Maternal Body Mass Index at Delivery and Risk of Cesarean Due to Dystocia in Low Risk Pregnancies

Roman, Horace; Goffinet, François; Hulsey, Thomas; Newman, Rachel; Robillard, P.-Y.; Tc, Hulsey

doi:10.1097/01.aoa.0000358419.31897.e9

Cited by 2 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Active labor, whether spontaneous or induced, is also more likely to last longer and progress abnormally in individuals with obesity [66][67][68][69]. In a multicenter retrospective study of 118,978 births stratified by BMI, those with a BMI >40 kg/m2 showed a higher median time to progress from cervical dilation of 4-10 cm (7.7 vs 5.4 hours for nulliparous women and 5.4 vs 4.6 hours for multiparous women) compared to those with a BMI <25 kg/m2 [69].…”

Section: Predictive Factors For Failed Labor Inductionmentioning

confidence: 99%

Induction of labor in obese women

Felis

2023

AJMCRR

View full text Add to dashboard Cite

People with obesity may require induction of labour (IoL) due to a higher incidence of pre-existing comorbidities and pregnancy complications, as well as to prevent post-term pregnancies and late-term stillbirths. IoL at 39 e 40 weeks is associated with fewer caesarean births and lower morbidity for the pregnant person and neonate when compared with expectant management. Ensuring the success and safety of IoL in people with obesity requires adherence to evidence-based protocols for the management of labour induction and augmentation. Cervical ripening as well as the latent and active phases of labour in people with obesity may be considerably prolonged, requiring higher cumulative doses of oxytocin. This should be guided by intrauterine pressure catheters and early provision of neuraxial analgesia, where possible. There is insufficient evidence to recommend one method of IoL over another. The need for higher doses of prostaglandins and concurrent agents for cervical ripening should be studied in prospective studies.

show abstract

Section: Predictive Factors For Failed Labor Inductionmentioning

confidence: 99%

Induction of labor in obese women

Felis

2023

AJMCRR

View full text Add to dashboard Cite

show abstract

“…Overweight and obesity have been growing rapidly in the world in the past few decades accounting for about 1.4 billion overweight people of which 200 million men and 300 million women were obese. 1 In the UK and USA, about 33 to 40% of all pregnant women are overweight or obese; [2][3][4] whereas in India and China, the burden is anywhere between 8 and 26%. 5,6 Besides the overall long-term risk for diabetes, cardiovascular disease and cancer, overweight and obesity are also associated with many pregnancy and birth complications.…”

Section: Introductionmentioning

confidence: 99%

Maternal Obesity and Congenital Anomalies: Its Implications and Future Trends

Madhab¹,

Bharadwaz²,

Malhotra³

2015

Journal of South Asian Federation of Obstetrics and Gynaecology

View full text Add to dashboard Cite

Objectives To find the current body of evidence for maternal obesity's association with and its burden on congenital malformations and to estimate its financial and mortality implications as well as future trend. Materials and methods Thorough search and review of current literature with deductive interpretations. Results and evidence Obesity is associated with certain types of congenital anomalies like neural tube defects (NTD), congenital heart defects (CHDs), orofacial defects, etc. The burden in absolute numbers for major CHD and NTD attributable to obesity can be estimated to be 0.42 to 1.05 and 0.588 to 1.12 per 10,000 births respectively. Remarks and conclusion Contribution of maternal obesity on perinatal mortality could be anywhere from 6 to 20 per 1,00,000 births. However, its economic implications could be substantial. Current trend indicates that contribution of obesity to certain congenital anomalies may increase in future. How to cite this article Madhab G, Bharadwaz A. Maternal Obesity and Congenital Anomalies: Its Implications and Future Trends. J South Asian Feder Obst Gynae 2015;7(3):134-142.

show abstract

Maternal Body Mass Index at Delivery and Risk of Cesarean Due to Dystocia in Low Risk Pregnancies

Cited by 2 publications

References 0 publications

Induction of labor in obese women

Induction of labor in obese women

Maternal Obesity and Congenital Anomalies: Its Implications and Future Trends

Contact Info

Product

Resources

About