Class III obesity is an independent risk factor for unsuccessful induction of laborAJOG Global Reports at a Glance

Autor: Rosa Drummond, MD, Mayuri Patel, BS, Madalyn Myers, BS, Alexandra Ritter, MA, Julie A. Hurvitz, MD, Katherine R. Goetzinger, MD, MSCI, Sarah D. Crimmins, DO
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: AJOG Global Reports, Vol 2, Iss 4, Pp 100109- (2022)
Druh dokumentu: article
ISSN: 2666-5778
DOI: 10.1016/j.xagr.2022.100109
Popis: BACKGROUND: Although obesity is a known risk factor for cesarean delivery, there is a paucity of data on the course of induction of labor in these patients. OBJECTIVE: With emerging data on the safety of 39-week inductions, we aimed to: (1) determine if Class III obesity, including morbid obesity, is an independent risk factor for nonachievement of complete dilation and vaginal delivery after induction of labor, (2) evaluate the characteristics of the induction of labor course and immediate complications, and (3) evaluate the number of induction agents necessary to be associated with vaginal deliveries. We hypothesized that as body mass index increased, it would take longer to achieve complete cervical dilation, more induction agents would be required, and there would be a higher rate of cesarean delivery. STUDY DESIGN: This was a retrospective cohort study of singleton gestations undergoing induction of labor from 2013 to 2020 at a single center. Study groups were defined as nonobese (body mass index
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