ISSN: 2161-0665
+44 1478 350008
Rupa Rajbhandari Singh
B P Koirala Institute of Health Sciences, Nepal
Keynote: Pediatr Ther
Background: In full term pregnancy, birth weight is greatly infl uenced by the fetal growth, which is closely linked to nutritional status and BMI of mother during the pregnancy. Objectives: To study the impact of maternal BMI on neonatal outcome and its association with neonate needs for NICU admission and care at BPKIHS. Methods: It is a hospital-based cross-sectional descriptive study conducted over a period of one year at BPKIHS, Dharan. Ethical clearance was obtained from IERB, BPKIHS. (1) Sample size: 500, (2) Baseline maternal and neonatal data recorded according to the proforma, (3) BMI calculated according to WHO guidelines and (4) Ethical clearance was obtained from IERB, BPKIHS. Statistical Analysis: For inferential statistics Chi-square test and Pearson coeffi cient was used. Correlations done to study the signifi cant diff erence between maternal BMI and related variables of neonatal outcome at 95% CI where p=0.05 was taken as signifi cant. Results: Out of 500 pregnant mothers, 52.2% were primigravida with mean age 25 years and 94.8% had weight >60 kg and mean height of 155 cm. Th e mean BMI during pregnancy was 24.22. Maximum new born (73.4%) were delivered by NVD. 53% were female new born. Mean birth weight and length were 3190 gm and 51 cm, respectively. Mean head circumference was 34.37 cm. Total preterm delivery was 10.4%. Ponderal index of 2.6% was <2 while 1.4% had PI>2. AGA newborns were 93.6%. Neonates requiring NICU admission and care were only 4.8%. Signifi cant correlation was found between the maternal BMI and birth weight. Conclusion: Th is study showed the impact of regular ANC checkups on neonatal outcome and signifi cant eff ect of maternal BMI on neonatal anthropometry and mode of delivery.
Rupa Rajbhandari Singh is Professor & Chair, DM Neonatology Head, at B. P. Koirala Institute of Health Sciences, Nepal