Clinical Edge

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Elective Induction of Labor in Obese Women

Obstet Gynecol; ePub 2017 Dec 4; Gibbs Pickens, et al

Among women who are obese, elective labor after 39 weeks of gestation was associated with reduced maternal and neonatal morbidity, a recent study found. The retrospective cohort included 165,975 singleton, cephalic, nonanomalous deliveries to women who were obese. For each gestational week, researchers used multivariable logistic regression models to assess whether elective induction of labor or expectant management was associated with lower odds of cesarean delivery and other adverse outcomes. Among the findings:

  • At 39 and 40 weeks of gestation, cesarean delivery was less common in obese nulliparous women who were electively induced with those who were expectantly managed.
  • At 39 weeks of gestation, severe maternal morbidity was less frequent among electively induced obese nulliparous patients.
  • Also at 39 weeks of gestation, neonatal intensive care unit admission was also less common among electively induced obese nulliparous women.
  • Elective induction at 40 weeks of gestation was associated with reduced odds of cesarean delivery, maternal morbidity, and neonatal intensive care unit admission among both obese nulliparous and parous patients.

Citation:

Gibbs Pickens CM, Kramer MR, Howards PP, Badell ML, Caughey AB, Hogue CJ. Term elective induction of labor and pregnancy outcomes among obese women and their offspring. [Published online ahead of print December 4, 2017]. Obstet Gynecol. doi:10.1097/AOG.0000000000002408.

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