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Cesarean for non-reassuring fetal status: effect of obesity on decision to delivery interval
Emily Turner1, Carri R Warshak2
1Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Cincinnati, Cincinnati, United States.
Objective:
To evaluate the impact of obesity on the decision to delivery interval.
Study Design:
We compared the interval to delivery in normal, obese (BMI 30-40 kg/m2), and morbidly obese (BMI over 40 kg/m2) women. In a planned sub-analysis, we evaluated those who underwent emergency cesarean.
Results:
We included 447 (25.3%) subjects: 157 normal, 200 obese, and 90 morbidly obese. We found no significant difference in the decision to delivery interval, mean ± SD (minutes): 39 ± 24, 44 ± 28, and 46 ± 28, p = 0.10. In the setting of emergency delivery we did find significantly prolonged intervals: 18 ± 8, 23 ± 16, and 30 ± 19 in non-obese, obese, and morbidly obese, respectively, p = 0.04.
Conclusion:
We found similar decision to delivery intervals in women of varying BMI. In the setting of emergency cesarean delivery, we found increasing BMI to be associated with significant delays to delivery.
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