Maternal obesity and labour complications following induction of labour in prolonged pregnancy
2011

Maternal Obesity and Labour Complications After Induction of Labour

Sample size: 3076 publication Evidence: moderate

Author Information

Author(s): Sarah Arrowsmith, Sharon Wray, Siobhan Quenby

Primary Institution: University of Liverpool

Hypothesis

Does maternal obesity affect the mode of delivery and complications following induction of labour for prolonged pregnancy?

Conclusion

Obese women have a higher rate of caesarean sections after induction of labour, but many still achieve vaginal delivery with similar complications to normal weight women.

Supporting Evidence

  • Obese women had a higher rate of caesarean sections after induction compared to normal weight women.
  • More than 60% of obese primiparous women and 90% of multiparous women achieved vaginal delivery.
  • Labour complications in obese women were largely comparable to those of normal weight women.

Takeaway

If a pregnant woman is obese and needs to be induced, she might have a harder time delivering, but many can still have their babies without surgery.

Methodology

Retrospective cohort study analyzing data from obstetric records of women with singleton pregnancies who delivered after 24 weeks between 2004 and 2008.

Potential Biases

Potential bias due to non-randomized design and missing data on confounding factors.

Limitations

The study is retrospective and may be affected by clinical decision-making; some women may have been excluded due to high-risk factors.

Participant Demographics

Women with singleton pregnancies, including various BMI categories, aged 28.6 years on average.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1111/j.1471-0528.2010.02889.x

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