Interdelivery weight gain and risk of cesarean delivery following a prior vaginal delivery

American Journal of Obstetrics and Gynecology
Annie M DudeWilliam A Grobman

Abstract

Approximately one third of all deliveries in the United States are via cesarean. Previous research indicates weight gain during pregnancy is associated with an increased risk of cesarean delivery. It remains unclear, however, whether and to what degree weight gain between deliveries (ie, interdelivery weight gain) is associated with cesarean delivery in a subsequent pregnancy following a vaginal delivery. The objective of the study was to determine whether interdelivery weight gain is associated with an increased risk of intrapartum cesarean delivery following a vaginal delivery. This was a case-control study of women who had 2 consecutive singleton births of at least 36 weeks' gestation between 2005 and 2016, with a vaginal delivery in the index pregnancy. Women were excluded if they had a contraindication to a trial of labor (eg, fetal malpresentation or placenta previa) in the subsequent pregnancy. Maternal characteristics and delivery outcomes for both pregnancies were abstracted from the medical record. Maternal weight gain between deliveries was measured as the change in body mass index at delivery. Women who underwent a subsequent cesarean delivery were compared with those who had a repeat vaginal delivery using χ2 stati...Continue Reading

References

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Citations

Nov 22, 2019·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·Yvon E G TimmermansAnita C E Vreugdenhil
May 18, 2019·Medicine·Jose Alberto Martínez-HortelanoVicente Martínez-Vizcaíno
Dec 29, 2020·American Journal of Perinatology·Tetsuya KawakitaHelain J Landy
Apr 21, 2021·American Journal of Perinatology·Annie M DudeDeepika Reddy
May 22, 2021·American Journal of Obstetrics and Gynecology·Stephen M WagnerSuneet P Chauhan
Oct 26, 2021·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·Taniya S NagpalNicola Heslehurst

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