The association of maternal weight with cesarean risk, labor duration, and cervical dilation rate

Nuthalapaty, Francis S.; Rouse, Dwight J.; Owen, John

doi:10.1016/j.ajog.2003.10.518

Cited by 66 publications

(130 citation statements)

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“…15 The slower dilatation among heavier women was independent of maternal age, birthweight, diabetes, and initial cervical dilatation. An attenuated rate of cervical dilatation among obese and overweight women, which may lead to a diagnosis of dystocia, could explain the increased risk of caesarean delivery after labour onset in our study, but it still begs the question of why labour progresses more slowly among these women.…”

Section: Discussionmentioning

confidence: 90%

“…[12][13][14] Several explanations have been proposed to account for the increased risk of caesarean delivery among women with high body mass. The association has been attributed to the presence of medical conditions associated with obesity (hypertension and diabetes), 9 a reduced rate of cervical dilatation among obese women, 15 and the possibility that an increased depot of soft tissues in the maternal pelvis may obstruct labour and lead to dystocia or cephalopelvic disproportion. 1 The increased risk of caesarean delivery has also been hypothesised to reflect the known relationship between high *Deceased.…”

Section: Introductionmentioning

confidence: 99%

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Maternal anthropometric risk factors for caesarean delivery before or after onset of labour

Sherrard¹,

Platt

Vallerand³

et al. 2007

BJOG

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Objective To quantify the effects of pre-pregnancy body mass and gestational weight gain, above and beyond their known effects on birthweight, on the risk of primary and repeat caesarean delivery performed before or after the onset of labour.Design Hospital-based historical cohort study.Setting Canadian university-affiliated hospital.Population A total of 63 390 singleton term ( ‡37 weeks gestation) infants with cephalic presentation.Methods We studied prospectively archived deliveries at the Royal Victoria Hospital in Montreal, Canada, from 1 January 1978 to 31 March 2001 using multiple logistic regression models to estimate relative odds of caesarean delivery.Main outcome measure Caesarean delivery, primary or repeat and before or after the onset of labour.Results Pregravid obesity (body mass index ‡30 kg/m 2 ) increased the likelihood of primary caesarean delivery before (OR = 2.01, 95% CI 1.39-2.90) and after (OR = 2.12, 95% CI 1.86-2.42) the onset of labour. High net rate of gestational weight gain (>0.50 kg/week) increased the risk but only after labour onset (OR = 1.40, 95% CI 1.23-1.60). Among women with a previous caesarean, high weight gain modestly increased risk but only before labour (OR = 1.38, 95% CI 1.04-1.83), whereas obesity increased the risk of caesarean delivery both before (OR = 1.85, 95% CI 1.44-2.37) and after (OR = 1.96, 95% CI 1.11-3.47) labour onset. Increased risks of macrosomia accounted for the association between pregravid adiposity and repeat caesarean delivery performed after but not before the onset of labour.Conclusions Pregravid obesity increases the risk of caesarean delivery both before and after the onset of labour and both with and without a history of caesarean.

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Section: Discussionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Maternal anthropometric risk factors for caesarean delivery before or after onset of labour

Sherrard¹,

Platt

Vallerand³

et al. 2007

BJOG

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“…En este sentido, varios trabajos sugieren que la obesidad materna constituye un importante factor de riesgo para que se desarrolle una deficiente contractilidad uterina al término de la gestación (23,26). Aunque no está claro si existe un defecto de contractilidad inherente al miometrio de las gestantes obesas, resulta muy interesante el estudio de Zhang y cols.…”

Section: Discussionunclassified

Sobrepeso y obesidad maternos como factores de riesgo independientes para que el parto finalice en cesárea

Alba

Herrera²,

Macías

et al. 2016

Nutr Hosp

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Introduction: Overweight and obesity both are associated with an increased risk of cesarean section. Since this increased risk could be biased by confounding variables such as diabetes or hypertension, in this study we aim to determine whether this risk persists after adjusting for numerous control variables. Objective: To determine if maternal overweight and/or obesity are independent risk factors to cesarean section. Methods: Retrospective cohort study. We included pregnant women from the University Hospital of Puerto Real. Period of study: 2002-2011. Two study groups were included: overweight at the beginning of the gestation (BMI between 25 and 29.9 kg/m

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“…Obez kadınlar normal kiloya sahip kadınlardan daha yavaş doğum eğrilerine sahiptirler (32) . Doğum indüksiyonu düşünüldüğünde bu popülasyona izole şekilde indüksiyon yapılamamaktadır.…”

Section: Doğumunclassified

Management of obese pregnancies

Özcan¹,

Töz²,

Özvatan³

et al. 2016

Terh

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Tepecik Eğitim ve Araştırma Hastanesi Kadın Hastalıkları ve Doğum Kliniği, İzmir ÖZDünyada üreme çağındaki kadınlarda obezite prevelansı giderek artmaktadır. Gebelikte maternal obezite anne ve fetus üzerine artmış risklerle birliktedir. Obez gebeliklerin yönetimi gebelik öncesi danışmanlıktan başlayıp, maternal obezitenin belirlenmesiyle birlikte gerekli önlemler alınarak hem anne sağlığı hem de fetal gelişiminin en iyi şekilde takip edilmesini sağlamaktır. Obez gebeliklerin yönetimi sağlıklı doğum yapmak ve uzun dönem hastaların sağlığına katkı sağlayabilen bir fırsat olabilir.Anahtar kelimeler: Maternal obezite, gebelik, gebelik komplikasyonları ABSTRACTPrevalence of obesity is gradually increasing among women in the reproductive age group all over the world. Maternal obesity during pregnancy is associated with increased risk for women and fetus. Management of obese pregnant women should begin prior to pregnancy with counselling and together with determination of maternal obesity, and ensure monitorization of both maternal and fetal health at an optimal level would decrease with necessary protection. Management of obese pregnancies can provide an opportunity for a healthy childbirth, and contribute favourable to the long-term health state of the patients.

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The association of maternal weight with cesarean risk, labor duration, and cervical dilation rate

Cited by 66 publications

References 0 publications

Maternal anthropometric risk factors for caesarean delivery before or after onset of labour

Maternal anthropometric risk factors for caesarean delivery before or after onset of labour

Sobrepeso y obesidad maternos como factores de riesgo independientes para que el parto finalice en cesárea

Management of obese pregnancies

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