Maternal obesity and its association with the mode of
delivery and the neonatal outcome in induced labour:
Implications for midwifery practice

Antonakou, Angeliki; Papoutsis, Dimitrios; Tzavara, Chara

doi:10.18332/ejm/85792

Cited by 20 publications

(18 citation statements)

References 25 publications

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“…Being OWO increased the odds of CS rate 2.05 times as compared with those women with normal weight (table 2). This finding is consistent with a study conducted in Greece, 9 Iraq, Nigeria, 10 13 India 15 and an experimental study in the UK. 16 This might be because of OWO women have an abnormal or excessive fat accumulation that narrows the pelvic cavity.…”

Section: Discussionsupporting

confidence: 92%

Effect of overweight/obesity on caesarean section occurrence among reproductive-aged women in Ethiopia: a secondary data analysis

Endalifer

Diress

Almaw

et al. 2021

BMJNPH

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BackgroundThe burden of overweight/obesity increased worldwide and it has unpredictable effect on maternal morbidity and mortality. Different adverse perinatal outcomes observed in overweight/obese women, of those caesarean section occurred frequently. In Ethiopia, the national caesarean section and overweight/obesity rate among reproductive-aged women increased tremendously. Therefore, we intend to assess the association between overweight/obesity with caesarean section in Ethiopia.MethodThe data were extracted from the 2016 Ethiopia Demographic and Health Survey in nine regions and two city administrations. A stratified two-stage random sampling design was used to collect data. The exposure variable was overweight/obesity, and the outcome variable was a caesarean section. The final analytical sample consisted of 6928 participants. SPSS V.23 was used to analyse the data. Descriptive statistics and cross-tabulation were performed to describe the study variables. Univariable and multivariable logistic regression models were regressed.ResultsThe prevalence of caesarean section among women aged between 15–49 years old who gave birth in the last 5 years was 245 (3.54%). The occurrence of caesarean section among overweight/obese women was 2.05 higher as compared with normal-weight women (AOR: 2.05, 95% CI: 1.09 - 3.83).Conclusion and recommendationPromoting weight reduction programmes throughout the country would have a greater contribution to reduce caesarean section rate and health cost, and to improve the health of the mother.

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Section: Discussionsupporting

confidence: 92%

Effect of overweight/obesity on caesarean section occurrence among reproductive-aged women in Ethiopia: a secondary data analysis

Endalifer

Diress

Almaw

et al. 2021

BMJNPH

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“…Likelihood of vaginal delivery decreases with increasing obesity 4 . Spinal anaesthesia and epidural analgesia is difficult and often unsuccessful , though combined spinal epidural (CSE) anaesthesia remains the anaesthesia of choice in obese patients 5 .…”

Section: Discussionmentioning

confidence: 99%

“…An alternative to pfannenstiel incision is suprapannicular incision which reduces the risk of infection 5 .Cephalad retraction of the panniculus in morbidly obese patients during caesarean section carries the risk of hypotension and respiratory difficulties 6 . Closure of subcutaneous layer is recommended but placement of drains still remains a topic of controversy 4 .…”

Section: Discussionmentioning

confidence: 99%

Caesarean section in morbidly obese parturient: Technical difficulties

Das

Saha

Manandhar

2020

J. Kathmandu Med. Coll.

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Approximately one third of women of reproductive age group are obese. Obesity significantly increases caesarean section rate. Not only is obesity associated with unfavourable clinical outcomes for both mother and childalso, performing caesarean sections in morbidly obese patients is a challenge for obstetricians, anaesthetists and the caregivers. In view of increased risks while performing Caesarean delivery in morbidly obese patient, this case report reviews the techniques and incisions used; the anaesthetic, logistical and practical challenges faced by the obstetricians while performing an emergency caesarean section in a women with BMI of 45.78kg/m2 who was also a diagnosed case of chronic hypertension with Grade I hypertensive retinopathy.

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“…This observed reduced odds of OVDs with increasing BMI will only be valid among women with adequate pelvis, as one of the requirements for OVD is a clinically adjudged adequate pelvis with no feature of cephalopelvic disproportion [ 45 ]. However, this pattern may not be absolute as increased birthweight and increased prevalence of medical conditions in pregnancy such as hypertension, cardiac disease and diabetes may be commoner among obese women thereby leading to increased caesarean section rates among obese women [ 43 , 46 , 47 , 48 ]. Since one of the indications for OVDs is prolonged second stage of labor, it may not be surprising that there were 11% higher odds of OVDs for every extra hour of labor.…”

Section: Discussionmentioning

confidence: 99%

Trends and Determinants of Operative Vaginal Delivery at Two Academic Hospitals in Johannesburg, South Africa 2005–2019

Dutywa

Olorunfemi

Mbodi

2022

IJERPH

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Operative Vaginal delivery (OVD) can reduce perinatal and maternal morbidity and mortality especially in low resource setting such as South Africa. We evaluated the trends and determinants of OVD rates using join point regression at Charlotte Maxeke Johannesburg (CMJAH) and Chris Hani Baragwaneth (CHBAH) Academic Hospitals from 1 January 2005–31 December 2019 and conducted a comparative study of OVD (n = 179) and normal delivery (n = 179). Over the 15-year study period (2005–2019), 323,617 deliveries and 4391 OVDs were conducted at CHBAH giving an OVD rate of 1.36 per 100 births. In CMJAH, 74,485 deliveries and 1191 OVDs were conducted over an eleven-year period (2009–2019) with OVD rate of 1.60 per 100 births. OVD rate at CHBAH increased from 2005–2014 at 9.1% per annum and declined by 13.6% from 2014–2019, while OVD rates fluctuates at CMJAH. Of the 179 patients who had OVD, majority (n = 166,92.74%) had vacuum. Women who had OVDs were younger than those who vaginal delivery (p-value < 0.001). The prevalence of OVDs was higher among nulliparous women (p-value < 0.001), HIV negative women (p-value = 0.021), underweight (p-value < 0.001) as compared to normal delivery. The OVD rates has dramatically reduced over the study period This study heightens the need to further evaluate barriers to OVD use in our environment

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Maternal obesity and its association with the mode of delivery and the neonatal outcome in induced labour: Implications for midwifery practice

Cited by 20 publications

References 25 publications

Effect of overweight/obesity on caesarean section occurrence among reproductive-aged women in Ethiopia: a secondary data analysis

Effect of overweight/obesity on caesarean section occurrence among reproductive-aged women in Ethiopia: a secondary data analysis

Caesarean section in morbidly obese parturient: Technical difficulties

Trends and Determinants of Operative Vaginal Delivery at Two Academic Hospitals in Johannesburg, South Africa 2005–2019

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