Risk factors for failed induction of labor among pregnant women with Class III obesity.
cesarean delivery
induction of labor
morbid obesity
obesity
pregnancy
vaginal delivery
Journal
Acta obstetricia et gynecologica Scandinavica
ISSN: 1600-0412
Titre abrégé: Acta Obstet Gynecol Scand
Pays: United States
ID NLM: 0370343
Informations de publication
Date de publication:
05 2020
05 2020
Historique:
received:
06
06
2019
revised:
28
11
2019
accepted:
28
11
2019
pubmed:
22
12
2019
medline:
21
7
2020
entrez:
22
12
2019
Statut:
ppublish
Résumé
Our aim was to identify risk factors for failed induction in morbidly obese patients undergoing the induction of labor at term. This was a retrospective multicenter study on a cohort of 235 patients with a body mass index greater than 40 kg/m In all, 235 patients were included. Of these, 62.5% patients delivered vaginally and 37.5% by cesarean section. The frequency of nulliparity was greater in patients who had a cesarean section (56 [interquartile range, IQR, 38.1] vs 56 [IQR 63.6], P < .001). In multivariate analysis, nulliparity (odds ratio [OR] 2.81, 95% confidence interval [CI] 1.58-4.97], P < .001), low Bishop's score (OR .794, 95% CI .70-.90, P < .001) and weight gain (OR 1.04, 95% CI 1.01-1.08, P = .033) were independent risk factors for failed induction. Umbilical cord pH at birth lower than 7 (0 vs 7 [IQR 8.0], P < .001) and lower than 7.20 (36 [IQR 24.5] vs 35 [IQR 39.8], P = .014) as well as the Apgar at 1 minute (14 [IQR 9.5] vs 17 [IQR 19.3], P = .032) was significantly higher in infants born by cesarean section. In this cohort, 63% of women with Class III obesity had successful inductions of labor; risk factors for failed induction include nulliparity and unfavorable Bishop score.
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
637-643Informations de copyright
© 2020 Nordic Federation of Societies of Obstetrics and Gynecology.
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