• J Perinat Med · Jan 2009

    The effect of maternal obesity on the course of labor.

    • Maribelle Verdiales, Carlos Pacheco, and Wayne R Cohen.
    • Department of Obstetrics and Gynecology, Jamaica Hospital Medical Center and the Weill Cornell Medical College, NY, USA.
    • J Perinat Med. 2009 Jan 1; 37 (6): 651-5.

    AimTo determine whether maternal obesity is associated with dysfunctional labor patterns.MethodsIn a case-control design we compared the graphic labor patterns of a group of 105 very obese subjects [body mass index (BMI) >35 kg/m(2)] with those of 113 lean controls (BMI<26 kg/m(2)). All entered spontaneous labor at term. Cases with birth weights >4 kg, diabetes mellitus, hypertension and prior cesarean delivery were excluded.ResultsThe obese group had a significantly higher frequency of arrest of dilatation (17.6 vs. 5.2%; P=0.005).ConclusionsMaternal obesity is associated with active phase labor dysfunction, specifically arrest of dilatation.

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