Association between pre-pregnancy obesity and the risk of cesarean delivery
To explore the relationship between prepregnancy obesity and the risk for cesarean delivery. The population studied included 20,130 women with live births after 20 weeks' gestation in central New York state between June 1, 1994, and May 31, 1995. Women who were obese before pregnancy were compa...
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| Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 1997-02, Vol.89 (2), p.213-216 |
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| container_title | Obstetrics and gynecology (New York. 1953) |
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| creator | Crane, Stephen S. Wojtowycz, Martha A. Dye, Timothy D. Aubry, Richard H. Artal, Raul |
| description | To explore the relationship between prepregnancy obesity and the risk for cesarean delivery.
The population studied included 20,130 women with live births after 20 weeks' gestation in central New York state between June 1, 1994, and May 31, 1995. Women who were obese before pregnancy were compared with nonobese women with regard to mode of delivery. Obesity was defined as body mass index (BMI) greater than 29. Separate analyses were conducted on the entire sample and on a subset of women with singleton pregnancies and no prior cesarean deliveries, as an estimate of the risk of primary cesarean delivery in obese women. Statistical analyses included χ2 test, crude odds ratio (OR) with 95% confidence interval (CI), and adjusted OR with 95% CI, using logistic regression to control for confounding variables.
The adjusted OR was 1.64 (95% CI 1.46, 1.83) for obese women with singleton pregnancies and no prior cesarean deliveries to undergo cesarean delivery. The adjusted OR was 1.66 (95% CI 1.51, 1.82) for obese women in the entire sample to undergo cesarean delivery. In addition, increasing BMI was associated with increased risk for cesarean delivery.
Compared with nonobese women, women who are obese before pregnancy are at increased risk for cesarean delivery. Preconceptional counseling regarding dietary and life-style modifications may alter this pattern. |
| doi_str_mv | 10.1016/S0029-7844(96)00449-8 |
| format | Article |
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The population studied included 20,130 women with live births after 20 weeks' gestation in central New York state between June 1, 1994, and May 31, 1995. Women who were obese before pregnancy were compared with nonobese women with regard to mode of delivery. Obesity was defined as body mass index (BMI) greater than 29. Separate analyses were conducted on the entire sample and on a subset of women with singleton pregnancies and no prior cesarean deliveries, as an estimate of the risk of primary cesarean delivery in obese women. Statistical analyses included χ2 test, crude odds ratio (OR) with 95% confidence interval (CI), and adjusted OR with 95% CI, using logistic regression to control for confounding variables.
The adjusted OR was 1.64 (95% CI 1.46, 1.83) for obese women with singleton pregnancies and no prior cesarean deliveries to undergo cesarean delivery. The adjusted OR was 1.66 (95% CI 1.51, 1.82) for obese women in the entire sample to undergo cesarean delivery. In addition, increasing BMI was associated with increased risk for cesarean delivery.
Compared with nonobese women, women who are obese before pregnancy are at increased risk for cesarean delivery. Preconceptional counseling regarding dietary and life-style modifications may alter this pattern.</description><identifier>ISSN: 0029-7844</identifier><identifier>EISSN: 1873-233X</identifier><identifier>DOI: 10.1016/S0029-7844(96)00449-8</identifier><identifier>PMID: 9015022</identifier><identifier>CODEN: OBGNAS</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Biological and medical sciences ; Cesarean Section - statistics & numerical data ; Confidence Intervals ; Delivery. Postpartum. Lactation ; Disorders ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; Medical sciences ; Obesity ; Odds Ratio ; Pregnancy ; Pregnancy Complications ; Risk Factors</subject><ispartof>Obstetrics and gynecology (New York. 1953), 1997-02, Vol.89 (2), p.213-216</ispartof><rights>1997 The American College of Obstetricians and Gynecologists</rights><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4340-c36215fe34692de12f0abc1605112e7f44054f23c12612c6250f72f79ea1298f3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2556695$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9015022$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Crane, Stephen S.</creatorcontrib><creatorcontrib>Wojtowycz, Martha A.</creatorcontrib><creatorcontrib>Dye, Timothy D.</creatorcontrib><creatorcontrib>Aubry, Richard H.</creatorcontrib><creatorcontrib>Artal, Raul</creatorcontrib><title>Association between pre-pregnancy obesity and the risk of cesarean delivery</title><title>Obstetrics and gynecology (New York. 1953)</title><addtitle>Obstet Gynecol</addtitle><description>To explore the relationship between prepregnancy obesity and the risk for cesarean delivery.
The population studied included 20,130 women with live births after 20 weeks' gestation in central New York state between June 1, 1994, and May 31, 1995. Women who were obese before pregnancy were compared with nonobese women with regard to mode of delivery. Obesity was defined as body mass index (BMI) greater than 29. Separate analyses were conducted on the entire sample and on a subset of women with singleton pregnancies and no prior cesarean deliveries, as an estimate of the risk of primary cesarean delivery in obese women. Statistical analyses included χ2 test, crude odds ratio (OR) with 95% confidence interval (CI), and adjusted OR with 95% CI, using logistic regression to control for confounding variables.
The adjusted OR was 1.64 (95% CI 1.46, 1.83) for obese women with singleton pregnancies and no prior cesarean deliveries to undergo cesarean delivery. The adjusted OR was 1.66 (95% CI 1.51, 1.82) for obese women in the entire sample to undergo cesarean delivery. In addition, increasing BMI was associated with increased risk for cesarean delivery.
