Effect of high maternal BMI on mode of delivery
Keywords:
obesity, maternal BMI, gestation, delivery, fetal developmentAbstract
Introduction: Obesity during pregnancy has increased recently, which has led to issues for the mother, the developing baby, and the newborn. Pathology during pregnancy and in the fetus is more likely in people with higher body mass indices (BMI). Of the 10 nations hosting half of the 693 million people with high BMIs worldwide, Pakistan comes in at number eight. Objective: Objective of the study was to determine how a high maternal BMI affected the manner of delivery. Methods: This study included 1272 pregnant women having a BMI>31kg/m2. Data on the mother, fetus, pregnancy, mode of delivery, i.e. normal vaginal delivery (NVD), instrumental-delivery (ID) and caesarean section delivery (CSD), and any potential neonatal unit admission) were gathered. Using the statistical program SPSS, variables connected to the chance of having a CSD were identified using univariate and multiple logistic regression analysis (v.25). Results: The women's mean age was 27.5 years, having mean BMI 27.2 kg/m2, and 26.69% of them were obese (n=310). 70.12% of women delivered naturally vaginally, 13.83% underwent a cesarean section, and 16.03% used equipment. obesity
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Antonakou A, Papoutsis D, Kechagia A. Does gestational weight gain of more than 12 kg in women increase the risk of a CS delivery, gestational diabetes and pregnancy induced hypertension? A retrospective case series. ClinExpObstet Gynecol. 2017:4;540-545.
AntonakouAngeliki, Papoutsis Dimitrios, TzavaraChara. (2018). Maternal obesity and its association with the mode of delivery and the neonatal outcome in induced labour: Implications for midwifery practice. European Journal of Midwifery, 4(2), 1-7. https://doi.org/10.18332/ejm/85792
Asif, M., Aslam, M., Altaf, S., Atif, S., & Majid, A. (2020). Prevalence and sociodemographic factors of overweight and obesity among Pakistani adults. Journal of obesity & metabolic syndrome, 29(1), 58.
Bautista-Castaño, I.; Henriquez-Sanchez, P.; Alemán-Pérez, N.; Garcia-Salvador, J.J.; Gonzalez-Quesada, A.; García-Hernández, J.A.; Serra-Majem, L. Maternal obesity in early pregnancy and risk of adverse outcomes. PLoS ONE 2013, 8, e80410.
Carlhäll, S.; Källén, K.; Blomberg, M. Maternal body mass index and duration of labor. Eur. J. Obstet. Gynecol. Reprod. Biol. 2013, 171, 49–53.
Chan, D. S. M., Vieira, A. R., Aune, D., Bandera, E. V., Greenwood, D. C., McTiernan, A., ... &Norat, T. (2014). Body mass index and survival in women with breast cancer—systematic literature review and meta-analysis of 82 follow-up studies. Annals of Oncology, 25(10), 1901-1914.
Denison, F. C., Price, J., Graham, C., Wild, S., & Liston, W. A. (2008). Maternal obesity, length of gestation, risk of postdates pregnancy and spontaneous onset of labour at term. BJOG: An International Journal of Obstetrics &Gynaecology, 115(6), 720-725.
Ellekjaer, K. L., Bergholt, T., &Løkkegaard, E. (2017). Maternal obesity and its effect on labour duration in nulliparous women: a retrospective observational cohort study. BMC pregnancy and childbirth, 17(1), 1-10.
Ellekjaer, K.L.; Bergholt, T.; Løkkegaard, E. Maternal obesity and its effect on labour duration in nulliparous women: A retrospective observational cohort study. BMC Pregnancy Childbirth 2017, 17, 222.
Ferrazzi, E.; Brembilla, G.; Cipriani, S.; Livio, S.; Paganelli, A.; Parazzini, F. Maternal age and body mass index at term: Risk factors for requiring an induced labour for a late-term pregnancy. Eur. J. Obstet. Gynecol. Reprod. Biol. 2019, 233, 151–157.
