مشروع البحث:
Association of pregestational Body mass index (BMI) and gestational weight gain(GWG) with pregnancy outcome in Gharian city

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المساهمين
الممولين
رقم التعريف
21-1
الباحث
نجاة المختار المبروك دلعوب
المشرفين
منشورات
وحدات تنظيمية
الوصف
Overweight and obesity among women of reproductive age have increased globally and are recognized as major determinants of adverse maternal and neonatal outcomes. Pre-pregnancy body mass index (BMI) and gestational weight gain (GWG) are key indicators of maternal and fetal health. This study aimed to examine the association between pregestational BMI, gestational weight gain, and adverse pregnancy outcomes among women admitted to Gharian Central Hospital in 2025. A cross-sectional descriptive study was conducted among 200 mothers admitted to the Department of Obstetrics and Gynecology at Gharian Central Hospital. Data were collected using a structured questionnaire and analyzed using SPSS version 23. Associations were assessed using chi-square tests and multivariable regression analysis, with statistical significance set at p < .05. In this study most participants were aged 20–39 years (80%). Excessive GWG and higher pre-pregnancy BMI were significantly associated with adverse maternal outcomes, including hyperglycemia, anemia, labor complications, wound infection, reduced breastfeeding, and deep vein thrombosis (p < .001). Excessive GWG (>16 kg) was strongly associated with adverse neonatal outcomes, including macrosomia (47%), abnormal Apgar scores (62.5%), and congenital anomalies (9%). A significant association was observed between GWG and gestational age at delivery (χ² = 23.74, p < .001). Multivariable regression analysis demonstrated that gestational age at delivery was the strongest predictor of birth weight, followed by maternal GWG (F(5,194), p < .001). This result concluded that Pre-pregnancy BMI and excessive gestational weight gain are significant predictors of adverse maternal and neonatal outcomes. Optimizing maternal weight before and during pregnancy may improve pregnancy outcomes. Keywords: Body mass index; gestational weight gain; pregnancy outcomes; macrosomia .
الكلمات الدالة
علوم حياة