Use of the Robson classification to understand the increased risk of cesarean section in case of maternal obesity.
BMI and cesarean
Caesarean section
Maternal obesity
Robson
Journal
BMC pregnancy and childbirth
ISSN: 1471-2393
Titre abrégé: BMC Pregnancy Childbirth
Pays: England
ID NLM: 100967799
Informations de publication
Date de publication:
26 Nov 2020
26 Nov 2020
Historique:
received:
09
08
2020
accepted:
10
11
2020
entrez:
27
11
2020
pubmed:
28
11
2020
medline:
15
5
2021
Statut:
epublish
Résumé
The aim of this study was to identify characteristics of pregnant women with obesity that contribute to increased cesarean rate. Retrospective cohort in a single academic institution between 2012 and 2019. Women who delivered during this period were classified according to the Robson classification. Women with normal body mass index (N = 11,797) and with obesity (N = 2991) were compared. The contribution of each Robson group to the overall caesarean rate were compared. The overall cesarean rate was higher for women with (28.1%) than without (14.2%, p < 0.001) obesity. This result came mainly from Robson group 5a (history of one cesarean). After adjustment for medical factors within this group, the association between maternal obesity and cesarean during labor was significant. The higher cesarean rate in women with obesity is explained by Robson group 5a in which obesity is an independent risk factor of in labor cesarean delivery.
Sections du résumé
BACKGROUND
BACKGROUND
The aim of this study was to identify characteristics of pregnant women with obesity that contribute to increased cesarean rate.
METHODS
METHODS
Retrospective cohort in a single academic institution between 2012 and 2019. Women who delivered during this period were classified according to the Robson classification. Women with normal body mass index (N = 11,797) and with obesity (N = 2991) were compared. The contribution of each Robson group to the overall caesarean rate were compared.
RESULTS
RESULTS
The overall cesarean rate was higher for women with (28.1%) than without (14.2%, p < 0.001) obesity. This result came mainly from Robson group 5a (history of one cesarean). After adjustment for medical factors within this group, the association between maternal obesity and cesarean during labor was significant.
CONCLUSIONS
CONCLUSIONS
The higher cesarean rate in women with obesity is explained by Robson group 5a in which obesity is an independent risk factor of in labor cesarean delivery.
Identifiants
pubmed: 33243175
doi: 10.1186/s12884-020-03410-z
pii: 10.1186/s12884-020-03410-z
pmc: PMC7690087
doi:
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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