Abstract

difference by BMI category (p 0.5). Among nulliparas, there is increased risk of CD for OB vs. NW after controlling for age and race (aOR 2.0 [1.0-3.7], p 0.04). This risk is not seen for OW vs. NW (OR 1.3 [0.8-2.4], p 0.3). In nulliparas with CD, there was a difference in CD rate for failed IOL among groups (OB-27%, OW-32%, NW-6%, p 0.001). In multiparas, BMI category was not associated with CD (p 0.6). CONCLUSION: Our study demonstrates no difference in latent LT for women undergoing IOL, regardless of parity. However, there is an increased risk of CD and CD for failed IOL in OB nulliparas undergoing IOL. Further research is needed to understand labor curves in OB women to optimize labor and delivery management and minimize unnecessary CD.

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