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Outcome of deliveries in healthy but obese women: obesity and delivery outcome
Department of Clinical Science and Education, Section of Obstetrics and Gynecology, Karolinska Institute, Soder Hospital, Stockholm, Sweden.
Uppsala universitet, Obstetrik & gynekologi. (Obstetrisk forskning/Axelsson)
Uppsala universitet, Obstetrik & gynekologi. (Reproduktiv hälsa/Sundström Poromaa)
Uppsala universitet, Pediatrik. (Perinatal neonatal kardiologi/Hellström-Westas)
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2013 (English)In: BMC Research Notes, ISSN 1756-0500, Vol. 6, no 50Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:

Obesity among fertile women is a global problem. 25% of pregnant Swedish women are overweight at admission to the antenatal clinic and 12% of them are considered as obese. Previous studies have shown an increased risk of delivery complications with an elevated maternal BMI. The aim of this study was to evaluate delivery outcomes in relation to maternal BMI on admission to the antenatal clinic.

A healthy group of 787 women with full-term pregnancies and spontaneous onset of labor were included in the study. Delivery outcome was assessed in relation to maternal BMI when attending the antenatal clinic.

RESULTS:

The results indicated that in deliveries where the maternal BMI was >30 a high frequency of abnormal CTG trace during the last 30 minutes of labor was shown. A blood sample for evaluation of risk of fetal hypoxia was performed in only eight percent of these deliveries. A spontaneous vaginal delivery without intervention was noted in 85.7%, and 12% of neonates were delivered with an adverse fetal outcome compared to 2.8% in the group with a maternal BMI<30 (p<0.001).

CONCLUSION:

These results indicate an increased risk at delivery for healthy, but obese women in labor. Furthermore, the delivery management may not always be optimal in these deliveries.

Place, publisher, year, edition, pages
BioMed Central, 2013. Vol. 6, no 50
National Category
Medical and Health Sciences Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:rkh:diva-1099DOI: 10.1186/1756-0500-6-50PubMedID: 23388378OAI: oai:DiVA.org:rkh-1099DiVA: diva2:754475
Available from: 2013-03-27 Created: 2014-10-10 Last updated: 2014-10-10Bibliographically approved

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CiteExportLink to record
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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
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