Influence of obesity on route of delivery in a population of African descent in Martinique.
Détails
ID Serval
serval:BIB_2150A08B6EE4
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Influence of obesity on route of delivery in a population of African descent in Martinique.
Périodique
International journal of gynaecology and obstetrics
ISSN
1879-3479 (Electronic)
ISSN-L
0020-7292
Statut éditorial
Publié
Date de publication
11/2015
Peer-reviewed
Oui
Volume
131
Numéro
2
Pages
187-191
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Résumé
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.
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.
Mots-clé
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
Création de la notice
25/10/2018 15:17
Dernière modification de la notice
20/08/2019 13:57
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