alexa Pre-pregnancy Body Mass Index and the Risk of Adverse Pregnancy Outcome in Two Thousand Type 2 Diabetes Mellitus Bangladeshi Women | OMICS International
ISSN: 2167-0943

Journal of Metabolic Syndrome
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Research Article

Pre-pregnancy Body Mass Index and the Risk of Adverse Pregnancy Outcome in Two Thousand Type 2 Diabetes Mellitus Bangladeshi Women

Samsad Jahan1*, Chaudhury Meshkat Ahmed2, Samira Humaira Habib3, Akter Jahan4, Farzana Sharmin5, Md Sakandar Hyet Khan6 and Manisha Banarjee7
1Department of Gynaecology & Obstetrics, BIRDEM, Dhaka, Bangladesh
2Department of Cardiology, BSMMU, Dhaka, Bangladesh
3Health Economics Unit, BADAS, Dhaka, Bangladesh
4Govt Homeopathic College, Dhaka, Bangladesh
5Department of Obstetrics and Gynecology, BIHS, Dhaka, Bangladesh
6Red Crescent Hospital, Cox’s Bazar, Bangladesh
7Department of Gynecology & Obstetrics, Dhaka Medical College Hospital, Dhaka, Bangladesh
Corresponding Author : Samsad Jahan
Department of Gynecology & Obstetrics
Consultant and Associate Professor
BIRDEM, 122 Kazi Nazrul Islam Avenue, Dhaka-1000, Bangladesh
Tel: 880-2-8616641-50/ext-2270
Fax: 880-2-9677772
E-mail: [email protected]; [email protected]; [email protected]
Received May 30, 2014; Accepted July 14, 2014; Published July 19, 2014
Citation: Jahan S, Ahmed CM, Habib SH, Jahan A, Sharmin F, et al. (2014) Pre-pregnancy Body Mass Index and the Risk of Adverse Pregnancy Outcome in Two Thousand Type 2 Diabetes Mellitus Bangladeshi Women. J Metabolic Synd 3:155. doi:10.4172/2167-0943.1000155
Copyright: © 2014 Jahan S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: The aim of the present study were to evaluate the frequency of maternal complications and adverse fetal outcomes in a group of singleton pregnant women with type 2 diabetes mellitus to compare the outcome in three groups (lean, normal and overweight).

Materials and Methods: The women were categorized into three groups: lean <18.5, normal from 18.5 to 24.9 and overweight >25.0-29.9 kg/m2. The effect of pre-pregnancy BMI was analyzed by comparing the frequencies of various outcomes in three BMI groups. The results were expressed as odds ratio (ORs) and the corresponding 95% confidence intervals (CIs) & p values.

Results: The risk of late fetal death was consistently increasing with BMI (ORs were 1.2 (0.9-1.7), 1.6 (1.1-2.3) & 2.6 (1.7-3.8) for lean, normal & overweight respectively). The risk of early neonatal death was also higher among women with higher BMI (ORs was 1.6 (1.1-2.3) for overweight). The rate of preeclampsia is higher among women with lean and overweight BMI in compares to normal BMI (the values were 2.5%, 1.8%, & 7.0% for lean, normal & overweight respectively). Hypertensive disorders was also more common among lean (3.8%) and overweight (3.6%) compared to normal (1.6%). The risk of preterm delivery was significantly increased for overweight group (4.2%) and lean (2.4%), as compare to normal. The risk of SGA was significantly more in lean (2.7%) compared to normal weight (1.5%) & overweight group (1.9%).

Conclusion: Pre-pregnancy overweight increases the risk of late fetal death and perinatal mortality.

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