Obesity and the increasing odds of cesarean delivery
Background Knowledge of the associations between obesity and cesarean delivery (CD) is limited by previous research that does not separate the highest BMI classes. Methods We identified 25,604 pregnancies in retrospective electronic medical records at an inner-city academic hospital between 2000 and...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2022-07-01
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| Series: | Journal of Psychosomatic Obstetrics and Gynecology |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/0167482X.2021.1967926 |
| _version_ | 1797685830978895872 |
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| author | Quetzal A. Class |
| author_facet | Quetzal A. Class |
| author_sort | Quetzal A. Class |
| collection | DOAJ |
| description | Background Knowledge of the associations between obesity and cesarean delivery (CD) is limited by previous research that does not separate the highest BMI classes. Methods We identified 25,604 pregnancies in retrospective electronic medical records at an inner-city academic hospital between 2000 and 2015. We examined the association between BMI at pre-pregnancy and delivery, as well as gestational weight gain (GWG), and rates of CD, gestational diabetes mellitus (GD), and pregnancy-induced hypertension (PIH) using logistic regression and chi-square. Results CD increased with each increase in delivery BMI class [X2 (7, N = 25,604) =151.40, p < .0001]. GD and PIH also significantly increased across each BMI class. Each increasing BMI class predicted 1.21 times greater odds of CD even after adjusting for maternal age, year of birth, GD, and PIH [OR = 1.21 (95% CI, 1.07–1.37)]. As compared with the IOM recommended GWG, less weight gain offered mitigation of CD and GD, though less than the recommended GWG for women who were obese pre-pregnancy also increased odds of preterm birth, low birth weight, and stillbirth. Conclusions Increasing BMI is associated with increasing rates of adverse obstetric outcomes. There exists a “dose-dependent” effect of BMI on CD and limiting GWG may be associated with mitigated risk for this outcome, but increased risk for offspring adverse birth outcomes. |
| first_indexed | 2024-03-12T00:57:02Z |
| format | Article |
| id | doaj.art-426ef2ed54af4d399ee2c0075ced3354 |
| institution | Directory Open Access Journal |
| issn | 0167-482X 1743-8942 |
| language | English |
| last_indexed | 2024-03-12T00:57:02Z |
| publishDate | 2022-07-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of Psychosomatic Obstetrics and Gynecology |
| spelling | doaj.art-426ef2ed54af4d399ee2c0075ced33542023-09-14T12:44:02ZengTaylor & Francis GroupJournal of Psychosomatic Obstetrics and Gynecology0167-482X1743-89422022-07-0143324425010.1080/0167482X.2021.19679261967926Obesity and the increasing odds of cesarean deliveryQuetzal A. Class0Department of Obstetrics and Gynecology, University of IllinoisBackground Knowledge of the associations between obesity and cesarean delivery (CD) is limited by previous research that does not separate the highest BMI classes. Methods We identified 25,604 pregnancies in retrospective electronic medical records at an inner-city academic hospital between 2000 and 2015. We examined the association between BMI at pre-pregnancy and delivery, as well as gestational weight gain (GWG), and rates of CD, gestational diabetes mellitus (GD), and pregnancy-induced hypertension (PIH) using logistic regression and chi-square. Results CD increased with each increase in delivery BMI class [X2 (7, N = 25,604) =151.40, p < .0001]. GD and PIH also significantly increased across each BMI class. Each increasing BMI class predicted 1.21 times greater odds of CD even after adjusting for maternal age, year of birth, GD, and PIH [OR = 1.21 (95% CI, 1.07–1.37)]. As compared with the IOM recommended GWG, less weight gain offered mitigation of CD and GD, though less than the recommended GWG for women who were obese pre-pregnancy also increased odds of preterm birth, low birth weight, and stillbirth. Conclusions Increasing BMI is associated with increasing rates of adverse obstetric outcomes. There exists a “dose-dependent” effect of BMI on CD and limiting GWG may be associated with mitigated risk for this outcome, but increased risk for offspring adverse birth outcomes.http://dx.doi.org/10.1080/0167482X.2021.1967926obesitybmicesarean sectiongestational diabetesgestational weight gain |
| spellingShingle | Quetzal A. Class Obesity and the increasing odds of cesarean delivery Journal of Psychosomatic Obstetrics and Gynecology obesity bmi cesarean section gestational diabetes gestational weight gain |
| title | Obesity and the increasing odds of cesarean delivery |
| title_full | Obesity and the increasing odds of cesarean delivery |
| title_fullStr | Obesity and the increasing odds of cesarean delivery |
| title_full_unstemmed | Obesity and the increasing odds of cesarean delivery |
| title_short | Obesity and the increasing odds of cesarean delivery |
| title_sort | obesity and the increasing odds of cesarean delivery |
| topic | obesity bmi cesarean section gestational diabetes gestational weight gain |
| url | http://dx.doi.org/10.1080/0167482X.2021.1967926 |
| work_keys_str_mv | AT quetzalaclass obesityandtheincreasingoddsofcesareandelivery |