TMSS Medical College Journal

Introduction: During pregnancy there is increased calorie requirement to the extent of 300 kcal over the non-pregnant state during second half of pregnancy. But some mother wants to take extra more calories for a healthy baby, but their fetal weight is not so much increased. Only weight gain during pregnancy cannot improve the fetal outcome. Too much and too little weight gain during pregnancy both are problematic during pregnancy. Objectives: The aim in this Study objective impact of Early pregnancy weight, and pregnancy weight gain of mother on maternal and fetal outcome and also see the impact of excessive weight gain of mother on fetal outcome. Materials and methods: It was a prospective observational study conducted in Gynae and Obstetric department of Shaheed Ziaur Rahman Medical College Hospital Bogura, from June 2019 to December 2019. A total of 100 patients were selected. All the patient were in ante-natal chek-up, delivered in hospital by cesarean section at or more than 37 week of gestation. Results: Normal BMI mothers shows good outcome. High birth weight neonates are more in mothers who gain more weight during pregnancy. Low birth weight baby present on all group of patient. Conclusion: Early pregnancy over weight and excessive weight gain of mother during pregnancy have some increase in birth weight of the infants, but it does not exclude low birth weight infant, and it causes various complications.

For thousands of years obesity was rarely seen' but now it is an emerging problem. In 1997 the World Health Organization (WHO) formally recognized obesity as a global epidemic.” In normal pregnancy, variable amount of weight gain is a constant phenomenon. In early weeks, patient may lose weight because of nausea and vomiting. During subsequent months, the weight gain is progressive until the last 1 to 2 weeks, when the weight remains static. The total weight gain during the course of a singleton pregnancy for a healthy woman averages 11 kg (24 1b). This has been distributed to 1 kg in first trimester and 5 kg each in second and third trimester’. Periodic and regular weigh checking is of important to detect abnormality. Rapid weight gain more than 0.5 kg (1 1b) a week, or more than 2 kg (4lb) a month in later months of pregnancy may be the early manifestation of preeclampsia and need for careful supervision. Stationary or falling weight may suggest intrauterine growth retardation or intrauterine death of fetus. Obese women are in increased risk of complications in pregnancy, labor and puerperium?. Normal pregnancy has been implicated in the development of obesity in women having healthy weight previously*, due to excessive eating. Benifit of weight management is numerous. Ideally weight gain should depend on pre-pregnancy Body Mass Index (BMI) level’. According to Institute of Medicine (IOM) in 2009 recommended weight gain for women with <18.5 BMI- 12.5-18 kg, normal BMI 11.5-16 kg. Overweight women can gain 7-11.5 kg, and an obese woman (BMI>30) should not gain more than 5-9kg’. Maternal nutrition and weight gain during pregnancy are directly related to the newborn weight.