[Predictors of failed trial of labor in obese nulliparous]. / Facteurs prédictifs d'échec de l'intention de voie basse chez la primipare obèse.
Gynecol Obstet Fertil
; 42(11): 755-60, 2014 Nov.
Article
in Fr
| MEDLINE
| ID: mdl-25442822
ABSTRACT
OBJECTIVES:
To identify predictors of failed trial of labour (TOL) in obese nulliparous at term. PATIENTS ANDMETHODS:
Retrospective study about 213 nulliparous with a body mass index (BMI) greater than 30kg/m(2) who delivered a vertex singleton after 37 weeks of gestation (WG). Planned caesarean sections were excluded. Maternal, sonographic, per-partum and neonatal characteristics were analyzed according to the mode of entry into labor and delivery route. Univariate and multivariate logistic regression analysis were performed.RESULTS:
The cesarean delivery rate was 28%. Induction of labor (aOR=4.3 [1.8-10.7]), prolonged pregnancy (aOR=10.8 [1.7-67.6]), macrosomia (aOR=5.6 [1.1-27.3]), meconium-stained amniotic fluid (aOR 2.57 [1.03-6.42]), use of trinitrine (aOR=5.5 [1.39-21.6]) and neonatal head circumference greater than 35cm (aOR=3.1 [1.2-8.0]) were predictors of failed TOL. There was no significant correlation between failed TOL and preconceptional BMI. Univariate analysis revealed an association between excessive weight gain and failed TOL. DISCUSSION ANDCONCLUSION:
Predictors of failed TOL are the same in obese and non-obese women. Preconceptional BMI does not predict failed TOL in this nulliparous obese population.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Parity
/
Pregnancy Complications
/
Trial of Labor
/
Obesity
Type of study:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Language:
Fr
Journal:
Gynecol Obstet Fertil
Journal subject:
GINECOLOGIA
/
OBSTETRICIA
Year:
2014
Document type:
Article
Affiliation country:
Francia