Download 48x36 Poster Template

2)
Kg/m AND
EXTREMELY OBESE (BMI > 40
THEIR IMPACT ON PREGNANCY:
A 6 MONTHS RETROSPECTIVE REVIEW IN HOSPITAL AMPANG, MALAYSIA.
OPTIONAL
LOGO HERE
OPTIONAL
LOGO HERE
1S
KHALID, 1M MASRI, 1SHAMSIR ARIS, 2M GANESALINGAM
1Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia.
2Department of Obstetrics Gynaecology, Hospital Ampang, Malaysia.
Backgroud
Results
Results
Maternal obesity is on a rise
throughout most countries (1).
During pregnancy, maternal obesity
increases adverse maternal and
fetal outcome such as gestational
diabetes, hypertension and preeclampsia which then lead to
preterm birth, reduced fetal growth
and stillbirth (2-3).
From 4896 cases, 29 (0.59%)
2
patients with BMI of > 40kg/m were
selected. The highest BMI recorded
2
was 48.89kg/m with an average
weight of 102.67kg, average height
of 1.55m and a mean age of 29.6
years.
All of the patients had MGTT done
and nine (31.03%) were found to
have Diabetes. Eight (28.66%) of
patients had Hypertensive Disorders
of Pregnancy. Four had Prelabour
Rupture of Membrane (PROM), two
had Oligohydromnios and one
patient had DVT during pregnancy.
Ten (34.48%) patients had LSCS
with eight (80%) of them end up with
EMLSCS (2 cases Eclampsia, 5
were foetal distress and one for
failed IOL). When comparing mode
of delivery between the morbidly
obese patients with the control
group, statistical analysis showed a
significance difference with p =
0.0439. Five (17.24%) cases of PPH
were reported with one readmission
due to urinary tract infection. A highly
significance difference (p = 0.0002)
were noted. No wound breakdown
was reported.
In terms of fetal outcome, seven
(24.14%) NICU admissions were
identified (one case due to
prematurity at 34 weeks, two
presumed sepsis (mother had
leaking) , two cases of
hypoglycaemia and two low apgar
score due to HIE grade one and
Pulmonary Hypertensive Disease of
the Newborn. There was no
statistically significant difference with
the control group (p = 0.4932). It was
noted that the average fetal weight
2
among mothers of BMI > 40kg/m
was 3.00kg compared to general
population of 2.88kg. Again, no
statistically significant difference was
noted with p = 0.2176.
Objectives
To determine the prevalence of
obese pregnant women with BMI of
2
> 40kg/m in Hospital Ampang and
its associated outcomes during
pregnancy.
Methods
A six month retrospective study was
conducted in Hospital Ampang from
st
st
1 March until 31 August 2011. All
pregnant patients with BMI of
2
>40kg/m were included in this
study. The maternal and fetal
outcomes were then identified.
Similar data for patients with normal
2
BMI (<25kg/m ) were collected for a
control group.
TEMPLATE DESIGN © 2008
www.PosterPresentations.com
Conclusions
Although the prevalence of morbidly
obese women was small, we should
be prepared to handle and manage
pregnancy in morbidly obese
patients. In a properly managed
morbidly obese patient, a good
outcome can be expected in term of
maternal and fetal morbidity.
However, care should be taken
during labour as there are statistically
significant increased in EMLSCS and
PPH in this group.
References
1. Heslehurst N, Rankin J, Wilkinson JR,
Summerbell CD. A nationally representative
study of maternal obesity in England, UK:
trends in incidence and demographic
inequalities in 619 323 births, 1989– 2007. Int
J Obes 2009;34:420–8.
2. Yu CKH, Teoh TG, Robinson S. Obesity in
pregnancy. BJOG 2006;113:1117–25.
3. Andreasen KR, Andersen ML, Schantz AL.
Obesity and pregnancy. Acta Obstet Gynecol
Scand 2004;83:1022–9.