Relationship between Maternal Obesity and Postpartum Haemorrhage in Al-Madinah Region, Saudi Arabia

Abstract Background: Postpartum haemorrhage (PPH) continues to be a primary cause of maternal morbidity globally. Maternal obesity is becoming more common in Saudi Arabia, and it may make pregnancy more dangerous, including the risk of PPH. Comprehending this correlation is vital for enhancing maternal outcomes. Objective: The objective of this study was to ascertain the correlation between maternal obesity and the incidence of PPH in women delivering in the Al-Madinah Region. Materials and Methods: A retrospective observational study was performed involving women who gave birth at prominent maternity hospitals in Al-Madinah from 2020 to 2024. Maternal body mass index (BMI) was classified in accordance with the World Health Organization standards. PPH was characterised by blood loss of at least 500 mL following vaginal delivery or at least 1000 mL subsequent to caesarean section. We used adjusted odds ratios to look at the link between obesity and PPH in the data. Results: Obese women (BMI ≥30 kg/m 2 ) exhibited a markedly elevated incidence of PPH in comparison to women with a normal BMI. Obesity was recognised as an independent risk factor for PPH subsequent to the adjustment for age, parity, mode of delivery and medical comorbidities. The risk of PPH increased progressively with higher obesity classes. Conclusion: Maternal obesity is significantly correlated with a heightened risk of PPH in the Al-Madinah Region. To lower the risk of complications related to PPH, obese mothers should get better antenatal risk stratification, better management during labour and more focused preventive strategies.