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dc.contributor.authorBukhzam, Dana M. R.
dc.date.accessioned2016-04-07T14:06:53Z
dc.date.available2016-04-07T14:06:53Z
dc.date.issued2015
dc.identifier.urihttps://hdl.handle.net/2144/15447
dc.description.abstractOBJECTIVES: The effect of body mass index (BMI) was assessed on unplanned cesarean section (CS) rate and its indications among healthy, nulliparous women without other risk factors for CS. METHOD: A cross sectional study was performed on 1649 healthy, nulliparous women at term who were admitted in spontaneous labor and delivered at Boston Medical Center between Jan 1st 2008 and Dec 31st 2012. The demographics and outcomes were compared by using a logistic regression analyses. RESULT: There were no statistically significant differences in unplanned CS rates between the three BMI groups (19% in normal weight, 24% in overweight, and 21% in obese women, p=0.1). Compared with normal weight women the crude odds ratio for overweight women was 1.34 (95%CI 1.03-1.76) and for obese women 1.04 (95%CI 0.84-1.54). A multivariate logistic regression analysis was used to adjust for maternal age, birth weight, race and augmentation of labor. The adjusted ORs were 1.073 (95%CI 0.781-1.473) for obese and 1.291 (95%CI 0.978-1.705) for overweight women. Obese women had a higher rate of CS for non-reassuring fetal status (56%, p= 0.01) compared to overweight (46.5%) and normal weight women (37%). CONCLUSION: high maternal BMI per se does not appear to be an independent risk factor for unplanned CS in healthy nulliparous women presenting at term with a singleton pregnancy in spontaneous labor.en_US
dc.language.isoen_USen_US
dc.rightsAttribution 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectObstetricsen_US
dc.subjectBMIen_US
dc.subjectBody mass indexen_US
dc.subjectCesarean section rateen_US
dc.subjectObesityen_US
dc.subjectPregnancyen_US
dc.subjectUnplanned emergencyen_US
dc.titleDoes high body mass index affect the unplanned cesarean section rate and its indications in healthy nulliparous women without other risk factors?en_US
dc.typeThesis/Dissertation
dc.date.updated2016-03-12T07:13:30Z
etd.degree.nameMaster of Scienceen_US
etd.degree.levelmastersen_US
etd.degree.disciplineClinical Investigationen_US
etd.degree.grantorBoston Universityen_US


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Attribution 4.0 International
Except where otherwise noted, this item's license is described as Attribution 4.0 International