بررسی رابطه BMI مادر با نتایج بارداری

Background and purpose : This study was performed in order to determine the correlation between body mass index , maternal and fetal complicationsin patients admitted to Imam Khomeini Hospital in sari during the year 1999. Materials and methods : This research was a cohort study , done on 726 pregnant women (under weight 154 cases. Normal weight 335 cases and over weight 237 cases). These three groups were matched by the following criteria : obstetrical history, socioeconomical status and the frequency of prenatal care. Results : In over weight women , prevalence of pre eclampsia , gestational edema , multifetal pregnancy , multiparity , insufficient weight gaining , malpresentation and perinatal mortality were greater than normal weight women. In under weight women prevelance of premature ruptune of membranes , malpresentation were greater than normal weight women. Conclusion : Low and high BMI can contribute to the complications of pregnancy , thus pregnancy in women with abnormal weight should be considered as ahigh risk factor to be able to prevent complications by special cure .