DOES MATERNAL PRE-PREGNANCY UNDERWEIGHT AFFECT PREGNANCY OUTCOMES IN SINGLETON PREGNANCIES? OUR EXPERIENCE AT A TERTIARY CARE CENTER IN NORTH KERALA

HEERA SHENOY TRIVIKRAMA; REMASH KRISHNAN; CHELLAMMA VK

doi:10.22159/ajpcr.2023.v16i4.46537

Authors

HEERA SHENOY TRIVIKRAMA Department of Obstetrics and Gynaecology, KMCT Medical College, Kozhikode, Kerala, India. https://orcid.org/0000-0001-6197-0236
REMASH KRISHNAN Department of Obstetrics and Gynaecology, KMCT Medical College, Kozhikode, Kerala, India.
CHELLAMMA VK Department of Obstetrics and Gynaecology, KMCT Medical College, Kozhikode, Kerala, India. https://orcid.org/0000-0001-6197-0236

DOI:

https://doi.org/10.22159/ajpcr.2023.v16i4.46537

Keywords:

Pregnancy, Underweight, Body mass index, Neonatal, Maternal, Outcomes

Abstract

Objectives: This research was aimed at analyzing the burden of maternal pre-pregnancy underweight and their effects on pregnancy outcomes in a tertiary care center in North Kerala.

Methods: Based on maternal body mass index (BMI) calculated from the pregnant women’s reported height and pre-pregnancy weight, all pregnant women were divided into two groups. Underweight pregnant women with a BMI <18.5 kg/m2 at the time of conception formed group A (n=44) and women with a normal weight at conception (BMI between 18.5 and ≤24.9 kg/m2) formed Group B (n=155).

Results: Underweight women had two fold more chances of delivering an low birth weight infant. (AOR 2.2, 95% CI, 1.12 3–4.475). Being underweight did not influence any other maternal or perinatal outcomes and there was rare incidence of gestational diabetes mellitus (OR, 0.937; (95% CI, 0.4– 2.29), pregnancy-induced hypertension (OR, 0.970; 95% CI, 0.2–2.9).

Conclusions: Pre-conception counseling for underweight women, emphasizing the importance of proper physical activity and healthy eating to gain adequate weight in antenatal period can help avert pre-term deliveries with healthy neonates of normal birth weight.

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