Background: Obesity in pregnancy is of great concern in Kerala. According to the National Family Health Survey-3, Kerala holds second position next to Punjab, with a 34% prevalence of overweight and obesity. Based on consensus guidelines, the BMI categories for Asian Indians have been revised and categorized overweight as a BMI of 23.0 -24.9 kg/m2 and obesity as a BMI >25 kg/m2. This study aims to determine the pregnancy outcome among overweight and obese women and compare the pregnancy outcomes among overweight and obese with normal BMI women. Materials and Methods: A retrospective observational study was conducted at Travancore Medical College Kollam Kerala for six months. The revised consensus guidelines for Asian Indians were considered for BMI categorization. Results: 63.9% of pregnant women were either overweight or obese of the total 399 pregnant women. Gestational diabetes mellitus (GDM) and pregnancy-induced hypertension (PIH) were the common antenatal complications significantly associated with overweight and obese women. Preterm labor was also significantly increased in overweight and obese women.
Conclusion:Obesity is a rising public health concern in Kerala reflected in pregnancy, with an increase in adverse pregnancy outcomes. Obesity is a modifiable risk factor that health care providers need to address during preconception, antepartum, intrapartum, and postpartum periods, thereby preventing obesity complications.
Cervical encerclage has been used to treat repeated second trimester pregnancy losses. Rescue cerclage is done in cases of advanced cervical dilatation with membranes protruding into the vagina. If done correctly after proper patient selection, it can successfully prolong a nonviable pregnancy to viability. Here, we present a case report of a multiparous lady with advanced cervical dilatation at 22 weeks who had a successful rescue cerclage where the pregnancy was taken upto 38 weeks.
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