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Article

Influence of Body Mass Index on Gestation and Delivery in Nulliparous Women: A Cohort Study

by
Noemí Rodríguez-Mesa
1,
Paula Robles-Benayas
1,
Yolanda Rodríguez-López
1,
Eva María Pérez-Fernández
1 and
Ana Isabel Cobo-Cuenca
2,*
1
Hospital Virgen de la Salud de Toledo, Servicio de salud de Castilla la Mancha (SESCAM), 45005 Toledo, Spain
2
Department of Nursing and Physiotherapy, Grupo Investigación multidisciplinar en Cuidados (IMCU), Universidad de Castilla la Mancha, 45004 Toledo, Spain
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(11), 2015; https://doi.org/10.3390/ijerph16112015
Submission received: 9 April 2019 / Revised: 18 May 2019 / Accepted: 3 June 2019 / Published: 6 June 2019
Review Reports Versions Notes

Abstract

Aims: To assess the influence of obesity on pregnancy and delivery in pregnant nulliparous women. Methods: A cohort, longitudinal, retrospective study was conducted in Spain with 710 women, of which 109 were obese (BMI > 30) and 601 were normoweight (BMI < 25). Consecutive nonrandom sampling. Variables: maternal age, BMI, gestational age, fetal position, start of labor, dilation and expulsion times, type of delivery and newborn weight and height. Results: The dilation time in obese women (309.81 ± 150.42 min) was longer than that in normoweight women (281.18 ± 136.90 min) (p = 0.05, Student’s t-test). A higher fetal weight was more likely to lead to longer dilation time (OR = 0.43, 95% CI 0.010–0.075, p < 0.001) and expulsion time (OR = 0.027, 95% CI 0.015–0.039, p < 0.001). A higher maternal age was more likely to lead to a longer expulsion time (OR = 2.054, 95% CI 1.17–2.99, p < 0.001). Obese women were more likely to have gestational diabetes [relative risk (RR) = 3.612, 95% CI 2.102–6.207, p < 0.001], preeclampsia (RR = 5.514, 95% CI 1.128–26.96, p = 0.05), induced birth (RR = 1.26, 95% CI 1.06–1.50, p = 0.017) and cesarean section (RR = 2.16, 95% CI 1.11–4.20, p = 0.022) than normoweight women. Conclusion: Obesity is associated with increased complications during pregnancy, an increased incidence of a cesarean section and induced birth but it has no significant effect on the delivery time.
Keywords: obesity; maternal body mass index; labor; nulliparous women obesity; maternal body mass index; labor; nulliparous women

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MDPI and ACS Style

Rodríguez-Mesa, N.; Robles-Benayas, P.; Rodríguez-López, Y.; Pérez-Fernández, E.M.; Cobo-Cuenca, A.I. Influence of Body Mass Index on Gestation and Delivery in Nulliparous Women: A Cohort Study. Int. J. Environ. Res. Public Health 2019, 16, 2015. https://doi.org/10.3390/ijerph16112015

AMA Style

Rodríguez-Mesa N, Robles-Benayas P, Rodríguez-López Y, Pérez-Fernández EM, Cobo-Cuenca AI. Influence of Body Mass Index on Gestation and Delivery in Nulliparous Women: A Cohort Study. International Journal of Environmental Research and Public Health. 2019; 16(11):2015. https://doi.org/10.3390/ijerph16112015

Chicago/Turabian Style

Rodríguez-Mesa, Noemí, Paula Robles-Benayas, Yolanda Rodríguez-López, Eva María Pérez-Fernández, and Ana Isabel Cobo-Cuenca. 2019. "Influence of Body Mass Index on Gestation and Delivery in Nulliparous Women: A Cohort Study" International Journal of Environmental Research and Public Health 16, no. 11: 2015. https://doi.org/10.3390/ijerph16112015

APA Style

Rodríguez-Mesa, N., Robles-Benayas, P., Rodríguez-López, Y., Pérez-Fernández, E. M., & Cobo-Cuenca, A. I. (2019). Influence of Body Mass Index on Gestation and Delivery in Nulliparous Women: A Cohort Study. International Journal of Environmental Research and Public Health, 16(11), 2015. https://doi.org/10.3390/ijerph16112015

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