Association Between Pre-Pregnancy Body Mass Index and Labor Induction Success Rates: A Case Control Study.

IF 3.1 4区 医学 Q1 Medicine Medical Science Monitor Pub Date : 2024-12-15 DOI:10.12659/MSM.946357
Dina Marlina, Aditya Utomo, Budi Handono, Dewi Rani Pelitawati, Putri Nadhira Adinda Adriansyah, Muhammad Alamsyah Aziz, Aditiyono Aditiyono
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Abstract

BACKGROUND Obesity is described as excessive fat accumulation. Almost 47% of pregnant women gain more weight than recommended. The prevalence of obesity doubled from 2007 to 2018 (10.5% to 21.8%) in Indonesia. An increase in body mass index (BMI) before pregnancy is associated with delayed labor and vaginal delivery failure. Women with overweight or obesity in pregnancy are at increased risk of developing gestational hypertension and gestational diabetes, resulting in the induction of labor or elective cesarean section. This study aimed to investigate the correlation between pre-pregnancy BMI and outcomes from induction of labor in 248 women during 1 year at a hospital in Purwokerto, Indonesia. MATERIAL AND METHODS The study was conducted at Margono Soekarjo General Hospital and involved all pregnant women delivered between 2023 and 2024. Inclusion and exclusion criteria were applied. Total number of pregnant women was 248, BMI used Asian parameters, induction of labor was performed with oxytocin or misoprostol, and outcomes were according to the International Federation of Gynecology and Obstetrics. The design was a case-control study. Statistical analysis performed using IBM SPSS Statistics version 29.0.1.0 was used to analyze odds ratio and chi-square test. RESULTS This research study revealed pregnant women with obesity had statistically significant higher odds, with an odds ratio of 3.78 (95% CI 1.53-9.31, P=0.002), of labor induction failure than did those without obesity. CONCLUSIONS The findings from this study showed that increased BMI in pre-pregnancy significantly increased the risk of failure of labor induction.

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孕前体重指数与引产成功率的关系:病例对照研究。
背景 肥胖是指脂肪过度堆积。近 47% 的孕妇体重增加超过了建议值。印度尼西亚的肥胖症发病率从 2007 年到 2018 年翻了一番(10.5% 到 21.8%)。孕前体重指数(BMI)的增加与分娩延迟和阴道分娩失败有关。孕期超重或肥胖的妇女患妊娠高血压和妊娠糖尿病的风险增加,导致引产或选择性剖宫产。本研究旨在调查印度尼西亚普沃克托一家医院一年内 248 名妇女的孕前体重指数与引产结果之间的相关性。材料和方法 该研究在 Margono Soekarjo 综合医院进行,涉及 2023 年至 2024 年期间分娩的所有孕妇。采用了纳入和排除标准。孕妇总人数为 248 人,体重指数采用亚洲参数,引产使用催产素或米索前列醇,结果符合国际妇产科联盟的标准。研究设计为病例对照研究。使用 IBM SPSS Statistics 29.0.1.0 版进行统计分析,分析几率比例和卡方检验。结果 该研究显示,肥胖孕妇引产失败的几率比无肥胖孕妇高,几率比为 3.78(95% CI 1.53-9.31,P=0.002),具有显著的统计学意义。结论 本研究结果表明,孕前体重指数(BMI)增加会显著增加引产失败的风险。
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来源期刊
Medical Science Monitor
Medical Science Monitor MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
6.40
自引率
3.20%
发文量
514
审稿时长
3.0 months
期刊介绍: Medical Science Monitor (MSM) established in 1995 is an international, peer-reviewed scientific journal which publishes original articles in Clinical Medicine and related disciplines such as Epidemiology and Population Studies, Product Investigations, Development of Laboratory Techniques :: Diagnostics and Medical Technology which enable presentation of research or review works in overlapping areas of medicine and technology such us (but not limited to): medical diagnostics, medical imaging systems, computer simulation of health and disease processes, new medical devices, etc. Reviews and Special Reports - papers may be accepted on the basis that they provide a systematic, critical and up-to-date overview of literature pertaining to research or clinical topics. Meta-analyses are considered as reviews. A special attention will be paid to a teaching value of a review paper. Medical Science Monitor is internationally indexed in Thomson-Reuters Web of Science, Journals Citation Report (JCR), Science Citation Index Expanded (SCI), Index Medicus MEDLINE, PubMed, PMC, EMBASE/Excerpta Medica, Chemical Abstracts CAS and Index Copernicus.
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