Effect of Maternal BMI on Labor Outcomes in Primigravida Pregnant Women

Overview

Journal BMC Pregnancy Childbirth

Publisher Biomed Central

Specialty Gynecology & Obstetrics

Date 2021 Nov 9

PMID 34749684

Citations 6

Authors

Eissa Khalifa

Alaa El-Sateh

Mohamed Zeeneldin

Ahmed M Abdelghany

Mahmoud Hosni

Ameer Abdallah

Sameh Salama

Mazen Abdel-Rasheed

Hashem Mohammad

Affiliations

Soon will be listed here.

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.

Citing Articles

Peripartum and Perinatal Outcomes in Pregnant Women with Elevated Preconceptional Body Mass Index in a Maternity Hospital (Care Level IV).

Dammer U, Gall C, Pretscher J, Schneider M, Faschingbauer F, Loehberg C Geburtshilfe Frauenheilkd. 2025; 85(1):36-46.

PMID: 39758120 PMC: 11695096. DOI: 10.1055/a-2423-4541.

The dynamic nexus: exploring the interplay of BMI before, during, and after pregnancy with Metabolic Syndrome (MetS) risk in Chinese lactating women.

Chen L, Ma J, Su G, Yin L, Jiang X, Wang X BMC Public Health. 2023; 23(1):2423.

PMID: 38053120 PMC: 10699078. DOI: 10.1186/s12889-023-17344-6.

Predicting cesarean delivery among gravidas with morbid obesity-a machine learning approach.

Kolli R, Razzaghi T, Pierce S, Edwards R, Maxted M, Parikh P AJOG Glob Rep. 2023; 3(4):100276.

PMID: 38046532 PMC: 10690625. DOI: 10.1016/j.xagr.2023.100276.

Perinatal Outcome in Overweight Women: An Audit.

Malik N, Sharma N, Kaushal G, Lochan D, Jain S, Ghotiya M Cureus. 2023; 15(10):e48033.

PMID: 38034132 PMC: 10687808. DOI: 10.7759/cureus.48033.

Maternal and fetal outcomes after bariatric surgeries.

Farghali M, Alhadhoud F, AlObaidly N, Mohammad M, Abdelazim I, Amanzholkyzy A Prz Menopauzalny. 2023; 22(3):148-154.

PMID: 37829263 PMC: 10566334. DOI: 10.5114/pm.2023.131440.

References

Betran A, Ye J, Moller A, Zhang J, Gulmezoglu A, Torloni M . The Increasing Trend in Caesarean Section Rates: Global, Regional and National Estimates: 1990-2014. PLoS One. 2016; 11(2):e0148343. PMC: 4743929. DOI: 10.1371/journal.pone.0148343. View

Carlson N, Corwin E, Lowe N . Oxytocin Augmentation in Spontaneously Laboring, Nulliparous Women: Multilevel Assessment of Maternal BMI and Oxytocin Dose. Biol Res Nurs. 2017; 19(4):382-392. PMC: 5726513. DOI: 10.1177/1099800417701831. View

Afshin A, Forouzanfar M, Reitsma M, Sur P, Estep K, Lee A . Health Effects of Overweight and Obesity in 195 Countries over 25 Years. N Engl J Med. 2017; 377(1):13-27. PMC: 5477817. DOI: 10.1056/NEJMoa1614362. View

Maged A, Belal D, Marie H, Rashwan H, Abdelaziz S, Gabr A . Prospective study of the effect of maternal body mass index on labor progress in nulliparous women in Egypt. Int J Gynaecol Obstet. 2017; 139(3):329-335. DOI: 10.1002/ijgo.12322. View

Goldstein R, Abell S, Ranasinha S, Misso M, Boyle J, Black M . Association of Gestational Weight Gain With Maternal and Infant Outcomes: A Systematic Review and Meta-analysis. JAMA. 2017; 317(21):2207-2225. PMC: 5815056. DOI: 10.1001/jama.2017.3635. View

Maged A, El-Semary A, Marie H, Belal D, Hany A, Taymour M . Effect of maternal obesity on labor induction in postdate pregnancy. Arch Gynecol Obstet. 2018; 298(1):45-50. DOI: 10.1007/s00404-018-4767-8. View

Kershaw E, Flier J . Adipose tissue as an endocrine organ. J Clin Endocrinol Metab. 2004; 89(6):2548-56. DOI: 10.1210/jc.2004-0395. View

Djelantik A, Kunst A, van der Wal M, Smit H, Vrijkotte T . Contribution of overweight and obesity to the occurrence of adverse pregnancy outcomes in a multi-ethnic cohort: population attributive fractions for Amsterdam. BJOG. 2011; 119(3):283-90. DOI: 10.1111/j.1471-0528.2011.03205.x. View

Catalano P, Shankar K . Obesity and pregnancy: mechanisms of short term and long term adverse consequences for mother and child. BMJ. 2017; 356:j1. PMC: 6888512. DOI: 10.1136/bmj.j1. View

10.

Zhang C, Wu Y, Li S, Zhang D . Maternal prepregnancy obesity and the risk of shoulder dystocia: a meta-analysis. BJOG. 2017; 125(4):407-413. DOI: 10.1111/1471-0528.14841. View

11.

Leddy M, Power M, Schulkin J . The impact of maternal obesity on maternal and fetal health. Rev Obstet Gynecol. 2009; 1(4):170-8. PMC: 2621047. View

12.

Scheck S, Blackmore T, Maharaj D, Langdana F, Elder R . Caesarean section wound infection surveillance: Information for action. Aust N Z J Obstet Gynaecol. 2017; 58(5):518-524. DOI: 10.1111/ajo.12755. View