Maternal body mass index as a predictor for delivery method

Pettersen-Dahl, Anita; Murzakanova, Gulim; Sandvik, Leiv; Laine, Katariina

doi:10.1111/aogs.13265

Cited by 45 publications

(26 citation statements)

References 19 publications

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“…Since the most frequently mentioned reason for fear of labor pain in Iranian women is related to hospital equipment and low quality of care (48), it seems that promoting and implementing new low pain methods of vaginal delivery, such as the introduction of water birth, can be effective in reducing C-section rates. The present study showed that having a history of C-section increases the tendency for this mode of delivery, which is consistent with the results of some other studies (16,49). A study performed in Dutch reported a success rate of 60% -80% for vaginal delivery after C-section (19,50).…”

Section: Discussionsupporting

confidence: 92%

Factors Contributing to Iranian Pregnant Women’s Tendency to Choice Cesarean Section

et al. 2020

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Background: Cesarean section (C-section) not only is associated with health risks for both mother and child, but also is costly. C-section rates are on the rise worldwide. In Iran, it is becoming a major challenge for current population policies. Objectives: The current study aimed to investigate the main factors of the tendency to C-section in Iran. Methods: In this cross-sectional study 320 pregnant women admitted to health centers in Lorestan province (west of Iran) in 2019 are included. Participants were selected using the multi-stage cluster sampling technique. Data were collected using a demographic form, the Fear of Pain Questionnaire, and the Knowledge and Attitude about Delivery Methods scale. Descriptive statistics and multivariate logistic regression model were employed to analyze the data using the Stata version 14. Results: 48.44% of participants preferred cesarean delivery. The mean scores of fear of pain in the C-section and vaginal delivery groups were 39.98 ± 8.21 and 36 ± 8.62, respectively, indicating a significant difference (P < 0.001). Level of education of the husband (OR = 2.79), income (OR = 5.9), fear of labor pain (OR = 1.04), history of C-section, and improved attitude toward C-section (P < 0.001) were directly associated with increased tendency to C-section (OR = 0.36); in contrast, female gender of the fetus (OR = 0.36), increased BMI (OR = 0.75), and improved attitude toward vaginal delivery were indirectly associated with women’s tendency to C-section. Conclusions: This study showed that while many pregnant women prefer vaginal delivery, the tendency to C-section in Lorestan province is high, which reveals the need to design and implement effective interventions and programs to reduce unnecessary C-section and promote vaginal delivery. Educating families, especially pregnant women, about the advantages and disadvantages of delivery modes, promoting and using new low pain techniques of vaginal delivery, and increasing women’s participation in childbirth preparation programs are effective measures that can reduce the rate of unnecessary C-section.

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Section: Discussionsupporting

confidence: 92%

Factors Contributing to Iranian Pregnant Women’s Tendency to Choice Cesarean Section

et al. 2020

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“…In several studies, obesity or maternal overweight have been linked to complications during pregnancy, such as hypertensive disorders or macrosomia [24], that may increase the risk of C-section [1,25]. Regarding the data from our study, the increase in emergency C-section rates may be related not only to the factors previously indicated, but also to the increase in altered fetal heart rate frequency and the higher rate of cephalopelvic disproportion in this population.…”

Section: Discussionsupporting

confidence: 55%

“…However, some studies point to abnormalities in uterine contractility and an increase in fat deposits in the soft areas of the pelvis [26]. This increase in C-section rates has already been described in other studies [1,10,24,25,27] and may also influence the risk of neonatal complications and the possibilities of newborn admission.…”

Section: Discussionmentioning

confidence: 75%

“…Over the past few decades, overweight and obesity have become a growing health problem in the Western world [1], so much so that WHO now considers it one of the most relevant health problems [2]. The distribution of this problem is not homogeneous among the population, being women's rates higher than men's [3], and this makes obesity a problem that greatly affects women of reproductive age.…”

Section: Introductionmentioning

confidence: 99%

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Relationship between Maternal Body Mass Index and Obstetric and Perinatal Complications

Ballesta‐Castillejos

Gómez‐Salgado

Rodríguez‐Almagro

et al. 2020

JCM

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Over the past few decades, overweight and obesity have become a growing health problem of particular concern for women of reproductive age as obesity in pregnancy has been associated with increased risk of obstetric and neonatal complications. The objective of this study is to describe the incidence of obstetric and perinatal complications in relation to maternal body mass index (BMI) at the time prior to delivery within the Spanish Health System. For this purpose, a cross-sectional observational study was conducted aimed at women who have been mothers between 2013 and 2018 in Spain. Data were collected through an online survey of 42 items that was distributed through lactation associations and postpartum support groups. A total of 5871 women answered the survey, with a mean age of 33.9 years (SD = 4.26 years). In the data analysis, crude odds ratios (OR) and adjusted odds ratios (AOR) were calculated through a multivariate analysis. A linear relationship was observed between the highest BMI figures and the highest risk of cephalopelvic disproportion (AOR of 1.79 for obesity type III (95% CI: 1.06–3.02)), preeclampsia (AOR of 6.86 for obesity type III (3.01–15.40)), labor induction (AOR of 1.78 for obesity type III (95% CI: 1.16–2.74)), emergency C-section (AOR of 2.92 for obesity type III (95% CI: 1.68–5.08)), morbidity composite in childbirth (AOR of 3.64 for obesity type III (95% CI: 2.13–6.24)), and macrosomia (AOR of 6.06 for obesity type III (95% CI: 3.17–11.60)), as compared with women with normoweight. Women with a higher BMI are more likely to develop complications during childbirth and macrosomia.

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“…Infants who are small for gestational age due to tobacco abuse or insufficient maternal weight gain are also at risk for obesity and metabolic disease in childhood. Other exposures that can result in obesogenic epigenetic changes include but not are limited to: toxins, nutrition, medications, antibiotics, infection, and exogenous hormones (8–10).…”

Section: Initial Assessmentmentioning

confidence: 99%

Pediatric Obesity Algorithm: A Practical Approach to Obesity Diagnosis and Management

Cuda

Censani

2019

Front. Pediatr.

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Childhood obesity is a growing global health problem. Despite the highest rates of childhood obesity in the United States and other developed countries over the last 30 years, there is still no clear treatment strategy. Practitioners often do not know where to turn to find guidance on managing the nearly one third of their population who present for medical care either with obesity that coexists with other medical problems or because of obesity. The Pediatric Obesity Algorithm is an evidence based roadmap for the diagnosis and management of children with obesity. In this article, we summarize topics from the Pediatric Obesity Algorithm pertaining to pediatric obesity diagnosis, evaluation, and management including assessment, differential diagnosis, review of systems, diagnostic work up, physical exam, age specific management, comorbidities, use of medications and surgery, and medication associated weight gain. Identifying and treating children with obesity as early as possible is important, as is identifying comorbid conditions. Earlier and more comprehensive management through resources such as the Pediatric Obesity Algorithm serve to help guide health care practitioners with a practical and evidence based approach to the diagnosis and management of children with obesity, and provide families with the tools needed for a healthy future.

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Maternal body mass index as a predictor for delivery method

Abstract: Prepregnancy BMI ≥30 was an independent risk factor for delivery by emergency cesarean section for both primiparous and parous women.

Cited by 45 publications

References 19 publications

Factors Contributing to Iranian Pregnant Women’s Tendency to Choice Cesarean Section

Factors Contributing to Iranian Pregnant Women’s Tendency to Choice Cesarean Section

Relationship between Maternal Body Mass Index and Obstetric and Perinatal Complications

Pediatric Obesity Algorithm: A Practical Approach to Obesity Diagnosis and Management

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