THE EFFECTS OF OBESITY ON THE ACTIVE PHASE OF THE FIRST STAGE OF LABOR

Volume 12 , Issue 4 , December 2022 , Pages 417-424

Authors

Dekan Kamaran Mahmood 1 ; Rozhan Yassin Khalil 2

1 Kurdistan Board Candidate, Sulaimani Maternity Teaching Hospital, Sulaimani, Kurdistan Region, Iraq.

2 College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.

DOI logo 10.17656/jsmc.10386

Keywords

Abstract

Background
Obesity is carrying many pregnant women now a day and has many risks for complications. There is an
association between body mass index and the progression of the active phase of first-stage labor.
Objectives
To estimate and detect obesity’s effect on the duration and progression of the active phase of labor and the
outcomes of the deliveries, either by vaginal delivery or cesarean section.
Patients and Methods
A prospective observational cross-sectional study was designed and conducted at Sulaimani maternity
teaching hospital in Sulaimani City. From 1st February 2020 to 1st February 2021, about labor study included
the progression of 184 multiparous women (para1-4) with a single vertex presentation from (37+1 to 41+6)
weeks of complete gestation. Either by spontaneous or induction labor (misoprostol or oxytocin). Between four
groups, defined by body mass index according to the world health organization. Normal (n=88), over weight
(n=3), obesity class 1(n=43), obesity class 2(n=50)
Results
A total of 184 patients were collected in this study. The mean ± SD (standard deviation) age/year of participants
was (27, 49 ±5.54 SD) minimum age was 17 years, and the maximum age was 44 years. A high percentage
of them (51.6%) were living in urban. About (27.2%) were classified as obesity class 2, which carries a high
percentage of cases that ends by cesarean section C/S (n=9) 81.8%, with prolonged duration of active phase by
mean (4.988) and standard deviation (1.9302) in comparison with other classes.
Conclusion
The duration of the active phase of labor, cesarean section rate, and the time for induction until the active
phase of labor were increased by increasing body mass index.

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  • Published at21 December 2022

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