Association Between Maternal Obesity and Cesarean Delivery Complications

Saadia, Zaheera

doi:10.7759/cureus.7163

Cited by 8 publications

(8 citation statements)

References 18 publications

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“…On the other hand, no pregnant women with BMI less than 30 suffered from bladder injuries. However, there was no statistically significant difference between both groups with p value= 1 (18) .…”

Section: Current Study Was Inconsistence Withmentioning

confidence: 77%

“…Finally, current study agreed with Saadia who studied 245 cases to assess effect of obesity on women undergoing cesarean sections. She divided the studied cases into 2 groups {women with BMI less than 30(83 cases) & those with BMI more than or equal to 30 (162cases)} her results showed that hemoglobin fall was not correlated with BMI (r =0.083, p value=0.06) (18) .…”

Section: Current Study Was Inconsistence Withmentioning

confidence: 99%

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The Association Between Body Mass Index and Intra-Abdominal Adhesions in Women Undergoing Previous Cesarean Sections

Fouad

El-Beshry

Elkholy

et al. 2022

Ain Shams Medical Journal

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Background: Intra-abdominal adhesion formation is an important post-surgery complication and develops at an incidence of 24-83% following cesarean section. Obesity is associated with several disturbances in hemostasis, especially impaired fibrinolysis that may increase incidence of intra-abdominal adhesions. Aim of the Work: Evaluation of the association between body mass index and formation of intra-abdominal adhesion in women undergoing cesarean section.Patients and Methods: Two hundred and ten pregnant women of at least 37 weeks' gestation with history of prior cesarean section were included and divided into two groups according to body mass index (BMI) upon cesarean section (<30 kg/m 2 and ≥30 kg/m 2 ). The intra-abdominal adhesion incidence and the scar characteristics of the groups were compared. Results:In obese cases, scar thickness was significantly higher 8. 7 ± 1.2 vs. 7.3±1.1 mm, different adhesion sites (uterus-bladder, omentum-fascia, uterus-omentum and uterus-fascia) were significantly more frequent, dense adhesion consistencies were more frequent and adhesion size was higher in obese cases. Operative duration was significantly longer in obese cases 40.0 ± 3.0 vs. 36.9 ± 4.0 minutes. Operative complications were non-significantly more frequent in obese cases. Conclusion:In women undergoing cesarean section, there was a significant association between body mass index and formation of intra-abdominal adhesion.

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Section: Current Study Was Inconsistence Withmentioning

confidence: 77%

Section: Current Study Was Inconsistence Withmentioning

confidence: 99%

The Association Between Body Mass Index and Intra-Abdominal Adhesions in Women Undergoing Previous Cesarean Sections

Fouad

El-Beshry

Elkholy

et al. 2022

Ain Shams Medical Journal

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“…They are alarming when their impact on maternal and infant health is considered. Several studies reported an increased risk of CS in obese women ( 20 – 22 ).…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of pre-pregnancy body mass index (BMI) among mothers in Abu Dhabi, the United Arab Emirates

Taha¹,

Hassan²,

Papandreou³

2022

Front. Glob. Womens Health

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Pre-pregnancy obesity is a risk factor for several health problems such as gestational diabetes, preeclampsia, labor induction, postpartum hemorrhage, and neonatal hypoglycemia. Being underweight is a risk factor for fetal growth restriction. Despite the negative impact of abnormal pre-pregnancy body mass index (BMI) (over and underweight) on pregnancy outcomes, a limited amount of studies has been conducted on the prevalence of pre-pregnancy over and underweight and associated factors in the United Arab Emirates (UAE). Thus, the aim of this study was to investigate the prevalence and factors associated with underweight, overweight, and obesity among mothers with children under the age of 2 years in Abu Dhabi, the UAE. A cross-sectional multicenter study was conducted in 2017 and included data from seven government health care centers in Abu Dhabi. Maternal pre-pregnancy BMI was calculated as the weight in kilograms (kg) divided by the square of the height in meters (m), (kg/m2). A total of 1,622 mother–child pairs were included in this study. Out of the 1,622 mothers, 43 (2.7%) were underweight, 1,068 (65.8%) were normal weight, 412 (25.4%) were overweight, and 99 (6.1%) were obese. Mothers with advanced maternal age (AMA) (≥35 years) were more likely to be overweight, odds ratio [OR] = 1.93, (95% confidence interval [CI] 1.52–2.3), p ≤ 0.001, and obese OR = 2.15 (95% CI 1.32–3.39), p = 0.001. Mothers with lower family income were more likely to be obese OR = 2.72 (95% CI 1.44–5.93), p = 0.002. Mothers with high parity (≥2) were more likely to be overweight OR = 1.91 (95% CI 1.49–2.50), p ≤ 0.001; obese OR = 1.76 (95% CI 1.06–2.92), p = 0.024; and less likely to be underweight OR = 0.52 (95% CI 0.27–0.94), p = 0.037. Obese mothers were more likely to deliver via cesarean section (CS) OR = 1.95 (95% CI 1.27–2.96), p = 0.002. This study provides valuable baseline information on the epidemiology of pre-pregnancy BMI in the UAE. The sociodemographic factors identified in the study can be used to target at-risk women. The study findings can also be used to develop contextualized strategies to prevent and manage complications associated with abnormal pre-pregnancy BMI in Emirati women.

