From: Parturition dysfunction in obesity: time to target the pathobiology
Intrapartum intervention | Study | BMI category | Odds of use in labor, OR (95Â % CI) |
---|---|---|---|
Induction of Labor | Scott-Pillai et al., 2013 [142] | Overweight | 1.2 (1.1-1.3)g, h |
Obese | 1.3 (1.2-1.5)g, h | ||
Obese II | 1.4 (1.3-1.6)g, h | ||
Morbid obese | 1.6 (1.3-1.9)g, h | ||
Garabedian et al., 2011 [143] | Overweight | 1.51 (1.42-1.60)a | |
Obese | 2.00 (1.87-2.15) | ||
Obese II | 2.36 (2.16-2.58) | ||
Obese III | 3.66 (3.30-4.01) | ||
BMI 40–49.9 | 3.51 (3.15-3.91) | ||
BMI ≥ 50 | 5.25 (3.87-7.10) | ||
Bhattacharya et al., 2007 [9] | Overweight | 1.3 (1.2-1.4)f | |
Obese | 1.8 (1.6-2.0)f | ||
Morbid obese | 1.8 (1.3-2.5)f | ||
Artificial Rupture of Membranes prior to 6Â cm cervical dilation | Jensen, Agger, Rasmussen, 1999 [144] | Overweight | 1.63 (1.18-2.25)g,b |
Obese | 1.97 (1.20-3.25)g, b | ||
Oxytocin Augmentation of Labor | Garabedian et al., 2011 [143] | Overweight | 1.38 (1.28-1.49)a |
Obese | 1.87 (1.70-2.06) | ||
Obese II | 2.05 (1.79-2.34) | ||
Obese III | 3.02 (2.57-3.55) | ||
BMI 40–49.9 | 3.00 (2.53-3.56) | ||
BMI ≥ 50 | 3.21 (1.97-5.23) | ||
 | Abenhaim & Benjamin, 2011 [145] | Overweight | 1.31 (1.15-1.49)g |
Obese | 1.51 (1.31-1.75)g | ||
Morbid obese | 3.05 (1.89-4.94)g | ||
 | Vahratian, 2005 [146] | Overweight | Significantly higher use in both categoriesc |
Obese | |||
 | Jensen, Agger, Rasmussen, 1999 [144] | Overweight | 1.59 (1.22-2.06)f, b |
Obese | 1.98 (1.28-3.05)g, b | ||
Unplanned Cesarean Delivery | Vinturache et al., 2014 [147] | Overweight | Â |
 Spontaneous labor | 1.1 (0.6-1.8) | ||
 Induced labor | 1.2 (0.7-2.0) | ||
Obese | Â | ||
 Spontaneous labor | 1.5 (0.7-3.0) | ||
 Induced labor | 2.2 (1.2-4.1)f | ||
Scott-Pillai et al., 2013 [142] | Overweight | 1.4 (1.2-1.5)g, h | |
Obese | 1.6 (1.4-1.8)g, h | ||
Obese II | 1.8 (1.5-2.2)g, h | ||
Morbid obese | 1.9 (1.4-2.5)g, h | ||
Green & Shaker, 2011 [148] | BMI >35 | No sig difference once adjusted for IOLc | |
Garabedian et al., 2011 [143] | Overweight | 1.44 (1.38-1.50)g | |
Obese | 1.96 (1.86-2.06)g | ||
Obese II | 2.32 (2.17-2.47)g | ||
Obese III | 3.66 (3.39-3.95)g | ||
BMI 40–49.9 | 3.53 (3.26-3.82)g | ||
BMI ≥ 50 | 4.99 (4.00-6.22)g | ||
Abenhaim & Benjamin, 2011 [145] | Overweight | 1.07 (0.80-1.43)d | |
Obese | |||
Morbid obese | |||
Cedergren, 2009 [149] | Overweight | 1.09 (0.91-1.31) | |
Due to obstructed labor | Obese I | 1.56 (1.14-2.14)f | |
Obese II | 1.33 (0.72-2.46) | ||
Morbid obese | 1.79 (0.65-4.92) | ||
Cedergren, 2009 [149] | Overweight | 1.50 (1.42-1.59)g | |
Due to ineffective uterine contractility | Obese I | 2.14 (1.96-2.34)g | |
Obese II | 2.72 (2.35-3.16)g | ||
Morbid obese | 3.98 (3.14-5.04)g | ||
Bhattacharya et al., 2007 [9] | Overweigh | 1.5 (1.3-1.6)f | |
Obese | 2.0 (1.8-2.3)f | ||
Morbid obese | 2.8 (2.0-3.9)f | ||
Sukalich, Mingione, Glantz, 2006 [150] | Obese | 1.07 (1.05-1.09)f | |
Vahratian, 2005 [146] | Overweight | 1.2 (0.8-1.8)f, e | |
Obese | 1.5 (1.05-2.0)f | ||
Jensen, Agger, Rasmussen, 1999 [144] | Overweight | 1.69 (1.06-2.68)f, b | |
Obese | 1.91 (0.94-3.86)b |