EFFECT OF MATERNAL BODY MASS INDEX ON THE MODE OF DELIVERY AND NEONATAL OUTCOME: A TERTIARY CARE HOSPITAL BASED STUDY IN SOLAN, HIMACHAL PRADESH.

INTRODUCTION: Obesity is a global health problem characterised as pandemic issue by the World Health Organization (WHO), with higher prevalence in females than males. During pregnancy, it considered high-risk state because associated maternal complications like preeclampsia, gestational diabetes, obstetric interventions caesarean delivery, postpartum haemorrhage; and fetal macrosomia, poor apgar scores. BMI commonly used indicator which can be to classify subjects on basis of weight.AIM: This study aims find normal weight, overweight obese pregnant women defined body mass index (BMI) according WHO classification associations between BMI, mode delivery neonatal outcome.MATERIAL AND METHODS: 200 admitted for department Obstetrics & Gynaecology were studied, height weight recorded from reliable antenatal records (recorded within two months gestation). The Body Mass Index was calculated patients divided into four categories: Category I: underweight; II: BMI; III: Overweight; IV: Obese. feto-maternal outcomes studied.RESULTS: On evaluation nulliparous singleton term gestation, 1.5% underweight, 33% had 56% 9.5% obese. prolongation labour seen more 25 kg/m2. Overweight instrumental deliveries tendency prolonged deliveries. Neonatal compared neonates required resuscitation at birth, low Apgar scores small age. Maternal Hypothyroidism, preeclampsia diabetes occurred category.CONCLUSION: In our institution, majority found overweight. Adverse perinatal often patients. Hence, obesity must identified risk factor adverse pregnancy outcomes.