WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

*Mayyadah Mahmood Ahmed and Alia Mohammad Ali

ABSTRACT

Background: Obesity is a complicated noncommunicable disease caused by a combination of genetic,environmental, hormonal, behavioral, and socioeconomic variables. There are significant public healthconsequences associated with the high prevalence of obesity among women of reproductive age, especially withregard to the detrimental consequences on pregnancy outcomes. Additionally, it also puts a burden on healthcaresystems, requiring more extensive prenatal care, C-sections, extended hospital stays, and in vitro fertilization(IVF). Objectives: To study the impacts of obesity on pregnancy outcome among sample of women lived inNineveh province. Methods: This is a case control study was carried out from October 2023 to the end December2024 in the Gyne-obstetric department at Al Hamdanyia and Mosul General Hospital in Nineveh province-Iraq.Women in this study were chosen using a non-probability, purposeful sampling technique. The study included 200women, 100 of whom were obese (cases) and the other 100 were not (controls). All women who are scheduled(more than three prenatal appointments), primi and multigravida, having a singleton pregnancy, or a previousvaginal delivery, or having a fetus with cephalic presentation were included in the study. However, women havinga history of medical conditions such as diabetes, hypertension, endocrine abnormalities, a history of intrauterinedeath, a history of congenital malformations, or a history of preterm birth were excluded. Results: The mean ageof the study participants is 26.12 ± 5.39 years. It’s evident that total number of intrapartum complications arestatistically significant different between cases and controls (P value <0.001). Moreover; the mode of delivery isalso statistically significant between the two groups, with more cases having cesarean section in comparison tocontrols (P value =0.034). Furthermore; statistically significant difference is found between cases and controlsregarding their neonates’ Apgar scores (P value = 0.043) and fetal birth weight (P value = 0.013). Lastly; there isstatistically significant difference between cases and control (P value = 0.023) concerning postpartumcomplications with greater number of cases having postpartum hemorrhage, wound infection and need for bloodtransfusion. Conclusion: Pregnancy with obesity is a high-risk pregnancy that is linked to a number of problemsfor both the mother and the fetus. Compared to non-obese mothers, those with obesity were vulnerable to cesareansection, intrapartum and postpartum complications, in addition to that; their babies were heavier and had lowerApgar scores.