The influence of obesity on abdominal cesarean section delivery

Clin Exp Obstet Gynecol. 2015;42(4):498-500.

Abstract

Aim: The analyze the potential influence between obesity in pregnancy and the abdominal delivery-cesarean section and to establish the possibility of its prevention.

Materials and methods: A prospective study examined 200 patients, delivered by cesarean section in a one-year period. The study included a structured questionnaire; the body weight at the end of pregnancy was measured and it was analyzed against all available medicine documentation. Statistical analysis included: chi2 test, Student's t-test, and Fisher's test, as well the Pearson's and Spearman's test of correlation rank.

Results: From all 200 (100%) patients delivered by cesarean section, 67 (33.5%) were overweight and obese. Body mass index at the beginning of pregnancy was significantly associated with cesarean section (chi2 = 69.141; p < 0.001), along with the appearance of eventual pregnancy complications, and also with the neonatal birth weight (p = 0.224; p < 0.001).

Conclusion: The nutritive status, both at the beginning and at the end of pregnancy is the important factor for the pregnancy outcome.

MeSH terms

  • Adult
  • Birth Weight
  • Body Mass Index
  • Cesarean Section / statistics & numerical data*
  • Female
  • Humans
  • Infant, Newborn
  • Obesity*
  • Pregnancy
  • Pregnancy Complications*
  • Pregnancy Outcome
  • Prospective Studies
  • Surveys and Questionnaires
  • Young Adult