Influence of obesity on route of delivery in a population of African descent in Martinique.

Details

Serval ID
serval:BIB_2150A08B6EE4
Type
Article: article from journal or magazin.
Collection
Publications
Title
Influence of obesity on route of delivery in a population of African descent in Martinique.
Journal
International journal of gynaecology and obstetrics
Author(s)
Volumenie J.L., Desseauve D., Flechelles O.
ISSN
1879-3479 (Electronic)
ISSN-L
0020-7292
Publication state
Published
Issued date
11/2015
Peer-reviewed
Oui
Volume
131
Number
2
Pages
187-191
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
To determine whether obesity is an independent risk factor for cesarean delivery in Martinique.
A retrospective study was performed using data for deliveries that occurred at the University Hospital of Fort de France between January and September 2010. Women were divided into four groups on the basis of body mass index (BMI, calculated as weight in kilograms divided by the square of height in meters; < 25 [group 1], 25-29 [group 2], 30-39 [group 3], and ≥ 40 [group 4]). Independent risk factors for cesarean delivery were identified through multivariate analysis.
Overall, 1286 women were included. Mean weight gain was lower in groups 2 (9.9 kg, 95% CI 9.2-10.7), 3 (5.7 kg, 4.7-6.7), and 4 (1.0 kg,-1.5 to 3.5), than in group 1 (12.3 kg, 11.9-12.7; P < 0.001 for all). In univariate analysis, cesarean deliveries were more frequent among nulliparous women in group 2 (P = 0.007) and group 3 (P = 0.053) than among those in group 1. In multivariate analysis, BMI was not associated with cesarean delivery (BMI 25-29: adjusted odds ratio 0.64, 95% CI 0.33-1.25; BMI ≥ 30: 0.61, 0.29-1.39).
Obesity was not an independent risk factor for cesarean delivery. Weight control and a positive attitude towards trial of labor in obese women could have led to the findings.
Keywords
Adult, African Continental Ancestry Group, Body Mass Index, Cesarean Section/statistics & numerical data, Delivery, Obstetric/methods, Female, Humans, Martinique, Multivariate Analysis, Obesity/complications, Obstetric Labor Complications/etiology, Odds Ratio, Parity, Pregnancy, Pregnancy Complications/etiology, Retrospective Studies, Risk Factors, Trial of Labor, Weight Gain, African descent, Cesarean delivery, Instrumental delivery, Obesity
Pubmed
Web of science
Create date
25/10/2018 14:17
Last modification date
20/08/2019 12:57
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