FREQUENCY OF INTRAPARTUM COMPLICATIONS IN PREGNANT OBESE WOMEN AT TERM
Keywords:
Obesity, maternal morbidity, fetal risk factors, complicationsAbstract
Objectives: To determine the frequency of intrapartum complications in pregnant obese women at term.
Material and Methods: This study was conducted at Kalsoom Maternity Hospital, Peshawar, Pakistan. Study design was descriptive cross sectional which was done in the time period of 15 Months (from August 2010 to November 2011). The sample size was 126, using 95% confidence level, 11.1%3 proportion of instrumental delivery (as per CPSP rule the variable with minimum prevalence is to be taken for sample size calculation) and margin of error of 5.5%, under WHO software for sample size determination. More over non probability, consecutive sampling technique was used in this study.
Results: In this study mean age was 28 years ± 3.92 SD. Mean BMI score was 33 Kg/m2 with standard deviation ± 1.82. thirty eight percent patients were primi gravida while 62% patients were multi gravida. More over 30% patients had cesarean section while 15% patients had instrumental deliveries in which 10% patients had vacuum delivery and 5% patients had forceps delivery.
Conclusion: Cesarean section, gestational diabetes, meconium stained liquor, macrosomic babies, pregnancy induced hypertension, reduced rate of vaginal birth after cesarean section, failure to progress of labour in first stage, failure to progress in 2nd stage of labour, stillbirth, and preeclampsia are the complications of obesity.
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