| Obesity as a risk factor for failed trial of labor in patients with previous cesarean delivery. | |
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MedLine Citation:
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PMID: 15902126 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: This study was undertaken to determine whether obesity is a risk factor for failed trial of labor (TOL) in women with previous cesarean delivery (CD). STUDY DESIGN: We performed a review of singleton gestations 36 weeks or greater with previous CD who underwent TOL from January 1998 to June 2002, stratifying by body mass index (BMI, kg/m2): normal (BMI <25), overweight (BMI 25-29.9), obese (BMI 30-39.9), and morbidly obese (BMI >40). Rates for failed TOL were determined, and groups compared. RESULTS: For 725 patients, failed TOL rates were as follows: 14.1%, 20.4%, 27.7%, and 30.3% for normal, overweight, obese, and morbidly obese groups, respectively (P < .0001). Significant risk factors included: no previous vaginal delivery, labor induction, recurrent CD indication, and fetal macrosomia. However, obesity remained an independent risk factor for failed TOL in the obese and morbidly obese groups with odds ratio of 1.99 (95% CI 1.20-3.30) and 2.22 (1.11-4.44) for these groups (P = .03), respectively. CONCLUSION: Obesity is an independent risk factor for failed TOL in patients with previous CD. |
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Authors:
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Perpetua T Goodall; Jennifer T Ahn; Jeff B Chapa; Judith U Hibbard |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 192 ISSN: 0002-9378 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 2005 May |
Date Detail:
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Created Date: 2005-05-19 Completed Date: 2005-06-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 1423-6 Citation Subset: AIM; IM |
Affiliation:
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Department of Obstetrics and Gynecology, Section of Maternal Fetal Medicine, The University of Chicago, Chicago, Ill, USA. pgoodall@babies.bsd.uchicago.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Body Mass Index Case-Control Studies Cesarean Section* Confidence Intervals Female Fetal Macrosomia Humans Labor, Induced Obesity / pathology, physiopathology* Obesity, Morbid / pathology, physiopathology Odds Ratio Pregnancy Pregnancy Complications / pathology, physiopathology* Retrospective Studies Risk Factors Trial of Labor* |
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