. The high pre-pregnancy BMI was considered as a risk factor for
pregnancy and obstetric complications. The main objective of this study was to examine the association between
.pre-pregnancy maternal BMI and perinatal outcome. It is cross sectional study of 200 Libyan pregnant women
This study was conducted in Tripoli University Hospital, Tripoli-Libya during the period 2015-2016. The 200
pregnant women who came to the hospital in labour were included. They were asked about their weight before
pregnancy, and their height were measured during the day of admission. Pre-prepared information sheet were filled
.
up that included patient’s detailed history, any complications, maternal and neonatal outcome after delivery
Out of two hundred cases, 6 cases (3%) were under weight, 70 cases (35.4%) have normal BMI, 122 (61.6%) were
overweight and obese, and two cases (1%) excluded due to incomplete data. The mean age of the patients was 31.4
years, 72% of the patients were between para 1 and para 3. 26.2% of the overweight and obese group developed
pre-eclampsia. 23% of the overweight and obese group developed diabetes. Longer hospital stay up to 7 days seen
more in overweight and obese group (21.3%), (21.3%) of the overweight and obese had their pregnancies com
plicated by preterm delivery. (70.5%) of the overweight and obese had caesarean delivery. 23% of women in the
.
overweight and obese group have babies admitted to NICU
According to our results, the prevalence of overweight and obesity in women at reproductive age is relatively high.
Obesity should be considered as risk to pregnancy outcome, owing to increased incidence of pre-eclampsia, GDM,
.macrosomia, IUFD and caesarean delivery.