BACKGROUND: Underweight is still prevalent in developing countries like India. Prepregnancy body mass index (BMI) is used as the standard against which the measurements are made in pregnancy. AIM: To study the association between early pregnancy BMI and feto-maternal outcome among nulliparous women METHODOLOGY: This is a prospective observational study, with a sample size of 294. The antenatal patients were categorized into four categories of BMI according to the WHO classification, and pregnancy outcomes were compared. Data were analyzed using SPSS Software Version 17.0. Statistical tools used were percentages and mean, and categorical variables were analyzed by Chi-square statistics. RESULTS: 48.94% of the patients enrolled in the study had normal early pregnancy BMI, and 44.22% and 6.8% were underweight and overweight, respectively. Obese women who gained more weight were at a higher risk of preterm delivery, cesarean section, and more time required for resumption of normal routine. Underweight women were at higher risk of postterm delivery, low birth weight, and increased hospital stay. CONCLUSION: Adverse maternal and fetal outcomes are seen more commonly with the extremes of BMI.

Context:Inadequate prenatal weight gain is a significant risk factor for adverse maternal and fetal outcomes. Nutrient intake and weight gain during pregnancy are the two main modifiable factors influencing maternal and infant outcomes.Aim:To assess the social and demographic factors affecting weight gain of pregnant women and to determine the correlation between maternal weight and fetal outcome.Setting and Design:Observational prospective study.Materials and Methods:Two different groups and settings of populations were studied, one enrolled in the antenatal clinic of a tertiary care hospital (sample size 197) and the other suburban antenatal clinic located in a slum community (sample size 97) of the same metro city.Statistical Analysis:Chi-square test, Fisher's exact test, and Pearson's correlation coefficient were used for analysis.Result:In the tertiary care hospital, 16.75%, 75.13%, and 8.12%, whereas in the suburban hospital 47.42%, 46.39%, and 6.19% primigravidae gained less than or equal to 8, 8.1–16 kg, and more than 16 kg weight, respectively. In the tertiary care hospital, the percentages of preterm birth, low birth weights, special attention needed, and no immediate cry after birth were 5.1%, 19.80%, 4.1%, and 4.1%, respectively, while in the urban health center they were 9.3%, 41.24%, 21.65%, and 11.3%, respectively. A significant association was found between maternal weight gain and birth weight of neonate and special attention needed by baby in both groups.Conclusion:Monitoring the maternal weight during the antenatal period epidemiologically determines the strength of association between maternal weight gain and birth weight of child.

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Background: Complementary feeding refers to food which supplements breast milk and ensures that the child continues to have enough energy protein and other nutrients to grow normally. Complementary feeding is started at 6 months of age, while continuing breast feeding. After 6 months of age breast milk alone is not enough to make an infant grow well.Methods: Cross sectional study conducted among 70 mothers coming to paediatric outpatient department. Data was collected regarding their knowledge and practices of complementary feeding. Mean, frequency table and chi-square test were used.Results: 77.1% women have sufficient knowledge about complementary feeding. 77.1% of mothers give complementary food after 6 months remaining i.e. 22.9% are unaware of age of starting it. All mothers are aware of the complementary food which is to be given to babies. 82.8% mothers properly know how to start with complementary feeds. 98.5% of mothers continue to breast feed their baby’s above 6 month.Conclusions: The study concluded that inadequate complementary feeding knowledge and practices were present among some study subjects.

Background: Prevalence of type 2 diabetes is increasing globally, more so in developing countries like India due to rapid urbanization. As India ranks first in diabetes prevalence and will continue to do so in 2025, we must prevent the disease by various measures. Therefore, prevention is important aspects. The aim of the study was to assess the knowledge, attitude and practices of patients having type 2 diabetes mellitus.Methods: A cross sectional study was done in the urban and rural health centre among 100 diabetes patients in each. Data were collected regarding their knowledge, attitude and practices about diabetes and associated risk factors. Data was analyzed by SPSS 20 version.Results: Mean age of the study respondents were 50.45 and 52.50 years in urban and rural health centers respectively. We found that most patients are having good knowledge about diabetes mellitus in urban health centre while rural population had low knowledge. Both groups had most subjects with low level of education and low income groups. Very low percent of people know about the complications of diabetes mellitus in both the groups.Conclusions: This study showed that there was good knowledge, attitude and practice in urban and very poor knowledge, attitude and practices in rural about the diabetes which needs to be increased. Life style modification is needed for reducing the complications of diabetes mellitus.

Background: Weight gain in pregnancy remains a matter of great concern for women and health care providers.  Adherence to a balanced diet throughout pregnancy, influences maternal body weight as well as short- and long-term health of mother and child. Objective of this study was to study antenatal maternal and social factors affecting maternal weight gain among Nulliparous women.Methods: study was carried out in antenatal clinics of tertiary care hospital and a suburban health center with sample size 197 and 97 respectively. Maternal weight was measured at the first antenatal clinic visit and at delivery. Statistical analysis was done with SPSS version 20. Statistical tests used were mean, percentages and chi square.Results: The antenatal determinants of maternal weight gain were: being underweight at the booking visit, maternal complications during pregnancy, passive cigarette smoking during third trimester, low educational level and low per capita income, controlling for the effect of gestational age.Conclusions: maternal educational level, per capital income, passive smoking, caloric and protein deficiency, early pregnancy body mass index determines the weight gain during pregnancy.

Background: About 210 million women in the world become pregnant each year with 30 million (15%) developing complications, resulting into over half a million maternal deaths. Aim and objectives: to assess the social and demographic factors affecting weight gain of pregnant women and determine the correlation between maternal weight and maternal outcome. Methodology: Prospective observational study carried out in two different groups and settings of populations, one enrolled in antenatal clinic of tertiary care hospital (sample size 197) and other is antenatal clinic of urban health centre located in suburban slum community (sample size 97) of a same metro city. Result: Significant association was found between maternal weight gain and maternal outcomes in the form of mode of delivery, maternal complications, duration of hospital stay, Ability to breastfed within an hour of delivery in both groups.

Background: The appropriate amount of weight gain during pregnancy has been a topic of interest and debate over a century. A low body mass index (BMI) and suboptimal weight gain during pregnancy are long recognised risk factors for delivery of infants too small for gestational age.Methods: The present study was observational prospective study conducted among primigravidae in two groups with sample size 197 in tertiary care hospital antenatal clinic and 97 in urban health centre antenatal clinic for the period of 1year and 6 months.Results: In tertiary care hospital average weight gain was 10.04 kg with 33 (16.75%) women gained less than or equal to 8 kg weight gain, 148 (75.13%) gained weight in range of 8.1 to 16 kg while 16 (8.12) gained more than 15 kg weight during pregnancy while In urban health centre average weight gain was 8.96 kg with 46 (47.42%) women gained less than or equal to 8 kg weight gain, 45 (46.39%) gained weight in range of 8.1 to 16 kg while 6 (6.19%) gained more than 16 kg weight during pregnancy. Women with lower BMI found to gain lesser weight compared to normal body mass women.Conclusions: Presence of low BMI was an add on social risk factor which may adversely impact the weight gain in the mother and expected child.