A Survey of Mother BMI Relationship with Cesarean Prevalence Rate in Bam Maternity Hospital, Bam, Iran Mahdyeh

• Main Authors: L Solimanizadeh, F Solimanizadeh, M Askaryzadehmahani, N Zafarnia, M Javadi
• Format: Article
• Language: fas
• Published: Qom University of Medical Sciences 2009-05-01
• Series: Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Qum
• Subjects: obesity; cesarean section; pregnancy outcome; body mass index; bam; iran
• Online Access: http://journal.muq.ac.ir/article-1-43-en.html
• ISSN: 1735-7799; 2008-1375

Background and Objectives: Abnormality of maternal weight has an important role in reproductive health. High and low BMI play importaxt roles in the development of some pregnancy complications, high birth weight, and cesarean rate increas. Thus, the complications such as sever infection, bleeding, thromboembolism attacks, respiratory pneumonia in pregnant women undergoing cesarean occur more often. The aim of prenatal care is safety in infant birth and one of the conditions in pregnancy health care is normal weight. The present study sought to determine the role of mother BMI on cesarean prevalence rate in women referring to Bam Mahdieh Maternity Hospital in Bam, Iran, in 2005. Methods: This attempt was a comparative cross-sectional study done on 294 pregnant women who were divided into three groups: underweight n=111 (BMI<19.8) normal n=145 (19.8<BMI<26) and overweight n=38 (BMI>26). All pregnant women in our study wanted normal vaginal deliveries, and none was willing to undergo cesarean without indication. Data were collected by questionnaire that included three parts. The data were analyzed through descriptive statistics, ANOVA and . A Pvalue of less than 0.05 was considered significant. Results : The cesarean rate in over weight cases was 28/9%, while in normal weight women it was 15/2%, and in under weight ones, it was 4/5%, showing statistically significant differences. The overweight group had the highest age mean value in comparison with underweight and normal groups. The mean of babies’ weights in over weight group was more than that of the under-and normal-weight groups, but the mean of APGAR Scores at first and fifth minutes in over weight group was low. Conclusion: Concerning the findings, it is recommended that obese women be consulted before the pregnancy and during the pregnancy in order to attain normal weight with a suitable diet and the level of necessary activity, so that correct planning and education are performed to reach successful pregnancy outcomes.