Introduction: About 12.3% of all maternal deaths occur due to hypertensive disease of pregnancy (HDP). Obesity as measured by the body mass index (BMI) is a major risk factor for development and progression of HDP. The objective of the study was to evaluate the association of the various maternal and neonatal complications with the BMI in women with HDP.
Materials and methods: Primigravida women were recruited at their first visit and BMI noted. Examination and all relevant investigations were done at all visits. A total of 45 women who developed HDP were included in the study. Any maternal or neonatal complication was recorded.
Results: Most maternal complications like abruptio placentae and pulmonary edema were more in those women with higher BMI. Fetal growth restriction and neonatal complications were also observed more in women with BMI >24.9 kg/m2.
Conclusion: Maternal and neonatal complications are significantly more in overweight women. Close monitoring of the blood pressure from the earliest of these women should be done.
Clinical significance: Primary preventive measures by weight reduction prior to pregnancy and close monitoring of overweight women will help prevent the maternal and neonatal complications and improve outcome.
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