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Increased rates of obesity among pregnant women are a public health concern. Studies have reported
an association between maternal overweight, obesity and adverse pregnancy outcomes. This study
aims to assess the maternal risk and fetal outcomes in correlation to early pregnancy high body mass
index (BMI) in North Lebanon. A retrospective cohort study was conducted in North Lebanon in
five hospitals and health care centers. Data were collected between 2016 and 2018. Anthropometric,
maternal and fetal health data were obtained from the medical records’ of 1308 women and their
fetuses. Anthropometric data at the beginning of pregnancy and gestational age were collected
through two private clinics and one primary health care center. Socio-demographic and lifestyle
data were gathered by a questionnaire through a telephone call to each woman. Maternal and
fetal outcomes were compared by univariate, bivariate and logistics analysis through SPSS 13.0.
This study shows a significant association between early pregnancy, high BMI and pre-eclampsia
(p-value<0.0001), eclampsia (p-value<0.024), C-section, gestational diabetes, induction of labor,
hemorrhage and severe hemorrhage (p-value<0.0001). Women with excess weight gain, older
women 25-34 years old, smokers and women with sedentary lifestyle were more likely to undergo
complications (p-value<0.0001). Women living in village had more complications than those
who live in cities (p-value<0.0001). Low social level was significantly associated with maternal
complications (p-value<0.0001). Concerning fetal adverse outcomes, there is significant association
between high maternal BMI and macrosomia (p-value<0.0001).
Biography
Mayssa Traboulsi had completed her Master’s degree in Nutrition and Public Health from the Holy Spirit University of Kaslik, Lebanon. Currently, she is pursuing her PhD in Caddy Ayyad University, Morocco. She was responsible of Nutrition Department at Dar Al Zahraa Hospital for two years. She was an Instructor at Lebanese International University since 2013 and has her own private diet clinic.