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“…7 Another recent study published in March 2020 showed that BMI could significantly predict DVT (deep vein thrombosis), longer hospital stay, pyrexia and wound infection. 8 This made elective caesarean sections in obese women controversial.…”

Section: Introductionmentioning

confidence: 99%

“…Elective Caesarean was found to have had better outcome in some studies but other studies found more complication of DVT/wound infection/shoulder dystocia in the obese women. [8][9][10][11] As for vaginal delivery, it was known that obese women are less likely to experience spontaneous labour onset, more likely to have their labour augmented with oxytocin and longer first stage of labour. 9,[12][13] Vaginal delivery also carried the risk of primary postpartum hemorrhage, shoulder dystocia and obstetrics anal sphincter injury.…”

Section: Introductionmentioning

confidence: 99%

Obstetric Outcomes of Obese Primigravida with Spontaneous Onset of Labour at Term

Ridzuan¹,

Ismail²,

Aziz³

et al. 2022

imjm

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INTRODUCTION: Obesity has reached pandemic level with higher prevalence among women. Obese pregnant women have higher risk of comorbidities, maternal and fetal complications. This study aimed to determine the prevalence of vaginal delivery and pregnancy outcomes of obese primigravida presented with spontaneous labour at term. MATERIALS AND METHODS: This prospective cohort study was conducted in a tertiary hospital in Perak involving 250 obese primigravida (BMI ≥27.5kg/m2) and 250 non-obese primigravida. Data collected from August 2020 till January 2021 and analyzed using descriptive statistics, independent T-test and Mann-Whitney U test by SPSS version 23.0. RESULTS: Our study found that there were no significant differences in the proportion of vaginal delivery and caesarean delivery between obese and non-obese primigravida [72.0% vs. 78% (vaginal delivery) and 28% vs. 22% (caesarean delivery)] with spontaneous onset of labour at term. No difference in complications of labour such as PPH and OASIS (p=0.187), with high successful delivery without complications. Obese women presented with cervical dilatation of 4cm had longer delivery interval [5.82(2.97) vs. 4.75(2.71), p=0.013] but shorter delivery interval at 6cm [2.41(1.58) vs. 3.61(1.78), p=0.026] compared to non-obese. They also had higher caesarean rate indicated for abnormal labour progress [28(71.8) vs. 11(28.2), p=0.019] and higher comorbidities [149(72.3) vs. 57(27.7), p=<0.001]. There was no difference in the fetal outcome (p=0.311). CONCLUSION: After careful selection, obese women with spontaneous labour at term are safe for vaginal delivery as they have similar risk of labour augmentation, duration of active labour, caesarean delivery, PPH and OASIS despite higher comorbidities.

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Association Between Maternal Obesity and Cesarean Delivery Complications

Cited by 8 publications

References 18 publications

The Association Between Body Mass Index and Intra-Abdominal Adhesions in Women Undergoing Previous Cesarean Sections

The Association Between Body Mass Index and Intra-Abdominal Adhesions in Women Undergoing Previous Cesarean Sections

Epidemiology of pre-pregnancy body mass index (BMI) among mothers in Abu Dhabi, the United Arab Emirates

Obstetric Outcomes of Obese Primigravida with Spontaneous Onset of Labour at Term

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