Effect of maternal BMI on labor outcomes in primigravida pregnant women

Abstract Background This study aims to detect the effects of increased BMI on labor outcomes in primigravida pregnant women. Methods A cross-sectional study involved 600 full-term singleton primigravida pregnant women who presented in the active phase of labor to the labor ward. They were divided ac...

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Autores principales:	Eissa Khalifa, Alaa El-Sateh, Mohamed Zeeneldin, Ahmed M. Abdelghany, Mahmoud Hosni, Ameer Abdallah, Sameh Salama, Mazen Abdel-Rasheed, Hashem Mohammad
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	BMI Obesity Vaginal birth Caesarean section Gynecology and obstetrics RG1-991
Acceso en línea:	https://doaj.org/article/3cccb704725a44d882c2db9a32fb3deb
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spelling	oai:doaj.org-article:3cccb704725a44d882c2db9a32fb3deb2021-11-14T12:32:37ZEffect of maternal BMI on labor outcomes in primigravida pregnant women10.1186/s12884-021-04236-z1471-2393https://doaj.org/article/3cccb704725a44d882c2db9a32fb3deb2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12884-021-04236-zhttps://doaj.org/toc/1471-2393Abstract Background This study aims to detect the effects of increased BMI on labor outcomes in primigravida pregnant women. Methods A cross-sectional study involved 600 full-term singleton primigravida pregnant women who presented in the active phase of labor to the labor ward. They were divided according to BMI into three equals groups; women with normal BMI (group I), overweight women (group II), and women with class I obesity (group III). Results We found that high BMI was associated with a significantly increased risk of Caesarean section (C.S.) (13% in group I, 18% in group II and 40% in group III). Women with higher BMI and delivered vaginally had a significantly prolonged first and second stage of labor, consequently increased the need for oxytocin augmentation as well as the oxytocin dose. Regarding the maternal and fetal outcomes, there are significantly increased risks of postpartum sepsis, perineal tears, wound infection, as well as significantly increased birth weight and longer neonatal stay in the neonatal unit (NNU). Conclusion Obese primigravida pregnant women were at higher risk of suboptimal outcomes. Besides, prolonged first and second stages of labor and the incidence of C.S. have also been increased.Eissa KhalifaAlaa El-SatehMohamed ZeeneldinAhmed M. AbdelghanyMahmoud HosniAmeer AbdallahSameh SalamaMazen Abdel-RasheedHashem MohammadBMCarticleBMIObesityVaginal birthCaesarean sectionGynecology and obstetricsRG1-991ENBMC Pregnancy and Childbirth, Vol 21, Iss 1, Pp 1-5 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	BMI Obesity Vaginal birth Caesarean section Gynecology and obstetrics RG1-991
spellingShingle	BMI Obesity Vaginal birth Caesarean section Gynecology and obstetrics RG1-991 Eissa Khalifa Alaa El-Sateh Mohamed Zeeneldin Ahmed M. Abdelghany Mahmoud Hosni Ameer Abdallah Sameh Salama Mazen Abdel-Rasheed Hashem Mohammad Effect of maternal BMI on labor outcomes in primigravida pregnant women
description	Abstract Background This study aims to detect the effects of increased BMI on labor outcomes in primigravida pregnant women. Methods A cross-sectional study involved 600 full-term singleton primigravida pregnant women who presented in the active phase of labor to the labor ward. They were divided according to BMI into three equals groups; women with normal BMI (group I), overweight women (group II), and women with class I obesity (group III). Results We found that high BMI was associated with a significantly increased risk of Caesarean section (C.S.) (13% in group I, 18% in group II and 40% in group III). Women with higher BMI and delivered vaginally had a significantly prolonged first and second stage of labor, consequently increased the need for oxytocin augmentation as well as the oxytocin dose. Regarding the maternal and fetal outcomes, there are significantly increased risks of postpartum sepsis, perineal tears, wound infection, as well as significantly increased birth weight and longer neonatal stay in the neonatal unit (NNU). Conclusion Obese primigravida pregnant women were at higher risk of suboptimal outcomes. Besides, prolonged first and second stages of labor and the incidence of C.S. have also been increased.
format	article
author	Eissa Khalifa Alaa El-Sateh Mohamed Zeeneldin Ahmed M. Abdelghany Mahmoud Hosni Ameer Abdallah Sameh Salama Mazen Abdel-Rasheed Hashem Mohammad
author_facet	Eissa Khalifa Alaa El-Sateh Mohamed Zeeneldin Ahmed M. Abdelghany Mahmoud Hosni Ameer Abdallah Sameh Salama Mazen Abdel-Rasheed Hashem Mohammad
author_sort	Eissa Khalifa
title	Effect of maternal BMI on labor outcomes in primigravida pregnant women
title_short	Effect of maternal BMI on labor outcomes in primigravida pregnant women
title_full	Effect of maternal BMI on labor outcomes in primigravida pregnant women
title_fullStr	Effect of maternal BMI on labor outcomes in primigravida pregnant women
title_full_unstemmed	Effect of maternal BMI on labor outcomes in primigravida pregnant women
title_sort	effect of maternal bmi on labor outcomes in primigravida pregnant women
publisher	BMC
publishDate	2021
url	https://doaj.org/article/3cccb704725a44d882c2db9a32fb3deb
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Effect of maternal BMI on labor outcomes in primigravida pregnant women

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