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A 3 Month Retrospective Review of The Outcome of Obese Mothers In Penang Hospital

A 3 Month Retrospective Review of The Outcome of Obese Mothers In Penang Hospital P Subramanian , S Balakrishnan , M Rouse Department of Obstetrics & Gynaecology Penang Hospital , Penang. OPTIONAL LOGO HERE. OPTIONAL LOGO HERE. Objectives. Methods. Results. Conclusions.

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A 3 Month Retrospective Review of The Outcome of Obese Mothers In Penang Hospital

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  1. A 3 Month Retrospective Review of The Outcome of Obese Mothers In Penang Hospital P Subramanian , S Balakrishnan , M Rouse Department of Obstetrics & Gynaecology Penang Hospital , Penang OPTIONALLOGO HERE OPTIONALLOGO HERE Objectives Methods Results Conclusions We retrospectively reviewed all the mothers who were of BMI >30 who delivered at our centre from September till November. A total of 162 patients were identified who met the above criteria. We looked at their ethnicity, antenatal complications such as GDM, mode of delivery, birth weight of their babies and complications for the mother and baby. The overall number of patients was 162 which made up 11.9 % of the deliveries. Birth rates according to the different ethnic groups ; Malays – 122 ( 75 % ) , Chinese – 21 ( 13 % ) , Indians 17(10%) and others 2 ( 1% ). There were 60 (39 %) patients who’s pregnancy was complicated with GDM. Out of which 51 were on diet control (31%) and 9 patients on insulin (6 %). 61(38 %) patients delivered via caesarean section. Overall there were 4 cases of wound breakdown all post caesarean section ( 2.4 % ).The babies born weighing less than 2.5 kg were 9 (5.5%); more than 4kg was 10 babies ( 6.5 % ). The rest were normal size. There were no cases of shoulder dystocia in this review. There were 4 babies born with poor Apgar scores at 5 minutes ( <6). There was no incidence of thromboembolism in our review. WHO defines obesity as an increased Body mass index > 30. There is an increased number of pregnant mothers delivering at our centre with a high BMI. We have reviewed all our patients who delivered at our centre from the month of September till November 2011 who met the criteria of having a BMI > 30.We looked at the outcome of their pregnancy in relation to the complication for the mother and the baby. Obese mothers are at risk of increased caesarean delivery with a rate of 38% which is higher than compared to the overall rate of 27 %. There were a higher prevalence of GDM among obese patients at 39%. There was no increased risk of thromboembolism probably due to the prophylactic anticoagulations. This findings is in accordance with findings from CMACE/RCOG joint guidelines 2010. . References 1.CMACE/RCOG guidelines 2010 2.ACOG – Obesity in pregnancy Number 315, 2005 3. Weiss JL, Malone FD, Emig D, Ball RH, Nyberg DA, Comstock CH, et al. Obesity, obstetric complications and cesarean delivery rate—a population-based screening study. FASTER Research Consortium. Am J Obstet Gynecol 2004;190:1091–7. 4. World Health Organization. Obesity: preventing and managing the global epidemic. Geneva, Switzerland: World Health Organization; 2000. WHO technical report series 894.

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