Abstract
BackgroundSeveral studies suggest that maternal obesity might be associated with intraoperative and postoperative complications of cesarean delivery. However, these results are not validated in the Pakistani population.AimWe aimed to assess the association between maternal obesity and intraoperative and postoperative complications of cesarean delivery.MethodsWe performed a retrospective observational study recording the prevalence of intraoperative and postoperative complications in women undergoing cesarean delivery. For all consecutive cesarean deliveries in Fehmida Sarfaraz hospital, Sialkot, Pakistan, we recorded the data of the maternal age, weight, body mass index (BMI), gestational age at delivery, intraoperative and postoperative complications, and the adverse pregnancy outcomes. We used the chi-square test, Spearman correlation, and linear regression to test the relationship between the study variables.ResultsWe included 245 women in this study (non-obese group: n = 83; obese group: n = 162). BMI positively correlated with the incidence of deep venous thrombosis (DVT; r = 0.249), endometritis (r = 0.148), pyrexia (r=0.139), and wound infections (r = 0.155). Also, BMI could significantly predict DVT (Beta coefficient 2.886, P = 0.003), hospital stay (Beta coefficient 0.801, P = 0.001), pyrexia (Beta coefficient 0.819, P = 0.003), and wound infection (Beta coefficient 0.449, P = 0.049).ConclusionOur data suggest that BMI was significantly correlated with several cesarean section (CS) delivery complications. Obese women undergoing CS delivery are at higher risk of several CS delivery complications. Also, they had a longer hospital stay and higher birth weight for their neonates compared with non-obese women. Future multicentre studies are needed in our population to determine the magnitude of risk across different BMI subgroups.
Highlights
About 830 women die every day from complications of pregnancy and childbirth
body mass index (BMI) positively correlated with the incidence of deep venous thrombosis (DVT; r = 0.249), endometritis (r = 0.148), pyrexia (r=0.139), and wound infections (r = 0.155)
Our data suggest that BMI was significantly correlated with several cesarean section (CS) delivery complications
Summary
About 830 women die every day from complications of pregnancy and childbirth. The literature suggests that pre-pregnancy obesity might have a negative impact on pregnancy outcomes and childbirth complications. The clear relationship between maternal BMI and these outcomes have not been clarified yet. Most of these data come from developed countries where obesity is said to be more prevalent; obesity is getting a problem of underdeveloped countries as well because of lack of awareness. Several studies suggest that maternal obesity might be associated with intraoperative and postoperative complications of cesarean delivery. These results are not validated in the Pakistani population
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