Foster C, Hirst J. Midwives’ attitudes towards giving weight-related advice to obese pregnant women. Br J Midwifery. 2014:22(2);254-62. doi: https://doi.org/10.12968/bjom.2014.22.4.254
Heslehurst N, Lang R, Rankin J, Wilkinson JR, Summerbell CD. Obesity in pregnancy: a study of the impact of maternal obesity on NHS maternity services. BJOG. 2007;114(3):334- 42. doi:10.1111/j.1471-0528.2006.01230.x
Marchi, J., Berg, M., Dencker, A., Olander, E. K., & Begley, C. (2015). Risks associated with obesity in pregnancy, for the mother and baby: a systematic review of reviews. Obesity Reviews, 16(8), 621-638.
Martin, K.E.; Grivell, R.M.; Yelland, L.N.; Dodd, J.M. The influence of maternal BMI and gestational diabetes on pregnancy outcome. Diabetes Res. Clin. Pract. 2015, 108, 508–513.
Masho SW, Bishop DL, Munn M. Pre-pregnancy BMI and weight gain: where is the tipping point for preterm birth? BMC Pregnancy Childbirth. 2013;13(120). doi: 10.1186/1471-2393-13-120
Mourad, M.; Silverstein, M.; Bender, S.; Melka, S.; Klauser, C.K.; Gupta, S.; Saltzman, D.; Rebarber, A.; Fox, N.S. The effect of maternal obesity on outcomes in patients undergoing tertiary or higher cesarean delivery. J. Matern. Fetal Neonatal Med. 2015, 28, 989–993.
Muir, R.; Ballan, J.; Clifford, B.; McMullen, S.; Khan, R.; Shmygol, A.; Quenby, S.; Elmes, M. Modelling maternal obesity: The effects of a chronic high–fat, high-cholesterol diet on uterine expression of contractile associated proteins and ex-vivo contractile activity during labour in the rat. Clin. Sci. 2016, 130, 183–192.
National Institute for Health and Care Excellence (NICE). Weight management before, during and eight management before, during and after pregnancy after pregnancy. Public health guideline. https://www.nice.org.uk/guidance/ ph27 Published: July 2010.
Nelson, D.B.; McIntire, D.D.; Leveno, K.J. Relationship of the length of the first stage of labor to the length of the second stage. Obstet. Gynecol. 2013, 122, 27–32.
Papoutsis D, Antonakou A, Gornall A, Tzavara C, Mohajer M. The SaTH risk-assessment tool for the prediction of emergency CS in women having induction of labor for all indications: a large-cohort based study. Arch Gynecol Obstet. 2017;295:59-66. doi: 10.1007/s00404-016-4209-4
Polónia Valente, R.; Santos, P.; Ferraz, T.; Montenegro, N.; Rodrigues, T. Effect of obesity on labor duration among nulliparous women with epidural analgesia. J. Matern. Fetal Neonatal Med. 2018.
Rodríguez-Mesa, N., Robles-Benayas, P., Rodríguez-López, Y., Pérez-Fernández, E. M., &Cobo-Cuenca, A. I. (2019). Influence of body mass index on gestation and delivery in nulliparous women: a cohort study. International journal of environmental research and public health, 16(11), 2015.
Rogers, A. J. G., Harper, L. M., & Mari, G. (2018). A conceptual framework for the impact of obesity on risk of cesarean delivery. American journal of obstetrics and gynecology, 219(4), 356-363.
Sebire NJ, Jolly M, Harris JP, Wadsworth J, Joffe M, Beard RW, et al. Maternal obesity and pregnancy outcome: a study of 287,213 pregnancies in London. Int J ObesRelatMetabDisord. 2001;25(8):1175-82. doi:10.1038/sj.ijo.0801670
World Health Organization: “WHO global database on body mass index”. http://apps.who.int/bmi/index.jsp. Accessed October 2017
Yang, Z.; Phung, H.; Freebairn, L.; Sexton, R.; Raulli, A.; Kelly, P. Contribution of maternal overweight and obesity to the occurrence of adverse pregnancy outcomes. Aust. N. Z. J. Obstet. Gynaecol. 2018.
Zhang, J.; Bricker, L.; Wray, S.; Quenby, S. Poor uterine contractility in obese women. BJOG 2016, 114, 343–348.
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