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Maternal anthropometric factors and risk of primary cesarean delivery
Journal article   Open access   Peer reviewed

Maternal anthropometric factors and risk of primary cesarean delivery

Mary Shepard, Audrey Saftlas, Linda Leo-Summers and Michael Bracken
American journal of public health (1971), Vol.88(10), pp.1534-1538
10/01/1998
DOI: 10.2105/AJPH.88.10.1534
PMCID: PMC1508477
PMID: 9772858
url
https://doi.org/10.2105/AJPH.88.10.1534View
Published (Version of record) Open Access

Abstract

This study examined absolute and proportional gestational weight gain and prepregnancy body mass index as predictors of primary cesarean delivery. Data were derived from a prospective study of pregnancy outcome risk factors in 2301 women in greater New Haven, Conn, who had singleton deliveries by primary cesarean (n = 312) or vaginal delivery (n = 1989) and for whom height, prepregnancy weight, and weight gain were available. Women were divided into 4 body mass index groups (underweight, low average, high average, and obese) and further subdivided into 8 groups according to median proportional or absolute weight gain. Risk of cesarean delivery increased with increasing body mass index and gestational weight gain greater than the median for one's body mass index. Proportional weight gain was more predictive of cesarean delivery than absolute weight gain. Underweight women gaining more than 27.8% of their prepregnancy weight had a 2-fold adjusted relative risk of cesarean delivery. Proportional weight gain is an important predictor of cesarean delivery for underweight women; high body mass index is also predictive of increased risk.
 Alcohol Birth weight Body mass index Cesarean section Childbirth & labor Ethnicity Gestational diabetes Health maintenance organizations HMOs Hypertension Mothers Oxytocics Preeclampsia Pregnancy Premature labor Risk factors Vagina Weight Womens health

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