Use of the Robson classification to understand the increased risk of cesarean section in case of maternal obesity

BACKGROUND: The aim of this study was to identify characteristics of pregnant women with obesity that contribute to increased cesarean rate. METHODS: Retrospective cohort in a single academic institution between 2012 and 2019. Women who delivered during this period were classified according to the R...

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Autores principales: Crequit, Simon, Korb, Diane, Morin, Cécile, Schmitz, Thomas, Sibony, Olivier
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Research Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7690087/
https://www.ncbi.nlm.nih.gov/pubmed/33243175
http://dx.doi.org/10.1186/s12884-020-03410-z
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author Crequit, Simon
Korb, Diane
Morin, Cécile
Schmitz, Thomas
Sibony, Olivier
author_facet Crequit, Simon
Korb, Diane
Morin, Cécile
Schmitz, Thomas
Sibony, Olivier
author_sort Crequit, Simon
collection PubMed
description BACKGROUND: The aim of this study was to identify characteristics of pregnant women with obesity that contribute to increased cesarean rate. METHODS: Retrospective cohort in a single academic institution between 2012 and 2019. Women who delivered during this period were classified according to the Robson classification. Women with normal body mass index (N = 11,797) and with obesity (N = 2991) were compared. The contribution of each Robson group to the overall caesarean rate were compared. RESULTS: The overall cesarean rate was higher for women with (28.1%) than without (14.2%, p < 0.001) obesity. This result came mainly from Robson group 5a (history of one cesarean). After adjustment for medical factors within this group, the association between maternal obesity and cesarean during labor was significant. CONCLUSIONS: The higher cesarean rate in women with obesity is explained by Robson group 5a in which obesity is an independent risk factor of in labor cesarean delivery. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-020-03410-z.
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spelling pubmed-76900872020-11-30 Use of the Robson classification to understand the increased risk of cesarean section in case of maternal obesity Crequit, Simon Korb, Diane Morin, Cécile Schmitz, Thomas Sibony, Olivier BMC Pregnancy Childbirth Research Article BACKGROUND: The aim of this study was to identify characteristics of pregnant women with obesity that contribute to increased cesarean rate. METHODS: Retrospective cohort in a single academic institution between 2012 and 2019. Women who delivered during this period were classified according to the Robson classification. Women with normal body mass index (N = 11,797) and with obesity (N = 2991) were compared. The contribution of each Robson group to the overall caesarean rate were compared. RESULTS: The overall cesarean rate was higher for women with (28.1%) than without (14.2%, p < 0.001) obesity. This result came mainly from Robson group 5a (history of one cesarean). After adjustment for medical factors within this group, the association between maternal obesity and cesarean during labor was significant. CONCLUSIONS: The higher cesarean rate in women with obesity is explained by Robson group 5a in which obesity is an independent risk factor of in labor cesarean delivery. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-020-03410-z. BioMed Central 2020-11-26 /pmc/articles/PMC7690087/ /pubmed/33243175 http://dx.doi.org/10.1186/s12884-020-03410-z Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Crequit, Simon
Korb, Diane
Morin, Cécile
Schmitz, Thomas
Sibony, Olivier
Use of the Robson classification to understand the increased risk of cesarean section in case of maternal obesity
title Use of the Robson classification to understand the increased risk of cesarean section in case of maternal obesity
title_full Use of the Robson classification to understand the increased risk of cesarean section in case of maternal obesity
title_fullStr Use of the Robson classification to understand the increased risk of cesarean section in case of maternal obesity
title_full_unstemmed Use of the Robson classification to understand the increased risk of cesarean section in case of maternal obesity
title_short Use of the Robson classification to understand the increased risk of cesarean section in case of maternal obesity
title_sort use of the robson classification to understand the increased risk of cesarean section in case of maternal obesity
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7690087/
https://www.ncbi.nlm.nih.gov/pubmed/33243175
http://dx.doi.org/10.1186/s12884-020-03410-z
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