The relationship between cesarean section rate in term singleton pregnancies, maternal weight, and weight gain during pregnancy
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Andreja Trojner-Bregar
,
Miha Lucovnik
Abstract
Objective: Pregravid maternal weight and appropriate weight gain during pregnancy might be associated with increased cesarean section rate.
Study design: We used data from the Slovenian National Perinatal Information System to select singleton pregnancies born at ≥38 weeks, during the period between 2003 and 2012. We calculated the frequencies of urgent and elective cesarean sections (UCS and ECS, respectively) in mothers who gained less than, more than, and as recommended by the Institute of Medicine (IOM) according to their pregravid body mass index (BMI).
Results: The analysis included 170,121 women who delivered singletons ≥38 weeks. A total of 24,327 (14.3%) women underwent cesarean section: 14,692 (8.6%) UCS and 9635 (5.7%) ECS. The frequency of cesareans, both UCS and ECS, increases as BMI increases irrespective of weight gain pattern. The frequency of urgent cesareans in all women increases and that of elective cesareans among obese women decreases as the level of weight gain increases from undergainers to overgainers.
Conclusion: The combination of pregravid BMI and weight gain pattern is an important determinant of cesarean section rates at term.
References
[1] American College of Obstetricians and Gynecologists. Weight gain during pregnancy. Committee Opinion No. 548. Obstet Gynecol. 2013;121:210–2.10.1097/01.AOG.0000425668.87506.4cSuche in Google Scholar
[2] Institute of Medicine. Weight gain during pregnancy: reexamining the guidelines. Washington DC: National Academic Press; 2009.Suche in Google Scholar
[3] Cedergren M. Effects of gestational weight gain and body mass index on obstetric outcome in Sweden. Int J Gynecol Obstet. 2006;93:269–74.10.1016/j.ijgo.2006.03.002Suche in Google Scholar
[4] Crane JM, White J, Murphy P, Burrage L, Hutchens D. The effect of gestational weight gain by body mass index on maternal and neonatal outcomes. J Obstet Gynaecol Can. 2009;31:28–35.10.1016/S1701-2163(16)34050-6Suche in Google Scholar
The authors stated that there are no conflicts of interest regarding the publication of this article.
©2016 by De Gruyter
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Artikel in diesem Heft
- Frontmatter
- Editorial
- Obesity and gestational diabetes in pregnancy: an evolving epidemic
- Original articles - Diabetes
- Is omitting the 3rd hour measurement in the 100 g oral glucose tolerance test feasible?
- Maternal hypoglycemia on 50 g glucose challenge test: outcomes are influenced by fetal gender
- Biological and biochemical characteristics of a Mediterranean population with Gestational Diabetes Mellitus
- Maternal and perinatal outcomes after bariatric surgery: a case control study
- A population-based comparison between actual maternal weight gain and the Institute of Medicine weight gain recommendations in singleton pregnancies
- The relationship between cesarean section rate in term singleton pregnancies, maternal weight, and weight gain during pregnancy
- Antenatal body mass index (BMI) and weight gain in pregnancy – its association with pregnancy and birthing complications
- A clinical study which relates to a theoretical simulation of the glucose transport in the human placenta under various diabetic conditions
- Academy’s Corner
- American medical education: the evolution of excellence
- Original articles - Obstetrics
- Is epidural analgesia during labor related to retained placenta?
- Preventing intellectual disability during pregnancy: what are the potentially high yield targets?
- Evaluation of measured postpartum blood loss after vaginal delivery using a collector bag in relation to postpartum hemorrhage management strategies: a prospective observational study
- Original articles - Fetus
- Mutation analysis and prenatal diagnosis in a Chinese family with succinic semialdehyde dehydrogenase and a systematic review of the literature of reported ALDH5A1 mutations
- Original articles - Newborn
- Neurological disease or intellectual disability among sons of female Swedish dental personnel
- Seeking the best training model for difficult conversations in neonatology
- Meconium aspiration syndrome in infants of HIV-positive women: a case-control study
- Dopamine treatment does not need speed recovery of newborns from transient tachypnea
- Congress Calendar
- Congress Calendar
