| Effect of pre-pregnancy body mass index and weight gain during pregnancy on the risk of emergency cesarean section in nullipara. | |
| | |
MedLine Citation:
|
PMID: 21387087 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
PURPOSE: We attempted to examine the effects of delivery via emergency cesarean section in nullipara, presenting with increase in body weight during pregnancy and pre-pregnant body mass index. METHODS: A total of 1,024 nullipara with singleton pregnancy who experienced labor pain after 37 gestational weeks at St.Vincent's Hospital of Catholic University of Korea during 1 January 2004 to 31 March 2010 were enrolled in this study. Study patients were divided into four groups based on pre-gestational BMI, two groups based on weight gain more than 18 kg during pregnancy and three groups based on weight gain according to the guidelines of IOM (Institute of Medicine). Univariate and multivariate analysis were performed. RESULTS: On univariate analysis, the frequency of emergency cesarean section was increased both in pre-pregnant overweight women and women with excess weight gain during pregnancy. On multivariate analysis, however, increase in body weight during pregnancy according to IOM guidelines did not independently affect the frequency of emergency cesarean section. If the degree of increase in body weight during pregnancy was divided based on a definite numeric value of 18 kg, the frequency of cesarean section was significantly increased. CONCLUSIONS: For successful spontaneous delivery, the nullipara should become pregnant when the pre-gestational BMI is maintained at an appropriate level. We also propose that women should not gain more than 18 kg until delivery in all pre-BMI groups. |
| | |
Authors:
|
Dong Gyu Jang; Yun Sung Jo; Gui Se Ra Lee |
Related Documents
:
|
19867927 - The diagnostic value of the placental blood film in aestivo-autumnal malaria. 3338457 - Biosynthesis of monoterpene hydrocarbons by isolated chromoplasts from daffodil flowers. 21175827 - Variation in physiological stress between bridge- and cave-roosting brazilian free-tail... 19488427 - Prevalence of malaria in pregnant women in lagos, south-west nigeria. 1927527 - Management of inborn errors of metabolism during pregnancy. 1885087 - Incidence of spontaneous and evoked fetal movements in the first half of twin pregnancy. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-3-9 |
Journal Detail:
|
Title: Archives of gynecology and obstetrics Volume: - ISSN: 1432-0711 ISO Abbreviation: - Publication Date: 2011 Mar |
Date Detail:
|
Created Date: 2011-3-9 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8710213 Medline TA: Arch Gynecol Obstet Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Department of Obstetrics and Gynecology, College of Medicine, St. Vincent's Hospital, The Catholic University of Korea, 93-6 Ji-dong, Paldal-gu, Suwon, Kyeonggi, 442-723, Korea. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Effect of pregestational maternal, obstetric and perinatal factors on neonatal outcome in extreme pr...
Next Document: A survey on the prevalence of high-risk subtypes of human papilloma virus among women with cervical ...