Compared with nonobese women, women who are obese before pregnancy are at increased risk for cesarean delivery. Preconceptional counseling regarding dietary and life-style modifications may alter this pattern.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cesarean Section - statistics & numerical data</subject><subject>Confidence Intervals</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Disorders</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Obesity</subject><subject>Odds Ratio</subject><subject>Pregnancy</subject><subject>Pregnancy Complications</subject><subject>Risk Factors</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU2LUzEUhoMoYx39CQNZiOgievJ5b1YyDH7hgAsV3IU098TGub2pye2U_nvTaenWRQjhvE_OyRNCrji85cDNu-8AwrKuV-q1NW8AlLKsf0QWvO8kE1L-ekwW58hT8qzWPwANtPKCXFjgGoRYkK_XteaQ_JzyRJc47xAnuinI2vo9-SnsaV5iTfOe-mmg8wppSfWO5kgDVl_QT3TAMd1j2T8nT6IfK7447Zfk58cPP24-s9tvn77cXN-yoKQCFqQRXEeUylgxIBcR_DJwA5pzgV1UCrSKQgYuDBfBCA2xE7Gz6LmwfZSX5NXx3k3Jf7dYZ7dONeA4-gnztrqu70Hr3rSgPgZDybUWjG5T0tqXvePgDhLdg0R3MOSscQ8SXd-4q1OD7XKNw5k6WWv1l6e6r8GPsTRPqZ5jQmtjrG4xdYzt8jhjqXfjdofFrdCP86o1Azi8jXFrOxDtxA7_Aw17f8SwObxPjagh4RRwSAXD7Iac_jP_P79lnHo</recordid><startdate>199702</startdate><enddate>199702</enddate><creator>Crane, Stephen S.</creator><creator>Wojtowycz, Martha A.</creator><creator>Dye, Timothy D.</creator><creator>Aubry, Richard H.</creator><creator>Artal, Raul</creator><general>Elsevier Inc</general><general>The American College of Obstetricians and Gynecologists</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199702</creationdate><title>Association between pre-pregnancy obesity and the risk of cesarean delivery</title><author>Crane, Stephen S. ; Wojtowycz, Martha A. ; Dye, Timothy D. ; Aubry, Richard H. ; Artal, Raul</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4340-c36215fe34692de12f0abc1605112e7f44054f23c12612c6250f72f79ea1298f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cesarean Section - statistics & numerical data</topic><topic>Confidence Intervals</topic><topic>Delivery. Postpartum. Lactation</topic><topic>Disorders</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Obesity</topic><topic>Odds Ratio</topic><topic>Pregnancy</topic><topic>Pregnancy Complications</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Crane, Stephen S.</creatorcontrib><creatorcontrib>Wojtowycz, Martha A.</creatorcontrib><creatorcontrib>Dye, Timothy D.</creatorcontrib><creatorcontrib>Aubry, Richard H.</creatorcontrib><creatorcontrib>Artal, Raul</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Crane, Stephen S.</au><au>Wojtowycz, Martha A.</au><au>Dye, Timothy D.</au><au>Aubry, Richard H.</au><au>Artal, Raul</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between pre-pregnancy obesity and the risk of cesarean delivery</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>1997-02</date><risdate>1997</risdate><volume>89</volume><issue>2</issue><spage>213</spage><epage>216</epage><pages>213-216</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><coden>OBGNAS</coden><abstract>To explore the relationship between prepregnancy obesity and the risk for cesarean delivery.
The population studied included 20,130 women with live births after 20 weeks' gestation in central New York state between June 1, 1994, and May 31, 1995. Women who were obese before pregnancy were compared with nonobese women with regard to mode of delivery. Obesity was defined as body mass index (BMI) greater than 29. Separate analyses were conducted on the entire sample and on a subset of women with singleton pregnancies and no prior cesarean deliveries, as an estimate of the risk of primary cesarean delivery in obese women. Statistical analyses included χ2 test, crude odds ratio (OR) with 95% confidence interval (CI), and adjusted OR with 95% CI, using logistic regression to control for confounding variables.
The adjusted OR was 1.64 (95% CI 1.46, 1.83) for obese women with singleton pregnancies and no prior cesarean deliveries to undergo cesarean delivery. The adjusted OR was 1.66 (95% CI 1.51, 1.82) for obese women in the entire sample to undergo cesarean delivery. In addition, increasing BMI was associated with increased risk for cesarean delivery.
Compared with nonobese women, women who are obese before pregnancy are at increased risk for cesarean delivery. Preconceptional counseling regarding dietary and life-style modifications may alter this pattern.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>9015022</pmid><doi>10.1016/S0029-7844(96)00449-8</doi><tpages>4</tpages></addata></record> |
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| ispartof | Obstetrics and gynecology (New York. 1953), 1997-02, Vol.89 (2), p.213-216 |
| issn | 0029-7844 1873-233X |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Biological and medical sciences Cesarean Section - statistics & numerical data Confidence Intervals Delivery. Postpartum. Lactation Disorders Female Gynecology. Andrology. Obstetrics Humans Medical sciences Obesity Odds Ratio Pregnancy Pregnancy Complications Risk Factors |
| title | Association between pre-pregnancy obesity and the risk of cesarean delivery |
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