The maternal body mass index: a strong association with delivery route

被引：115

作者：

Kominiarek, Michelle A. ^{[1
]}

VanVeldhuisen, Paul ^{[2
]}

Hibbard, Judith ^{[3
]}

Landy, Helain ^{[4
]}

Haberman, Shoshana ^{[5
]}

Learman, Lee ^{[1
]}

Wilkins, Isabelle ^{[3
]}

Bailit, Jennifer ^{[6
]}

Branch, Ware ^{[7
,8
]}

Burkman, Ronald ^{[9
]}

Gonzalez-Quintero, Victor Hugo ^{[10
]}

Gregory, Kimberly ^{[11
]}

Hatjis, Christos ^{[12
]}

Hoffman, Matthew ^{[13
]}

Ramirez, Mildred ^{[14
]}

Reddy, Uma M. ^{[15
]}

Troendle, James ^{[16
]}

Zhang, Jun ^{[16
]}

机构：

[1] Indiana Univ Clarian Hlth, Indianapolis, IN USA

[2] EMMES Corp, Rockville, MD USA

[3] Univ Illinois, Chicago, IL USA

[4] Georgetown Univ Hosp, Washington, DC 20007 USA

[5] Maimonides Hosp, Brooklyn, NY 11219 USA

[6] Case Western Reserve Univ, Metrohlth Med Ctr, Cleveland, OH USA

[7] Univ Utah, Salt Lake City, UT USA

[8] Intermt Healthcare, Salt Lake City, UT USA

[9] Tufts Univ, Baystate Med Ctr, Springfield, MA USA

[10] Univ Miami, Miami, FL USA

[11] Cedars Sinai Med Ctr, Los Angeles, CA 90048 USA

[12] Akron City Hosp, Summa Hlth Syst, Akron, OH USA

[13] Christiana Care Hlth Syst, Newark, DE USA

[14] Univ Texas Hlth Sci Ctr Houston, Houston, TX USA

[15] Eunice Kennedy Shriver Natl Inst Child Hlth & Hum, Pregnancy & Perinatol Branch, NIH, Bethesda, MD USA

[16] Eunice Kennedy Shriver Natl Inst Child Hlth & Hum, Div Epidemiol Stat & Prevent Res, NIH, Bethesda, MD USA

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2010年 / 203卷 / 03期

关键词：

body mass index; cesarean delivery; obesity; CESAREAN DELIVERY; WEIGHT-GAIN; RISK-FACTOR; OBESITY; LABOR; SECTION; IMPACT; WOMEN; PREGNANCY; MORBIDITY;

D O I：

10.1016/j.ajog.2010.06.024

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

OBJECTIVE: We sought to assess body mass index (BMI) effect on cesarean risk during labor. STUDY DESIGN: The Consortium on Safe Labor collected electronic data from 228,668 deliveries. Women with singletons >= 37 weeks and known BMI at labor admission were analyzed in this cohort study. Regression analysis generated relative risks for cesarean stratifying for parity and prior cesarean while controlling for covariates. RESULTS: Of the 124,389 women, 14.0% had cesareans. Cesareans increased with increasing BMI for nulliparas and multiparas with and without a prior cesarean. Repeat cesareans were performed in > 50% of laboring women with a BMI > 40 kg/m(2). The risk for cesarean increased as BMI increased for all subgroups, P < .001. The risk for cesarean increased by 5%, 2%, and 5% for nulliparas and multiparas with and without a prior cesarean, respectively, for each 1-kg/m(2) increase in BMI. CONCLUSION: Admission BMI is significantly associated with delivery route in term laboring women. Parity and prior cesarean are other important predictors.

引用

页码：264.e1 / 264.e7

页数：7

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