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- W2019021023 abstract "To examine the risk of cesarean delivery (CD) compared to operative vaginal delivery (OVD) in obese women. This is a retrospective cohort study of 3417 deliveries to overweight and obese women at a single institution. Primary maternal outcome variables included postpartum hemorrhage, blood transfusion, chorioamnionitis, and endomyometritis. Primary neonatal outcome variables included Apgar scores, meconium aspiration syndrome, birth trauma, neonatal tachypnea, neonatal intensive care (NICU) admission, and neonatal death. Univariate analysis and multivariable logistic regression were used to assess the risk of maternal and neonatal morbidity while controlling for possible confounding covariables. Obese women undergoing cesarean delivery have an increased risk of postpartum hemorrhage, blood transfusion, and infection compared to those who have an OVD. Neonates delivered to obese women via OVD had an increased risk of birth trauma, while those delivered via CD more frequently required NICU admission. Overweight and obese women have a disproportionate risk of maternal morbidity from CD compared to OVD. OVD should be considered a safer alternative to CD for obese women.Table 1Risk of Maternal and Neonatal Morbidity with CD compared to OVDOVD %CD %aOR95% CIP-valueMATERNALPostpartum Hemorrhage16.821.41.721.36-2.17<0.001Blood Transfusion1.252.662.241.04-4.800.038Chorioamnionitis18.921.31.641.31-2.05<0.001Endomyometritis1.317.229.595.65-16.3<0.001NEONATAL5-minute Apgar <74.414.400.890.55-1.460.652Acidemia1.463.131.100.46-2.660.827Meconium Aspiration Syndrome0.831.311.970.68-5.680.211Birth Trauma2.350.330.280.82-0.960.043Neonatal Tachypnea1.481.991.030.47-2.270.943NICU Admission8.3912.761.401.02-1.930.039Neonatal Death0.280.601.071.68-6.860.941 Open table in a new tab" @default.
- W2019021023 created "2016-06-24" @default.
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- W2019021023 date "2011-01-01" @default.
- W2019021023 modified "2023-10-16" @default.
- W2019021023 title "668: Obese women have an increased risk of morbidity after cesarean delivery compared to operative vaginal delivery" @default.
- W2019021023 doi "https://doi.org/10.1016/j.ajog.2010.10.688" @default.
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