• Zeba Begum
• Mrs.Meena kumari
• Ms.Nasreen Begum

ABSTRACT Aim : To understand the role of nutrition in Pre - pregnancy High BMI and its effect on maternal and fetal outcomes. Objective : To study the dietary pattern of Pregnant women with high BMI and to determine the role of nutrition on prevalence of high BMI and its impact on maternal and fetal outcomes. Materials & Methods : This study was conducted among Pregnant Women attending antenatal clinic of one of the reputed maternity Hospital in Hyderabad. It was carried out on 100 pregnant women who were randomly selected in the antenatal clinic over a period of 2-months from January 2019 to February 2019. A structured questionnaire, which consisted of questions on anthropometric measurements, knowledge, attitude, and practices was employed as a data collection tool and their most recent medical reports were referred to check their biochemical parameters . Result : It has been found in many studies that women who were falling under the category of overweight & obese before pregnancy were at higher risk of complications, in view of this statement the survey was carried out with 100 women with pre-pregnancy High BMI. The survey concluded that out of 100 women with pre-pregnancy high BMI, 60 were overweight and 40 were obese. Out of which, 27 had GDM, 12 had Hypothyroidism, 09 had Preeclampsia, 15 had anemia, 14 had other complications like AKI, PPH, G.HTN etc.., It was also seen that most of the women were non-vegetarians (64%), had a sedentary lifestyle (62%) and underwent Elective and Emergency Cesarean Sections (66%). Also the survey concluded that women gained more weight than the ideal gestational weight gain suggested by IOM according to BMI. 30% of Women gained ideal gestational weight, 14% of them gained less and 56% of them gained more than the ideal recommendations. Fetal complications were FGR and LBW which accounted to 28% and 26% respectively. From the nutrition perspective it was seen that food groups like cereals, other vegetables and fats & oils were consumed by all the pregnant women (100%) on a daily basis, where as other food groups like green leafy vegetables, meat/chicken/fish, and fruits consumption on a daily basis was 39%, 41%, 55% respectively which is comparatively low. Also Milk & milk products were taken by only 73% of them daily.

High BMI, Nutrition, Food Frequency, Dietary pattern, Maternal Complications, Fetal complications, Gestational weight Gain.

"The effect of pre-pregnancy high BMI on maternal and fetal outcomes from nutrition perspective ", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.6, Issue 6, page no.186-195, June-2019, Available :http://www.jetir.org/papers/JETIR1906B27.pdf

"The effect of pre-pregnancy high BMI on maternal and fetal outcomes from nutrition perspective ", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.6, Issue 6, page no. pp186-195, June-2019, Available at : http://www.jetir.org/papers/JETIR1906B27.pdf