Facteurs prédictifs d’échec de l’intention de voie basse chez la primipare obèse

Carassou-Maillan, A.; Mulliez, Aurélien; Curinier, S.; Houlle, C.; Canis, Michel; Lémery, D.; Gallot, Denis

doi:10.1016/j.gyobfe.2014.09.003

Cited by 3 publications

(5 citation statements)

References 27 publications

(39 reference statements)

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“…We found that GWG adequacy was associated with intrapartum CS among underweight and normal weight prepregnancy BMI regardless of parity. Specifically, in line with previous literature, insufficient GWG was associated with decreased CS 9,11,15,16 and excessive GWG with increased CS 9,11,14–19 . However, in contrast, a trend of decreased CS with excessive GWG was found for multiparas with overweight or obese prepregnancy BMI.…”

Section: Discussionsupporting

confidence: 90%

“…Differences in findings between studies by BMI could be a result of different classifications for GWG ( z ‐scores), 16 GWG categories, 13,18 focus on weight loss, 12 or study population (women with two previous CS attempting trial of labor, 15 only primiparas 9 ). Additionally, some differences in classifications of intrapartum CS are likely, as definitions included unplanned/emergency, 13,16 during labor/emergency, 18 in labor, 14 following trial of labor/among women who had labored, 9,15,19 emergency/acute, 17 non‐elective, 12 or primary CS due to dysfunctional labor/dystocia 10,11 . Though GWG adequacy within some populations was relatively similar to our cohort, 10,12,17 in others, excessive GWG was more 9,14 or less 11 common.…”

Section: Discussionmentioning

confidence: 75%

“…Specifically, in line with previous literature, insufficient GWG was associated with decreased CS 9,11,15,16 and excessive GWG with increased CS. 9,11,[14][15][16][17][18][19] However, in contrast, a trend of decreased CS with excessive GWG was found for multiparas with overweight or obese prepregnancy BMI. Although one previous study also found reduced CS due to dystocia among women with obese prepregnancy BMI and excessive GWG, 10 most found associations between excessive/increased GWG and CS regardless of BMI, 9,13,[15][16][17] albeit some did not report results by BMI category.…”

Section: Discussionmentioning

confidence: 78%

“…Previous studies have found evidence that excessive/high GWG may be associated with dystocia, 8 shoulder dystocia, 9 CS due to dystocia, 10 or dysfunctional labor, 11 and emergency/intrapartum/non-elective CS, 9,[12][13][14][15][16][17][18] but the applicability of these studies to contemporary French or European obstetric populations is limited. Specifically, many of these studies were conducted in Asian 8,10,11 or other non-European 9,[13][14][15]19 populations. Although other studies of the association between GWG and intrapartum CS were conducted in European populations, important differences, such as GWG adequacy not based on the 2009 Institute of Medicine (IOM) recommendations, 16 older cohorts before (fully or partially) the IOM recommendations, [16][17][18] or non-general obstetric populations used (two previous CS attempting trial of labor, 15 obese prepregnancy BMI 19 ) and a different research focus (risks of gestational weight loss), 12 limits their direct applicability to current French or European obstetric populations.…”

Section: Introductionmentioning

confidence: 99%

“…Specifically, many of these studies were conducted in Asian 8,10,11 or other non-European 9,[13][14][15]19 populations. Although other studies of the association between GWG and intrapartum CS were conducted in European populations, important differences, such as GWG adequacy not based on the 2009 Institute of Medicine (IOM) recommendations, 16 older cohorts before (fully or partially) the IOM recommendations, [16][17][18] or non-general obstetric populations used (two previous CS attempting trial of labor, 15 obese prepregnancy BMI 19 ) and a different research focus (risks of gestational weight loss), 12 limits their direct applicability to current French or European obstetric populations.…”

Section: Introductionmentioning

confidence: 99%

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Gestational weight gain adequacy and intrapartum oxytocin and cesarean section use: Observational population‐based study in France

Amyx

Zeitlin

Blondel

et al. 2023

Acta Obstet Gynecol Scand

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Introduction Research on maternal prepregnancy weight suggests adiposity is associated with dysfunctional labor, but knowledge about how gestational weight gain (GWG) affects labor is sparse. Our objective was to evaluate associations between GWG adequacy and intrapartum obstetric interventions (oxytocin administration; cesarean section) necessitated by labor dysfunction. Material and methods Using national, population‐based French National Perinatal Survey 2016 data, we included term cephalic singleton pregnancies involving trial of labor (n = 9724). For the intrapartum oxytocin administration analysis, we included only women with spontaneous labor (n = 7352). GWG was calculated as the difference between end of pregnancy and prepregnancy weight (both self‐reported) and categorized as insufficient, adequate (reference group), or excessive by prepregnancy body mass index (BMI; underweight <18.5, normal weight 18.5–24.9, overweight 25–29.9, obese ≥30 kg/m2) using the 2009 Institute of Medicine thresholds. Multilevel generalized estimating equation logistic regression models, unadjusted and adjusted for a priori confounders, evaluated intervention‐GWG adequacy associations within BMI categories (under/normal weight combined), stratified by parity (primiparas; multiparas). Results GWG adequacy was associated with oxytocin use among under/normal weight women (primiparas: insufficient 57.3%, adequate 60.8%, excessive 65.0%, p = 0.014; multiparas: insufficient 27.2%, adequate 29.1%, excessive 36.2%, p < 0.001) and overweight primiparas (insufficient 56.0%, adequate 58.7%, excessive 72.5%, p = 0.002). In unadjusted and adjusted models, trends of increased odds of oxytocin administration among women with excessive GWG were found regardless of parity and prepregnancy BMI. Similarly, among under/normal weight women, GWG adequacy was associated with intrapartum cesarean section (primiparas: insufficient 10.7%, adequate 12.7%, excessive 15.3%, p = 0.014; multiparas: insufficient 3.1%, adequate 3.5%, excessive 6.3%, p < 0.001) with increased cesarean section among multiparas with excessive GWG persisting in adjusted models (adjusted odds ratio 1.9, 95% confidence interval 1.3–2.7). However, intrapartum cesarean section was reduced among multiparas with overweight and obese prepregnancy BMI and excessive GWG. Conclusions Excessive GWG was associated with intrapartum oxytocin administration, regardless of parity or prepregnancy BMI, and cesarean section among women with under/normal weight prepregnancy BMI, providing evidence for benefits of healthy GWG for normal labor progression. Additional research is needed to verify our findings and understand differences by BMI.

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Section: Discussionsupporting

confidence: 90%