The effect of maternal obesity on the rate of failed induction of labor - 03/08/11
Reprints: Carri R. Warshak, MD, 231 Albert Sabin Way, Cincinnati, OH 45267-0526Résumé |
Objective |
The purpose of this study was to quantify the relationship between class of obesity and rate of failed induction of labor.
Study Design |
Using the Ohio Department of Health's birth certificate database from January 1, 2006, through December 31, 2007, we performed a population-based cohort study that compared failed induction of labor rates between obese and normal-weight women.
Results |
The rate of induction is associated with increasing body mass index from 28% in normal-weight women to 34% in class III obese women (body mass index, ≥40 kg/m2). Induction failure rates are also associated with increasing obesity class from 13% in normal-weight women to 29% in class III obese women. Women with class III obesity without a previous vaginal delivery and a macrosomic fetus had the highest rate of failed induction at 80%.
Conclusion |
Obesity is associated with an increased risk of failed labor induction that appears to be related directly to increasing class of obesity.
Le texte complet de cet article est disponible en PDF.Key words : cesarean delivery, induction, obesity
Plan
| Authorship and contribution to the article is limited to the 3 authors indicated. There was no outside funding or technical assistance with the production of this article. |
|
| Disclaimer: All of the analyses, interpretations, and conclusions that were derived from the data source and included in this article are those of the authors and not the Ohio Department of Health. Access to de-identified Ohio birth certificate data was provided by the Child Policy Research Center of Cincinnati Children's Hospital Medical Center. |
|
| Cite this article as: Wolfe KB, Rossi RA, Warshak CR. The effect of maternal obesity on the rate of failed induction of labor. Am J Obstet Gynecol 2011;205:128.e1-7. |
Vol 205 - N° 2
P. 128.e1-128.e7 - août 2011 Retour au numéro
Article précédent
- Clinical and inflammatory markers in amniotic fluid as predictors of adverse outcomes in preterm premature rupture of membranes
- Teresa Cobo, Montse Palacio, Mónica Martínez-Terrón, Aleix Navarro-Sastre, Jordi Bosch, Xavier Filella, Eduard Gratacós
- The rate of cervical change and the phenotype of spontaneous preterm birth
- Jay D. Iams, Deborah Cebrik, Courtney Lynch, Nicholas Behrendt, Anita Das
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?