scholarly journals Is High Maternal Body Mass Index Associated with Cesarean Section Delivery in Mongolia? A Prospective Observational Study

2109 ◽  
Vol 4 (3) ◽  
pp. 128-134 ◽  
Naoko Hikita ◽  
Megumi Haruna ◽  
Massayo Matsuzaki ◽  
Emi Sasagawa ◽  
2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Elisabeth S. Lindholm ◽  
Daniel Altman ◽  
Margareta Norman ◽  
Marie Blomberg

Objective. To assess whether antenatal health care consumption is associated with maternal body mass index (BMI).Design. A register based observational study.Methods. The Swedish Medical Birth Register, the Maternal Health Care Register, and the Inpatient Register were used to determine antenatal health care consumption according to BMI categories for primiparous women with singleton pregnancies, from 2006 to 2008,n=71,638. Pairwise comparisons among BMI groups are obtained post hoc by Tukey HSD test.Result. Obese women were more often admitted for in-patient care (p<0.001), had longer antenatal hospital stays (p<0.001), and were more often sick-listed by an obstetrician (p<0.001) during their pregnancy, compared to women with normal weight women. Preeclampsia was more than four times as common, hypertension five times as common, and gestational diabetes 11 times as common when comparing in-patient care, obese to normal weight women (p<0.001for all comparisons). Underweight mothers had longer stay in hospitals (p<0.05) and hydronephrosis and hyperemesis gravidarum were more than twice as common (bothp<0.001).Conclusion. Obese and underweight mothers consumed significantly more health care resources and obese women were significantly more often sick-listed during their pregnancy when compared to pregnant women of normal weight.

2019 ◽  
Vol 220 (1) ◽  
pp. S257
Shelly Soni ◽  
Matthew J. Blitz ◽  
Lakha Prasannan ◽  
Meir Greenberg ◽  
Michael Qiu ◽  

2010 ◽  
Vol 202 (3) ◽  
pp. 263.e1-263.e5 ◽  
Jason N. Hashima ◽  
Yinglei Lai ◽  
Ronald J. Wapner ◽  
Yoram Sorokin ◽  
Donald J. Dudley ◽  

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e044754
Anna Ramö Isgren ◽  
Preben Kjölhede ◽  
Sara Carlhäll ◽  
Marie Blomberg

ObjectiveTo evaluate oxytocin use for augmentation of labour in relation to body mass index (BMI) on admission to the labour ward, focusing on cumulative oxytocin dose and maximum rate of oxytocin infusion during the first stage of labour.DesignProspective observational study.SettingSeven hospitals in Sweden.Participants1097 nulliparous women with singleton cephalic presentation pregnancy, ≥37 weeks of gestation, spontaneous onset of labour and treatment with oxytocin infusion for labour augmentation. The study population was classified into three BMI subgroups on admission to the labour ward: normal weight (18.5–24.9), overweight (25.0–29.9) and obese (≥30.0). The cumulative oxytocin dose was measured from the start of oxytocin infusion until the neonate was born.Primary outcomeCumulative oxytocin dose.Secondary outcomeMaximum rate of oxytocin infusion during the active phase of first stage of labour.ResultsThe mean cumulative oxytocin dose increased in the BMI groups (normal weight 2278 mU, overweight 3108 mU and obese 4082 mU (p<0.0001)). However, when adjusted for the confounders (cervical dilatation when oxytocin infusion was started, fetal birth weight, epidural analgesia), the significant difference was no longer seen. The maximum oxytocin infusion rate during the first stage of labour differed significantly in the BMI groups when adjusted for the confounding factors individually but not when adjusted for all three factors simultaneously. In addition, the maximum oxytocin infusion rate was significantly higher in women with emergency caesarean section compared with women with vaginal delivery.ConclusionsWomen with increasing BMI with augmentation of labour received a higher cumulative oxytocin dose and had a higher maximum oxytocin infusion rate during first stage of labour, however, when adjusted for relevant confounders, the difference was no longer seen. In the future, the guidelines for augmentation of labour with oxytocin infusion might be reconsidered and include modifications related to BMI.

2007 ◽  
Vol 33 (5) ◽  
pp. 655-659 ◽  
Meenakshi T. Sahu ◽  
Anjoo Agarwal ◽  
Vinita Das ◽  
Amita Pandey

2010 ◽  
Vol 152A (11) ◽  
pp. 2895-2897 ◽  
Sheree L. Boulet ◽  
Sonja A. Rasmussen ◽  
Margaret A. Honein

PLoS ONE ◽  
2014 ◽  
Vol 9 (12) ◽  
pp. e115043 ◽  
Nicholas J. Andreas ◽  
Matthew J. Hyde ◽  
Chris Gale ◽  
James R. C. Parkinson ◽  
Suzan Jeffries ◽  

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