4.3 Article

The effect of maternal obesity on the course of labor

Journal

JOURNAL OF PERINATAL MEDICINE
Volume 37, Issue 6, Pages 651-655

Publisher

WALTER DE GRUYTER GMBH
DOI: 10.1515/JPM.2009.110

Keywords

Body mass index (BMI); dysfunctional labor; labor; maternal obesity

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Aim: To determine whether maternal obesity is associated with dysfunctional labor patterns. Methods: In a case-control design we compared the graphic labor patterns of a group of 105 very obese subjects [body mass index (BMI) > 35 kg/m(2)] with those of 113 lean controls (BMI<26 kg/m(2)). All entered spontaneous labor at term. Cases with birth weights >4 kg, diabetes mellitus, hypertension and prior cesarean delivery were excluded. Results: The obese group had a significantly higher frequency of arrest of dilatation (17.6 vs. 5.2%; P=0.005). Conclusions: Maternal obesity is associated with active phase labor dysfunction, specifically arrest of dilatation.

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