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Juan Jesús Fernández Alba1, María Del Carmen Paublete Herrera, María Del Carmen González Macías

  • 1Unidad de Obstetricia y Ginecología. Hospital Universitario de Puerto Real. Servicio Andaluz de Salud. jjesus.fernandez@uca.es.

Nutricion Hospitalaria
|December 22, 2016
PubMed
Summary

Maternal overweight and obesity significantly increase the risk of cesarean delivery. This independent risk persists even after adjusting for confounding factors like diabetes and hypertension.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Public Health

Background:

  • Overweight and obesity are associated with a higher likelihood of cesarean birth.
  • This increased risk may be confounded by factors such as diabetes or hypertension.

Purpose of the Study:

  • To determine if maternal overweight and/or obesity are independent risk factors for cesarean delivery.
  • To assess the persistence of this risk after adjusting for numerous control variables.

Main Methods:

  • Retrospective cohort study including pregnant women from 2002-2011.
  • Groups included: overweight (BMI 25-29.9) and obese (BMI ≥ 30) at gestation start.
  • Logistic regression analysis adjusted for maternal age, induction, diabetes, hypertension, nulliparity, prior cesarean, and gestational age.
Keywords:
Obesidad. Sobrepeso. Índice de masa corporal. Cesárea. Factores de riesgo.

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Main Results:

  • Of 4,711 deliveries with recorded BMI, 26.1% were overweight and 12.4% were obese.
  • Unadjusted analysis showed increased cesarean risk for overweight (OR 1.48) and obese (OR 2.09-3.23) mothers.
  • Multivariate analysis confirmed significant independent risk: overweight (OR 1.51) and obesity (OR 2.15).

Conclusions:

  • A significant and independent association exists between maternal overweight/obesity and cesarean delivery.
  • This association remains robust even after controlling for key confounding variables.
  • Maternal weight status is a critical factor influencing delivery mode, independent of other common complications.