ORIGINAL RESEARCH
Obstetrics and Gynecology
doi: 10.25005/2074-0581-2025-27-4-823-830
MATERNAL OVERWEIGHT AND OBESITY AND RISK OF PRETERM DELIVERY

D.A. DADOBOEVA1,2, F.R. ISHAN-KHODZHAEVA2, M.YA. KAMILOVA2

1Sughd Regional Maternity Hospital, Khujand, Republic of Tajikistan
2Tajik Research Institute of Obstetrics, Gynecology and Perinatology, Dushanbe, Republic of Tajikistan

Objective: To examine the relationship between the risk of premature birth (PB) and associated complications of pregnancy in women with overweight and obesity.

Methods: A retrospective analysis was conducted on 189 maternity records of overweight and obese pregnant women who delivered preterm between 2022 and 2024. The study included general physical examinations, which involved calculating body mass index (BMI), performing obstetric assessments, and utilizing various clinical diagnostic methods depending on associated pregnancy complications. PBs were classified into two categories: spontaneous PBs and indicated PBs. The data were analyzed using both parametric and nonparametric statistical methods.

Results: The distribution of PBs among overweight and obese women revealed that 60.6% were spontaneous PBs. In comparison, 39.4% were induced vaginal deliveries and cesarean sections (CS) either planned or resulted from labor induction. In overweight women, the rate of spontaneous PBs was statistically significantly higher compared to those in women with Class II and III obesity. The indications for preterm delivery included preeclampsia (60.5%), premature rupture of membranes (29.8%), intrauterine growth retardation (20.2%), and placental abruption (6.1%).

Conclusion: Induced PBs and CS in preterm pregnancies significantly contribute to the incidence of PBs among overweight and obese women, highlighting the need for ongoing research to improve obstetric outcomes in this population.

Keywords: Pregnancy, obesity, preeclampsia, premature rupture of membranes, placental abruption, premature birth..

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Authors' information:

Dadoboeva Dzhonona Alisherovna,
Applicant, Tajik Research Institute of Obstetrics, Gynecology and Perinatology; Obstetrician-Gynecologist of the Sughd Regional Maternity Hospital
ORCID ID: 0009-0000-9048-7411
E-mail: dadoboevajonona90@gmail.com

Ishan-Khodzhaeva Farangis Rustamovna,
Candidate of Medical Sciences, Senior Researcher at the Obstetrics Department, Tajik Research Institute of Obstetrics, Gynecology and Perinatology
ORCID ID: 0000-0002-9211-1124
E-mail: kachyona@mail.ru

Kamilova Markhabo Yadgarovna,
Doctor of Medical Sciences, Associate Professor, Head of the Obstetric Department, Tajik Research Institute of Obstetrics, Gynecology and Perinatology
ORCID ID: 0000-0002-2525-8273
Author ID: 867673
SPIN: 2527-2877
E-mail: mkamilova1958@gmail.com

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Kamilova Markhabo Yadgarovna
Doctor of Medical Sciences, Associate Professor, Head of the Obstetric Department, Tajik Research Institute of Obstetrics, Gynecology and Perinatology

734002, Republic of Tajikistan, Dushanbe, M. Tursun-Zade str., 31

Tel.: +992 (935) 0009425

E-mail: mkamilova1958@gmail.com


This work is licensed under a Creative Commons Attribution 4.0 International License.

Materials on the topic:
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