Obesity, obstetric complications and cesarean delivery rate - A population-based screening study

Joshua L. Weiss; Fergal D. Malone; Danielle Emig; Robert H. Ball; David A. Nyberg; Christine H. Comstock; George Saade; Keith Eddleman; Suzanne M. Carter; Sabrina D. Craigo; Stephen R. Carr; Mary E. D'Alton

doi:10.1016/j.ajog.2003.09.058

Obesity, obstetric complications and cesarean delivery rate - A population-based screening study

Joshua L. Weiss, Fergal D. Malone, Danielle Emig, Robert H. Ball, David A. Nyberg, Christine H. Comstock, George Saade, Keith Eddleman, Suzanne M. Carter, Sabrina D. Craigo, Stephen R. Carr, Mary E. D'Alton

Research output: Contribution to journal › Article › peer-review

743 Scopus citations

Abstract

Objective: This study was undertaken to determine whether obesity is associated with obstetric complications and cesarean delivery. Methods: A large prospective multicenter database was studied. Subjects were divided into 3 groups: body mass index (BMI) less than 30 (control), 30 to 34.9 (obese), and 35 or greater (morbidly obese). Groups were compared by using univariate and multivariable logistic regression analyses. Results: The study included 16,102 patients: 3,752 control, 1,473 obese, and 877 morbidly obese patients. Obesity and morbid obesity had a statistically significant association with gestational hypertension (odds ratios [ORs] 2.5 and 3.2), preeclampsia (ORs 1.6 and 3.3), gestational diabetes (ORs 2.6 and 4.0), and fetal birth weight greater than 4000 g (ORs 1.7 and 1.9) and greater than 4500 g (ORs 2.0 and 2.4). For nulliparous patients, the cesarean delivery rate was 20.7% for the control group, 33.8% for obese, and 47.4% for morbidly obese patients. Conclusion: Obesity is an independent risk factor for adverse obstetric outcome and is significantly associated with an increased cesarean delivery rate.

Original language	English (US)
Pages (from-to)	1091-1097
Number of pages	7
Journal	American journal of obstetrics and gynecology
Volume	190
Issue number	4
DOIs	https://doi.org/10.1016/j.ajog.2003.09.058
State	Published - Apr 2004
Externally published	Yes

Keywords

Cesarean delivery
Morbid obesity
Obesity
Pregnancy complications

ASJC Scopus subject areas

Obstetrics and Gynecology

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10.1016/j.ajog.2003.09.058

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Weiss, J. L., Malone, F. D., Emig, D., Ball, R. H., Nyberg, D. A., Comstock, C. H., Saade, G., Eddleman, K., Carter, S. M., Craigo, S. D., Carr, S. R., & D'Alton, M. E. (2004). Obesity, obstetric complications and cesarean delivery rate - A population-based screening study. American journal of obstetrics and gynecology, 190(4), 1091-1097. https://doi.org/10.1016/j.ajog.2003.09.058

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abstract = "Objective: This study was undertaken to determine whether obesity is associated with obstetric complications and cesarean delivery. Methods: A large prospective multicenter database was studied. Subjects were divided into 3 groups: body mass index (BMI) less than 30 (control), 30 to 34.9 (obese), and 35 or greater (morbidly obese). Groups were compared by using univariate and multivariable logistic regression analyses. Results: The study included 16,102 patients: 3,752 control, 1,473 obese, and 877 morbidly obese patients. Obesity and morbid obesity had a statistically significant association with gestational hypertension (odds ratios [ORs] 2.5 and 3.2), preeclampsia (ORs 1.6 and 3.3), gestational diabetes (ORs 2.6 and 4.0), and fetal birth weight greater than 4000 g (ORs 1.7 and 1.9) and greater than 4500 g (ORs 2.0 and 2.4). For nulliparous patients, the cesarean delivery rate was 20.7% for the control group, 33.8% for obese, and 47.4% for morbidly obese patients. Conclusion: Obesity is an independent risk factor for adverse obstetric outcome and is significantly associated with an increased cesarean delivery rate.",

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doi = "10.1016/j.ajog.2003.09.058",

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AU - Weiss, Joshua L.

AU - Malone, Fergal D.

AU - Emig, Danielle

AU - Ball, Robert H.

AU - Nyberg, David A.

AU - Comstock, Christine H.

AU - Saade, George

AU - Eddleman, Keith

AU - Carter, Suzanne M.

AU - Craigo, Sabrina D.

AU - Carr, Stephen R.

AU - D'Alton, Mary E.

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N2 - Objective: This study was undertaken to determine whether obesity is associated with obstetric complications and cesarean delivery. Methods: A large prospective multicenter database was studied. Subjects were divided into 3 groups: body mass index (BMI) less than 30 (control), 30 to 34.9 (obese), and 35 or greater (morbidly obese). Groups were compared by using univariate and multivariable logistic regression analyses. Results: The study included 16,102 patients: 3,752 control, 1,473 obese, and 877 morbidly obese patients. Obesity and morbid obesity had a statistically significant association with gestational hypertension (odds ratios [ORs] 2.5 and 3.2), preeclampsia (ORs 1.6 and 3.3), gestational diabetes (ORs 2.6 and 4.0), and fetal birth weight greater than 4000 g (ORs 1.7 and 1.9) and greater than 4500 g (ORs 2.0 and 2.4). For nulliparous patients, the cesarean delivery rate was 20.7% for the control group, 33.8% for obese, and 47.4% for morbidly obese patients. Conclusion: Obesity is an independent risk factor for adverse obstetric outcome and is significantly associated with an increased cesarean delivery rate.

AB - Objective: This study was undertaken to determine whether obesity is associated with obstetric complications and cesarean delivery. Methods: A large prospective multicenter database was studied. Subjects were divided into 3 groups: body mass index (BMI) less than 30 (control), 30 to 34.9 (obese), and 35 or greater (morbidly obese). Groups were compared by using univariate and multivariable logistic regression analyses. Results: The study included 16,102 patients: 3,752 control, 1,473 obese, and 877 morbidly obese patients. Obesity and morbid obesity had a statistically significant association with gestational hypertension (odds ratios [ORs] 2.5 and 3.2), preeclampsia (ORs 1.6 and 3.3), gestational diabetes (ORs 2.6 and 4.0), and fetal birth weight greater than 4000 g (ORs 1.7 and 1.9) and greater than 4500 g (ORs 2.0 and 2.4). For nulliparous patients, the cesarean delivery rate was 20.7% for the control group, 33.8% for obese, and 47.4% for morbidly obese patients. Conclusion: Obesity is an independent risk factor for adverse obstetric outcome and is significantly associated with an increased cesarean delivery rate.

KW - Cesarean delivery

KW - Morbid obesity

KW - Obesity

KW - Pregnancy complications

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Obesity, obstetric complications and cesarean delivery rate - A population-based screening study

Abstract

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