The Impact of Maternal Obesity on Pregnancy Outcomes in El-Minia Locality

Study Overview
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Brief Summary
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A study will carried out over a period of one year , all obese pregnant women as diagnosed with BMI at the time of 1st ANC visit and before labor ,observation of events during both intra-partum &postpartum periods it will be recorded.outcome will compared with normal other pregnant women

Detailed Description
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It is known that obesity during pregnancy has drawbacks for both maternal and foetal outcome The aim of this study is to evaluate and measure the proportion of the adverse pregnancy outcomes attributable to maternal obesity and so reaching to recommendations in order to improve the outcomes and wellbeing of these women and their children.patient will be divided into two groups control group with normal BMI and study group and both compared as regard foetal and maternal outcome The assessed fetal variables will be: fetal birthweight & incubators admission. Data will be retrieved from patients before labor and from investigator observation both intrapartum and postpartum.

Official Title
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The Impact of Maternal Obesity on Pregnancy Outcomes in El-Minia Locality a Case Control Survey Study

Conditions
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Obesity During Pregnancy in Clinical Practice

Intervention / Treatment
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* Other: The impact of maternal obesity on pregnancy outcomes


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: obese pregnant age 18 -40 single viable cephalic foetus Exclusion Criteria: less than 18 years more than 40 years associated medical disorders patient refusal non cephalic presentation -

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| control group<br>the group with normal BMI | |
| study group<br>The group with the BMI more than 24.9 kg per meter square to study the impact of maternal obesity in pregnancy outcome | Other: The impact of maternal obesity on pregnancy outcomes<br>* observation of maternal obesity effect in foetal and maternal outcome<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mode of delivery | vaginal or Cesarean section | onset of labor till end | 
| shoulder dystocia | arrest of shoulder more than one minute after delivery of the head | 1 minute after delivery of the head | 
| foetal macrosomia | foetal weight at time of delivery more than 90th percentil | at time of labour or elective CS | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| postpartum hemorrhage | primary or secondary blood loss through birth canal more than 500cc | onset of labor and for 6 weeks after | 
| postpatum maternal infection | postpartum signs of sepsis | end of labor and for 6weeks after | 
| neonatal ICU admission | neonatal ICU admission | one month after delivery | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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obesity , pregnancy , maternal and fetal outcome