The maternal body mass index: a strong association with delivery route.
The maternal body mass index: a strong association with delivery route.
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DOI：
10.1016/j.ajog.2010.06.024
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发表时间：
2010-09
影响因子：
9.8
通讯作者：
Consortium on Safe Labor
中科院分区：
文献类型：
--
作者：
Kominiarek MA;Vanveldhuisen P;Hibbard J;Landy H;Haberman S;Learman L;Wilkins I;Bailit J;Branch W;Burkman R;Gonzalez-Quintero VH;Gregory K;Hatjis C;Hoffman M;Ramirez M;Reddy UM;Troendle J;Zhang J;Consortium on Safe Labor
评估体重指数 (BMI) 对分娩期间剖宫产风险的影响。安全劳工联盟收集了 228,668 次交货的电子数据。本队列研究对入产时 BMI 已知且单胎≥37周的女性进行了分析。回归分析产生了剖宫产的相对风险，对奇产和既往剖腹产进行了分层，同时控制了协变量。在 124,389 名女性中，14.0% 进行了剖腹产。对于未产妇、经产妇和未进行剖腹产的产妇，剖腹产次数随着体重指数的增加而增加。 BMI > 40 kg/m2 的产妇超过 50% 进行了重复剖腹产手术。所有亚组的剖宫产风险随着 BMI 的增加而增加，p<0.001。体重指数每上升 1kg/m2，未产妇、经产妇和未接受过剖腹产的经产妇的剖宫产风险分别增加 5%、2% 和 5%。足月产妇的入院体重指数与分娩方式显着相关。产次和既往剖腹产是其他重要的预测因素。
To assess body mass index (BMI) effect on cesarean risk during labor. The Consortium on Safe Labor collected electronic data from 228,668 deliveries. Women with singletons ≥37 weeks and known BMI at labor admission were analyzed in this cohort study. Regression analysis generated relative risks for cesarean stratifying for parity and prior cesarean while controlling for covariates Of the 124,389 women, 14.0% had cesareans. Cesareans increased with increasing BMI for nulliparas, multiparas with and without a prior cesarean. Repeat cesareans were performed in >50% of laboring women with a BMI >40kg/m2. The risk for cesarean increased as BMI increased for all subgroups, p<0.001. The risk for cesarean increased by 5%, 2%, and 5% for nulliparas, multiparas with and without a prior cesarean, respectively, for each 1kg/m2 rise in BMI. Admission BMI is significantly associated with delivery route in term laboring women. Parity and prior cesarean are other important predictors.
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影响因子：
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作者：
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通讯作者：
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