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Impact of maternal body mass index on the cesarean delivery rate in Germany from 1990 to 2012

  • Ioannis Kyvernitakis EMAIL logo , Christine Köhler , Stephan Schmidt , Björn Misselwitz , Jasmin Großmann , Peyman Hadji and Matthias Kalder
Published/Copyright: June 10, 2014
Journal of Perinatal Medicine
From the journal Journal of Perinatal Medicine Volume 43 Issue 4

Abstract

Aims: Maternal obesity is a risk factor for cesarean delivery (CD). The aim of this analysis was to determine the association between early-pregnancy body mass index (BMI) and the rate of CD over the past two decades.

Methods: We retrospectively analyzed data from the perinatal quality registry of singleton deliveries in the state of Hesse in Germany from 1990 to 2012. We divided the patients into groups according to the WHO criteria for BMI: underweight (<18.5), normal weight (18.5–<25), overweight (25–<30), obese class I (30–<35), obese class II (35–<40), and obese class III (≥40).

Results: The analysis included 1,092,311 patients with available data regarding maternal BMI and mode of delivery. The CD rates for underweight (<18.5), normal weight (18.5–<25), overweight (25–<30), obese class I (30–<35), obese class II (35–<40), and obese class III (≥40) women increased from 14.4%, 16.1%, 19.5%, 22.3%, 25%, and 26.9% in the year 1990 to 27.9%, 31.4%, 38.8%, 45.1%, 50.2%, and 55.2% in the year 2012, respectively (P<0.001).

Conclusion: Maternal BMI in early pregnancy is linearly associated with the incidence of CD. We found a disproportionate increase of CD in morbidly obese women compared with the CD incidence in the reference BMI population over the past two decades.

Keywords: Body mass index (BMI); cesarean delivery (CD); maternal obesity
Corresponding author: Dr. Ioannis Kyvernitakis, MD, Department of Obstetrics and Gynecology, University Hospital of Giessen and Marburg, Campus Marburg, Philipps University of Marburg, Balingerstr. 1, 35043 Marburg, Germany, Tel.: +49 6421 5861 865; Mobile: +49 151 2296 4501, E-mail:

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The authors stated that there are no conflicts of interest regarding the publication of this article.

Received: 2014-4-14
Accepted: 2014-5-19
Published Online: 2014-6-10
Published in Print: 2015-7-1

©2015 by De Gruyter

Articles in the same Issue

  1. Frontmatter
  2. Editorial
  3. Erich Saling – The Father of Prenatal and Perinatal Medicine—Dedication to his 90th birthday
  4. Original articles - Obstetrics
  5. A transcervical amniotic fluid collector: a new medical device for the assessment of amniotic fluid in patients with ruptured membranes
  6. Advanced cervical dilatation and spontaneous preterm labor: a comparison between twin and singleton gestations
  7. Comparison of a novel test for placental alpha microglobulin-1 with fetal fibronectin and cervical length measurement for the prediction of imminent spontaneous preterm delivery in patients with threatened preterm labor
  8. Does recent sexual intercourse during pregnancy affect the results of the fetal fibronectin rapid test? A comparative prospective study
  9. Usefulness of maternal serum C-reactive protein with vaginal Ureaplasma urealyticum as a marker for prediction of imminent preterm delivery and chorioamnionitis in patients with preterm labor or preterm premature rupture of membranes
  10. Effect of blood on ROM diagnosis accuracy of PAMG-1 and IGFBP-1 detecting rapid tests
  11. Single versus combination tocolytic regimen in the prevention of preterm births in women: a prospective cohort study
  12. Recommendations of activity restriction in high-risk pregnancy scenarios: a Danish national survey
  13. Is pharmacologic research on pregnant women with psychoses ethically permissible?
  14. Women’s knowledge and attitude towards pregnancy in a high-income developing country
  15. Impact of maternal body mass index on the cesarean delivery rate in Germany from 1990 to 2012
  16. Justified skepticism about Apgar scoring in out-of-hospital birth settings
  17. The effect of the use of oxytocin on blood loss during different postpartum periods
  18. Original articles - Fetus
  19. The T/QRS ratio values in pregnancies complicated by threatened preterm labour treated with intravenous infusions of fenoterol
  20. Cardiotocography patterns and risk of intrapartum fetal acidemia
  21. Combined spinal epidural analgesia for labor using sufentanil epidurally versus intrathecally: a retrospective study on the influence on fetal heart trace
  22. Original articles - Newborn
  23. Predicting fetal growth deviation in parous women: combining the birth weight of the previous pregnancy and third trimester ultrasound scan
  24. Letter to the Editor
  25. A cerclage is not a modified total cervical occlusion!
  26. Letter Reply
  27. Reply to: a cerclage is not a modified Total Cervical Occlusion!
  28. Congress Calendar
  29. Congress Calendar
https://doi.org/10.1515/jpm-2014-0126
Keywords for this article
Body mass index (BMI); cesarean delivery (CD); maternal obesity

Articles in the same Issue

  1. Frontmatter
  2. Editorial
  3. Erich Saling – The Father of Prenatal and Perinatal Medicine—Dedication to his 90th birthday
  4. Original articles - Obstetrics
  5. A transcervical amniotic fluid collector: a new medical device for the assessment of amniotic fluid in patients with ruptured membranes
  6. Advanced cervical dilatation and spontaneous preterm labor: a comparison between twin and singleton gestations
  7. Comparison of a novel test for placental alpha microglobulin-1 with fetal fibronectin and cervical length measurement for the prediction of imminent spontaneous preterm delivery in patients with threatened preterm labor
  8. Does recent sexual intercourse during pregnancy affect the results of the fetal fibronectin rapid test? A comparative prospective study
  9. Usefulness of maternal serum C-reactive protein with vaginal Ureaplasma urealyticum as a marker for prediction of imminent preterm delivery and chorioamnionitis in patients with preterm labor or preterm premature rupture of membranes
  10. Effect of blood on ROM diagnosis accuracy of PAMG-1 and IGFBP-1 detecting rapid tests
  11. Single versus combination tocolytic regimen in the prevention of preterm births in women: a prospective cohort study
  12. Recommendations of activity restriction in high-risk pregnancy scenarios: a Danish national survey
  13. Is pharmacologic research on pregnant women with psychoses ethically permissible?
  14. Women’s knowledge and attitude towards pregnancy in a high-income developing country
  15. Impact of maternal body mass index on the cesarean delivery rate in Germany from 1990 to 2012
  16. Justified skepticism about Apgar scoring in out-of-hospital birth settings
  17. The effect of the use of oxytocin on blood loss during different postpartum periods
  18. Original articles - Fetus
  19. The T/QRS ratio values in pregnancies complicated by threatened preterm labour treated with intravenous infusions of fenoterol
  20. Cardiotocography patterns and risk of intrapartum fetal acidemia
  21. Combined spinal epidural analgesia for labor using sufentanil epidurally versus intrathecally: a retrospective study on the influence on fetal heart trace
  22. Original articles - Newborn
  23. Predicting fetal growth deviation in parous women: combining the birth weight of the previous pregnancy and third trimester ultrasound scan
  24. Letter to the Editor
  25. A cerclage is not a modified total cervical occlusion!
  26. Letter Reply
  27. Reply to: a cerclage is not a modified Total Cervical Occlusion!
  28. Congress Calendar
  29. Congress Calendar
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