Introduction: Guidelines identified relationships between the mother, the baby, and gestational weight gain (GWG). However, these guidelines were predicated on a lower general population body mass index (BMI) with little racial diversity. This study's objective was to assess how GWG in expecting mothers with various prepregnancy BMI affected the course of their pregnancies. Material and Methods: A cross-sectional study was carried out at the Maternity Hospital, Faculty of Medicine, Minia University. The medical records of 550 pregnant women were analyzed for this study from individuals who began attending the antenatal care unit at the outpatient clinics. Result: Obese women have significantly higher weight gain and BMI increase during pregnancy than non-obese women. Weight gain >13kg was significantly higher in obese than non-obese women Conclusion: Obese women have significantly higher age, higher fetal birth weight, higher weight gain, and BMI increase than non-obese women. Medical, obstetric, and fetal complications were significantly higher in obese than non-obese women.
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