The maternal body mass index: A strong association with delivery route

Michelle A. Kominiarek; Paul Vanveldhuisen; Judith Hibbard; Helain Landy; Shoshana Haberman; Lee Learman; Isabelle Wilkins; Jennifer Bailit; Ware Branch; Ronald Burkman; Victor Hugo Gonzalez-Quintero; Kimberly Gregory; Christos Hatjis; Matthew Hoffman; Mildred Ramirez; Uma M. Reddy; James Troendle; Jun Zhang

doi:10.1016/j.ajog.2010.06.024

The maternal body mass index: A strong association with delivery route

Michelle A. Kominiarek, Paul Vanveldhuisen, Judith Hibbard, Helain Landy, Shoshana Haberman, Lee Learman, Isabelle Wilkins, Jennifer Bailit, Ware Branch, Ronald Burkman, Victor Hugo Gonzalez-Quintero, Kimberly Gregory, Christos Hatjis, Matthew Hoffman, Mildred Ramirez, Uma M. Reddy, James Troendle, Jun Zhang

Obstetrics and Gynecology

Research output: Contribution to journal › Article › peer-review

136 Scopus citations

Abstract

Objective: We sought to assess body mass index (BMI) effect on cesarean risk during labor. Study Design: The Consortium on Safe Labor collected electronic data from 228,668 deliveries. Women with singletons <37 weeks and known BMI at labor admission were analyzed in this cohort study. Regression analysis generated relative risks for cesarean stratifying for parity and prior cesarean while controlling for covariates. Results: Of the 124,389 women, 14.0% had cesareans. Cesareans increased with increasing BMI for nulliparas and multiparas with and without a prior cesarean. Repeat cesareans were performed in >50% of laboring women with a BMI >40 kg/m². The risk for cesarean increased as BMI increased for all subgroups, P < .001. The risk for cesarean increased by 5%, 2%, and 5% for nulliparas and multiparas with and without a prior cesarean, respectively, for each 1-kg/m² increase in BMI. Conclusion: Admission BMI is significantly associated with delivery route in term laboring women. Parity and prior cesarean are other important predictors.

Original language	English (US)
Pages (from-to)	264.e1-264.e7
Journal	American journal of obstetrics and gynecology
Volume	203
Issue number	3
DOIs	https://doi.org/10.1016/j.ajog.2010.06.024
State	Published - Sep 2010

Keywords

body mass index
cesarean delivery
obesity

ASJC Scopus subject areas

Obstetrics and Gynecology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.ajog.2010.06.024

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Kominiarek, M. A., Vanveldhuisen, P., Hibbard, J., Landy, H., Haberman, S., Learman, L., Wilkins, I., Bailit, J., Branch, W., Burkman, R., Gonzalez-Quintero, V. H., Gregory, K., Hatjis, C., Hoffman, M., Ramirez, M., Reddy, U. M., Troendle, J., & Zhang, J. (2010). The maternal body mass index: A strong association with delivery route. American journal of obstetrics and gynecology, 203(3), 264.e1-264.e7. https://doi.org/10.1016/j.ajog.2010.06.024

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title = "The maternal body mass index: A strong association with delivery route",

abstract = "Objective: We sought to assess body mass index (BMI) effect on cesarean risk during labor. Study Design: The Consortium on Safe Labor collected electronic data from 228,668 deliveries. Women with singletons <37 weeks and known BMI at labor admission were analyzed in this cohort study. Regression analysis generated relative risks for cesarean stratifying for parity and prior cesarean while controlling for covariates. Results: Of the 124,389 women, 14.0% had cesareans. Cesareans increased with increasing BMI for nulliparas and multiparas with and without a prior cesarean. Repeat cesareans were performed in >50% of laboring women with a BMI >40 kg/m2. The risk for cesarean increased as BMI increased for all subgroups, P < .001. The risk for cesarean increased by 5%, 2%, and 5% for nulliparas and multiparas with and without a prior cesarean, respectively, for each 1-kg/m2 increase in BMI. Conclusion: Admission BMI is significantly associated with delivery route in term laboring women. Parity and prior cesarean are other important predictors.",

