Abstract
Objective: To determine the effect of lifestyle interventions on mode of delivery in overweight pregnant women.
Methodology: This descriptive case series study was performed at the Department of Obstetrics and Gynaecology, Jinnah Postgraduate Medical Center, Karachi from July 2019 to December 2019. A total of 145 women with singleton fetus having BMI of 25.0-29.9 were included. At every antenatal visit, a 30 minutes group session with a dietician was done. A lifestyle brochure was given. On every antenatal visit, compliance was checked. Final outcome was measured at 42 weeks of gestation. Data was collected via study proforma and analysis was done by using SPSS version 20.
Results: Mean age of participants was 29.32±2.68 years. Mean BMI was 27.33±1.36 Kg/m2. Most (64.8%) patients complied with the lifestyle intervention. Out of all (68.3%) cases underwent vaginal deliveries and 31.7% of patients underwent Cesarean sections. Among vaginal deliveries 85.9% were spontaneous. A significant association of mode of delivery was observed with compliance (p=0.011).
Conclusion: Lifestyle intervention can improve dietary habits and physical activities during pregnancy among obese females and reduce the risk of increasing rate of Cesarean section.
Saba Khan, Khadija Bano, Shazia Naseeb. (2020) Effect of Lifestyle Intervention on Mode of Delivery in Overweight Pregnant Women, Journal of the Society of Obstetrics and Gynaecologists of Pakistan , Volume-10, Issue-1.
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