OUTCOME OF PREGNANCY IN PRIMIGRAVIDA WOMAN HAVING BMI MORE THAN 25 kg/m2

Abstract

This Cross-sectional study was conducted in  Obstetrics & Gynaecology ward of Pakistan Air Force Hospital, Islamabad from April to June 2026. Aim of study was to determine maternal / neonatal outcomes of pregnancy in primiparas with body mass index (BMI) more than 25 kg/m2. Material and methods: Two hundred first-time moms aged 18–35 and with  body mass index (BMI) greater than 25 kg/m2 who were at least 24 weeks pregnant were enrolled; We followed mothers till delivery. Maternal outcomes GDM, preeclampsia, induction of labour, LSCS rate and PPH) and  Neonatal outcome (prematurity, macrosomia, birth asphyxia, jaundice and length of stay in NICU). Data analysis was done using SPSS version 26. Results are shown as mean ± standard deviation, frequencies and percentages. Results: Mean age was 27.13 ± 3.35 years and mean BMI was 29.71 ± 3.73 kg/m. In  present study, 59.5% of  patients were overweight and 40.5% were obese. 24% of women were diagnosed with preeclampsia and 30.5% with gestational diabetes mellitus. Induction of labour was required in 57.5% of  cases, prolonged labour in 25.5% of  cases and  rate of caesarean section was 39.5%. Neonatal outcomes were: preterm delivery (10.5%), macrosomia (17.5%), birth asphyxia (10.5%), newborn jaundice (24%) and neonatal intensive care unit hospitalisation (22.5%). Postpartum haemorrhage was observed in 19.5% of cases. Conclusion: A higher body mass index (BMI) of  mother in women during their first pregnancy is connected to  higher risk of adverse outcomes for  mother and  neonate. The key to reducing  frequency of difficulties is early discovery and good prenatal care.