1. TEMPLATE DESIGN © 2008 www.PosterPresentations.com Maternal Obesity & Obstetric outcomes John R, Johnson JK, Pavey J Department of Obstetrics and Gynaecology, Shoalhaven District Memorial Hospital, Nowra, New South Wales, Australia Your name and the names of the people who have contributed to this presentation go here. The names and addresses of the associated institutions go here. Objectives ResultsConclusions References 1.Heslehurst N, Ells LJ, Simpson H, Batterham A, Wilkinson J, Summerbell CD. Trends in maternal obesity incidence rates, demographic predictors, and health inequalities in 36,821 women over a 15-yr period. BJOG: An International Journal of Obstetrics and Gynaecology 2007;114(2): 187-94. 2.Kanagalingam MG, Forouhi NG, Greer IA, Sattar N. Changes in booking body mass index over a decade: retrospective analysis from Glasgow Maternity Hospital. BJOG: An International Journal of Obstetrics and Gynaecology 2005;112(10):1431-3. 3.Nuthalapaty FS, Rouse DJ, Owen J. The association of maternal weight with caesarean risk, labour duration and cervical dilatation rate during labour induction. Obstetrics and Gynaecology 2004;103(3):452-456. 4.Cedergreen MI. Maternal morbid obesity and risk of adverse pregnancy outcome. Obstetrics and Gynaecology 2004;103(2):219-224. … Introduction Maternal obesity has become one of the most commonly occurring risk factors in pregnancy. Obesity is associated with an increased risk of a number of serious adverse outcomes, including death. The Confidential Enquiry into Maternal and Child Health’s report on maternal deaths in the 2003-2005 triennium showed that 28% of mothers who died were obese. Objectives To find the prevalence of obesity in pregnant women attending Shoalhaven District Memorial Hospital. To assess the effect of maternal obesity on mode of delivery and complication rates. Discussion Prevalence of maternal obesity in our population (20.75%) is higher than the studies reported from UK.(Heslehurst et al) 1,2. Caesarean section rate in the obese group was almost twice as high as the non obese group. Nuthalapaty et al 3 has reported increased caesarean section rate in obese women. There are reports in the literature, that obstetric complications like preterm labour, postpartum haemorrhage, gestational diabetes and macrosomia are significantly higher in obese women 4. We also have noticed a two fold increase for these complications, in women with high body mass index. Conclusion Maternal obesity is a risk factor for caesarean section. Preventing obesity by effective pre pregnancy interventions could reduce caesarean section rates and adverse obstetric outcom Methods setting District Hospital in Shoalhaven region in New South Wales, Australia. ent goes here… Methods Retrospective review of all deliveries over a period of 12 months between October 2010 and September 2011 to find the number of women with BMI >30.In this group, obstetric outcome in relation to mode of delivery, gestational age, blood loss, birth weight and major complication were analysed. Data was obtained from database (Obstetrix). 886 women delivered during the study period. Of these 166 women had a BMI of > 30 at booking. 83 women did not have their BMI recorded. Prevalence of maternal obesity was 21%. 12.7% had preterm delivery. Caesarean section rate was very high (52.4%) in the obese women compared to that in non-obese women (27%). Postpartum haemorrhage of > 500ml was recorded in 29% of obese women, while in non-obese women this was only 17%. The birth weight was >4kg, in 19.3% of babies born to obese women; as opposed to 10.5% in the non-obese group. Only 3% of babies were less than 2.5Kg, in the obese group compared to 5% in the other group. During the study period 2 women underwent hysterectomy and both of them were morbidly obese. … OPTIONAL LOGO HERE

2. Caesarean Section rate

3. TEMPLATE DESIGN © 2008 www.PosterPresentations.com Obstetric Complications

4. TEMPLATE DESIGN © 2008 www.PosterPresentations.com Birth Weight