The risk of caesarean section in obese women analysed by parity.

Hdl Handle:
http://hdl.handle.net/10147/208021
Title:
The risk of caesarean section in obese women analysed by parity.
Authors:
O'Dwyer, Vicky; Farah, Nadine; Fattah, Chro; O'Connor, Norah; Kennelly, Mairead M; Turner, Michael J
Affiliation:
UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, , Dublin 8, Ireland. vicky.odwyer@ucd.com
Citation:
Eur J Obstet Gynecol Reprod Biol. 2011 Sep;158(1):28-32. Epub 2011 May 18.
Journal:
European journal of obstetrics, gynecology, and reproductive biology
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/208021
DOI:
10.1016/j.ejogrb.2011.04.007
PubMed ID:
21596472
Abstract:
OBJECTIVE: This study looked at the association between caesarean section (CS) and Body Mass Index (BMI) in primigravidas compared with multigravidas. STUDY DESIGN: We enrolled women at their convenience, in the first trimester after an ultrasound examination confirmed an ongoing pregnancy. Weight and height were measured digitally and BMI calculated. After delivery, clinical details were again collected from the Hospital's computerised database. RESULTS: Of the 2000 women enrolled, there were 50.4% (n=1008) primigravidas and 49.6% (n=992) multigravidas. Of the 2000 8.5% were delivered by elective CS and 13.4% were delivered by emergency CS giving an overall rate of 21.9%. The overall CS rate was 30.1% in obese women compared with 19.2% in the normal BMI category (p<0.001). In primigravidas the increase in CS rate in obese women was due to an increase in emergency CS (p<0.005) and in multigravidas the increase was due to an increase in elective CS (p<0.01). In obese primigravidas 20.6% had an emergency section for fetal distress. In obese multigravidas 17.2% had a repeat elective CS. CONCLUSION: The influence of maternal obesity on the increase in CS rates is different in primigravidas compared with multigravidas.
Language:
eng
MeSH:
Adult; Body Mass Index; Cesarean Section/*statistics & numerical data; Female; Humans; Ireland/epidemiology; Obesity/*epidemiology; *Parity; Pregnancy; Pregnancy Complications/*epidemiology; Prospective Studies; Risk Factors
ISSN:
1872-7654 (Electronic); 0301-2115 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorO'Dwyer, Vickyen_GB
dc.contributor.authorFarah, Nadineen_GB
dc.contributor.authorFattah, Chroen_GB
dc.contributor.authorO'Connor, Norahen_GB
dc.contributor.authorKennelly, Mairead Men_GB
dc.contributor.authorTurner, Michael Jen_GB
dc.date.accessioned2012-02-01T10:57:56Z-
dc.date.available2012-02-01T10:57:56Z-
dc.date.issued2012-02-01T10:57:56Z-
dc.identifier.citationEur J Obstet Gynecol Reprod Biol. 2011 Sep;158(1):28-32. Epub 2011 May 18.en_GB
dc.identifier.issn1872-7654 (Electronic)en_GB
dc.identifier.issn0301-2115 (Linking)en_GB
dc.identifier.pmid21596472en_GB
dc.identifier.doi10.1016/j.ejogrb.2011.04.007en_GB
dc.identifier.urihttp://hdl.handle.net/10147/208021-
dc.description.abstractOBJECTIVE: This study looked at the association between caesarean section (CS) and Body Mass Index (BMI) in primigravidas compared with multigravidas. STUDY DESIGN: We enrolled women at their convenience, in the first trimester after an ultrasound examination confirmed an ongoing pregnancy. Weight and height were measured digitally and BMI calculated. After delivery, clinical details were again collected from the Hospital's computerised database. RESULTS: Of the 2000 women enrolled, there were 50.4% (n=1008) primigravidas and 49.6% (n=992) multigravidas. Of the 2000 8.5% were delivered by elective CS and 13.4% were delivered by emergency CS giving an overall rate of 21.9%. The overall CS rate was 30.1% in obese women compared with 19.2% in the normal BMI category (p<0.001). In primigravidas the increase in CS rate in obese women was due to an increase in emergency CS (p<0.005) and in multigravidas the increase was due to an increase in elective CS (p<0.01). In obese primigravidas 20.6% had an emergency section for fetal distress. In obese multigravidas 17.2% had a repeat elective CS. CONCLUSION: The influence of maternal obesity on the increase in CS rates is different in primigravidas compared with multigravidas.en_GB
dc.language.isoengen_GB
dc.subject.meshAdulten_GB
dc.subject.meshBody Mass Indexen_GB
dc.subject.meshCesarean Section/*statistics & numerical dataen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIreland/epidemiologyen_GB
dc.subject.meshObesity/*epidemiologyen_GB
dc.subject.mesh*Parityen_GB
dc.subject.meshPregnancyen_GB
dc.subject.meshPregnancy Complications/*epidemiologyen_GB
dc.subject.meshProspective Studiesen_GB
dc.subject.meshRisk Factorsen_GB
dc.titleThe risk of caesarean section in obese women analysed by parity.en_GB
dc.contributor.departmentUCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, , Dublin 8, Ireland. vicky.odwyer@ucd.comen_GB
dc.identifier.journalEuropean journal of obstetrics, gynecology, and reproductive biologyen_GB
dc.description.provinceLeinster-

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