Maternal age and body mass index at term: Risk factors for requiring an induced labour for a late-term pregnancy

Enrico Ferrazzi, Gloria Brembilla, Sonia Cipriani, Stefania Livio, Andrea Paganelli, Fabio Parazzini

Research output: Contribution to journalArticle

Abstract

Introduction: We investigated the role of body mass index (BMI) and maternal age on the risk of late-term induction, prolonged induction time and caesarean section (CS) after induction. Material and Methods: This is a retrospective, observational study. All women without any fetal or maternal pathological condition, uterine scars or any other indication for an elective caesarean birth and had a singleton foetus in the cephalic position at term were included. Results: A total of 4006 women had a spontaneous onset of labour and 612 were induced for a late-term pregnancy. Labour induction was significantly more common in overweight (Adj Odds Ratio (OR) 1.48 95%CI 1.22–1.78) and obese (Adj OR 1.63 95%CI 1.24–2.14) women. Among induced women, a BMI ≥ 30 was a risk factor for a prolonged induction time in both nulliparous (AdjOR 2.4, 95%CI 1.02–5.67) and multiparous women (AdjOR 4.24, 95%CI 1.02–17.6). A BMI > 25–29.9 was significantly associated with a prolonged induction time only in nulliparous women (AdjOR 1.86 95%CI 1.05–3.30). A CS was more frequent in overweight (AdjOR 1.74, 95% CI 1.052.89) and obese women (AdjOR 2.72, 95%CI 1.42–5.25). Nulliparous women ageed 30–34 years had an induction time longer than women <30 years (OR 2.04 95%CI 1.07–3.91). Conclusions: The results of this study suggest that a BMI > 25 kg/m2 at term of pregnancy is a risk factor for the induction of labour during a late-term pregnancy, a prolonged induction time and higher caesarean section rate.

Original languageEnglish
Pages (from-to)151-157
Number of pages7
JournalEuropean Journal of Obstetrics Gynecology and Reproductive Biology
Volume233
DOIs
Publication statusPublished - Feb 1 2019

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Keywords

  • BMI
  • Induction of labour
  • Late-term pregnancy
  • Maternal age

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynaecology

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