keywords = "body mass index, cesarean delivery, obesity",

author = "Kominiarek, {Michelle A.} and Paul Vanveldhuisen and Judith Hibbard and Helain Landy and Shoshana Haberman and Lee Learman and Isabelle Wilkins and Jennifer Bailit and Ware Branch and Ronald Burkman and Gonzalez-Quintero, {Victor Hugo} and Kimberly Gregory and Christos Hatjis and Matthew Hoffman and Mildred Ramirez and Reddy, {Uma M.} and James Troendle and Jun Zhang",

year = "2010",

month = sep,

doi = "10.1016/j.ajog.2010.06.024",

language = "English (US)",

volume = "203",

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Kominiarek, MA, Vanveldhuisen, P, Hibbard, J, Landy, H, Haberman, S, Learman, L, Wilkins, I, Bailit, J, Branch, W, Burkman, R, Gonzalez-Quintero, VH, Gregory, K, Hatjis, C, Hoffman, M, Ramirez, M, Reddy, UM, Troendle, J & Zhang, J 2010, 'The maternal body mass index: A strong association with delivery route', American journal of obstetrics and gynecology, vol. 203, no. 3, pp. 264.e1-264.e7. https://doi.org/10.1016/j.ajog.2010.06.024

TY - JOUR

T1 - The maternal body mass index

T2 - A strong association with delivery route

AU - Kominiarek, Michelle A.

AU - Vanveldhuisen, Paul

AU - Hibbard, Judith

AU - Landy, Helain

AU - Haberman, Shoshana

AU - Learman, Lee

AU - Wilkins, Isabelle

AU - Bailit, Jennifer

AU - Branch, Ware

AU - Burkman, Ronald

AU - Gonzalez-Quintero, Victor Hugo

AU - Gregory, Kimberly

AU - Hatjis, Christos

AU - Hoffman, Matthew

AU - Ramirez, Mildred

AU - Reddy, Uma M.

AU - Troendle, James

AU - Zhang, Jun

PY - 2010/9

Y1 - 2010/9

N2 - Objective: We sought to assess body mass index (BMI) effect on cesarean risk during labor. Study Design: The Consortium on Safe Labor collected electronic data from 228,668 deliveries. Women with singletons <37 weeks and known BMI at labor admission were analyzed in this cohort study. Regression analysis generated relative risks for cesarean stratifying for parity and prior cesarean while controlling for covariates. Results: Of the 124,389 women, 14.0% had cesareans. Cesareans increased with increasing BMI for nulliparas and multiparas with and without a prior cesarean. Repeat cesareans were performed in >50% of laboring women with a BMI >40 kg/m2. The risk for cesarean increased as BMI increased for all subgroups, P < .001. The risk for cesarean increased by 5%, 2%, and 5% for nulliparas and multiparas with and without a prior cesarean, respectively, for each 1-kg/m2 increase in BMI. Conclusion: Admission BMI is significantly associated with delivery route in term laboring women. Parity and prior cesarean are other important predictors.

AB - Objective: We sought to assess body mass index (BMI) effect on cesarean risk during labor. Study Design: The Consortium on Safe Labor collected electronic data from 228,668 deliveries. Women with singletons <37 weeks and known BMI at labor admission were analyzed in this cohort study. Regression analysis generated relative risks for cesarean stratifying for parity and prior cesarean while controlling for covariates. Results: Of the 124,389 women, 14.0% had cesareans. Cesareans increased with increasing BMI for nulliparas and multiparas with and without a prior cesarean. Repeat cesareans were performed in >50% of laboring women with a BMI >40 kg/m2. The risk for cesarean increased as BMI increased for all subgroups, P < .001. The risk for cesarean increased by 5%, 2%, and 5% for nulliparas and multiparas with and without a prior cesarean, respectively, for each 1-kg/m2 increase in BMI. Conclusion: Admission BMI is significantly associated with delivery route in term laboring women. Parity and prior cesarean are other important predictors.

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KW - cesarean delivery

KW - obesity

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JF - American journal of obstetrics and gynecology

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ER -

The maternal body mass index: A strong association with delivery route

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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