지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 169 - 177 (9page)
이용수
초록· 키워드
오류제보하기
ObjectiveTo evaluate the risk of emergency cesarean section according to the prepregnancy body mass index (BMI) and gestational weight gain per the 2009 Institute of Medicine guidelines.
MethodsA retrospective analysis of data from 2,765 women with singleton full-term births (2009 to 2012) who attempted a vaginal delivery was conducted. Pregnancies with preeclampsia, chronic hypertension, diabetes, planned cesarean section, placenta previa, or cesarean section due to fetal anomalies or intrauterine growth restriction were excluded. Odds ratios (ORs) and confidence intervals (CIs) for emergency cesarean section were calculated after adjusting for prepregnancy BMI or gestational weight gain.
ResultsThree-hundred and fifty nine (13.0%) women underwent emergency cesarean section. The adjusted OR for overweight, obese, and extremely obese women indicated a significantly increased risk of cesarean delivery. Gestational weight gain by Institute of Medicine guidelines was not associated with an increased risk of cesarean delivery. However, inadequate and excessive weight gain in obese women was highly associated with an increased risk of emergency cesarean section, compared to these in normal BMI (OR, 5.56; 95% CI, 1.36 to 22.72; OR, 3.63; 95% CI, 1.05 to 12.54; respectively), while there was no significant difference between normal BMI and obese women with adequate weight gain.
ConclusionObese women should be provided special advice before and during pregnancy for controlling weight and careful consideration should be needed at the time of vaginal delivery to avoid emergency cesarean section.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Villamor E / 2006 / Interpregnancy weight change and risk of adverse pregnancy outcomes : a populationbased study / Lancet 368:1164~1170
Korea Centers for Disease Control and Prevention / 2013 / Korea National Health and Nutrition Examination Survey 2012
Graham LE / 2014 / Does amount of weight gain during pregnancy modify the association between obesity and cesarean section delivery? / Birth 41:93~99
Burrows LJ / 2004 / Maternal morbidity associated with vaginal versus cesarean delivery / Obstet Gynecol 103:907~912
Jespersen C / 2014 / Fear of childbirth and emergency caesarean section in low-risk nulliparous women : a prospective cohort study / J Psychosom Obstet Gynaecol 35:109~115
Korea Centers for Disease Control and Prevention / 2013 / Korea National Health and Nutrition Examination Survey 2012
Graham LE / 2014 / Does amount of weight gain during pregnancy modify the association between obesity and cesarean section delivery? / Birth 41:93~99
Burrows LJ / 2004 / Maternal morbidity associated with vaginal versus cesarean delivery / Obstet Gynecol 103:907~912
Jespersen C / 2014 / Fear of childbirth and emergency caesarean section in low-risk nulliparous women : a prospective cohort study / J Psychosom Obstet Gynaecol 35:109~115
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