Labour Process Research Articles

Dirty Tracks Across the Border: Global Operations of Extraction, Labour and Migration at a Railway Station on the Bihar–Nepal Border

This article is based on an ethnography of the railway siding at Raxaul Junction railway station, a town on the Bihar–Nepal border, which finds itself at the intersection of a massive logistical exercise by China in the form of the Belt Road Initiative, counter-logistical apparatus building by India and incremental hardening of an otherwise ‘open’ border by Nepal. The article will analyse in detail the intricate network of the labour market that operates at and through the railway siding. It will also trace the origins of commodities used in the cement factories in the industrial corridor of Nepal that are extracted from some of the most deprived regions of India at great human and social costs. Finally, I will describe some of the latest exercises in logistical operations such as containerisation, opening of a new land port, the Integrated Check Post in Raxaul and operationalisation of a new dedicated freight corridor from Vishakhapatnam port to Raxaul, which is reconfiguring the logistical arrangements away from Kolkata and Haldia port and their implications on labour and labour practices. The Raxaul railway siding will be, hence, studied on multiple scales: global, national and local. The article will also try to understand the transformation of this very peculiar border town located on a unique border. This transformation is creating new labour processes, migratory processes and networks, and new modes of production of workers’ subjectivities and resistance along the global logistical apparatus and supply chains. It will also open up the possibilities of thinking conceptually about ‘South Asian Border Systems’.

Analyzing the Expectant Management of Redefined Active Phase of Labor (WHO 2018 Guidelines) in Nulliparous Women: A Randomized Control Trial

BACKGROUND:The World Health Organization (WHO) in their 2018 guidelines favored a noninterventional approach toward the labor process. The active phase of labor will be initiated when the cervix is 5 cm dilated and during obsoleted use of a 1 cm/hour cervical dilation rate as a diagnostic test for abnormal birth outcomes.OBJECTIVES:The aim of the study is to compare an active interventional labor management approach to a noninterventional labor management approach in nulliparous parturient women in terms of need of intervention, mode of birth, and maternofetal outcome.METHODOLOGY:This randomized control study was conducted at a rural tertiary care hospital for a period of 1.5 years. Nulliparous low-risk pregnant women presenting in latent labor were randomly allocated into two groups on the basis of cervical dilation and labor intervention. WHO 2014 guidelines with partograph were followed in group 1, and 2018 WHO guidelines with labor care guide were followed in group 2.RESULT:Both the groups were comparable with age, parity, and Bishop score at the time of admission. The incidence rates of intervention in the active first stage of labor in group 1 and group 2 were 31% and 10% with an odds ratio of 0.192 (95% confidence interval [CI] [0.079, 0.466]), and the rates of lower segment cesarean section in both the groups were 17.6% and 5.8%, respectively. The odds ratio with 95% CI for postpartum hemorrhage and neonatal intensive care unit admission in group 1 compared with group 2 was 0.313 [0.061, 1.610] and 1.057 [0.143, 7.832], respectively.CONCLUSION:This study showed that the shifting of the active first-stage threshold by 1 cm and letting labor progress at its natural pace significantly reduced the need for intervention and affected the fetal and maternal outcome positively.

Efektivitas Pemberian Murottal Al-Qur’an Surat Ar-Rahman dan Relaksasi Nafas Dalam Terhadap Kecemasan Pasien Sectio Caesarea G1P0AO

Sectio caesarea (SC) is an important action to prevent the risk of death of the mother or baby during labor. However, the increasing number of operations raises concerns about the health and psychological impacts on mothers. Pre-operative anxiety is often experienced by CS patients and can have a negative impact on the labor process. This study used a case study with 1 intervention patient and 1 control patient. Nursing care is provided to G1P0AO pregnant women who experience anxiety before undergoing SC surgery. Intervention in the form of murottal of Al-Qur'an Surah Ar-Rahman and deep breathing relaxation was given for 45 minutes before the operation process. Scoring of reduced anxiety levels in intervention and control patients before and after therapy showed a significant effect. Patients who received the intervention experienced significant reductions in blood pressure and pulse, indicating decreased anxiety. In contrast, control patients had increased blood pressure and pulse, indicating increased anxiety. Conclusion: Murottal therapy of Al-Qur'an Surah Ar-Rahman and deep breathing relaxation significantly reduce anxiety levels in SC patients. Integration of these nonpharmacological therapies in clinical protocols may aid in the preoperative preparation of SC patients. Further research is needed to confirm these findings and explore their potential applications in other medical contexts.

Implementation of Islamic Spiritual Guidance in Reducing Anxiety for Prenatal Patients at Muhammadiyah Metro General Hospital

Anxiety describes a person's emotional feelings that arise when facing an event or occurrence in his life. The anxiety experienced by pregnant women as prenatal patients is motivated by lack of knowledge and inexperience about the labor process, physical conditions that do not support suddenly, lack of emotional support from family and environment, inappropriate delivery schedule, or pain when contractions occur become one of the backgrounds of anxiety in prenatal patients. So, to reduce anxiety in prenatal patients, help from third parties is needed to provide a sense of calm through psychological assistance in the form of motivation. Muhammadiyah Metro General Hospital, is a hospital that provides these services through Islamic spiritual guidance services for each patient. So, the purpose of this study is to describe the Implementation of Islamic Spiritual Guidance in reducing anxiety for prenatal patients at Muhammadiyah Metro General Hospital. This research uses a type of field research with qualitative descriptive methods. Researchers directly carry out data collection and information related to the research location. Data collection techniques used by the author are interviews, observations and documentation using source triangulation and triangulation techniques to test the validity of research data. The results of this study stated that there were prenatal patients who experienced anxiety such as Reality or objective Anxiety, Neurotic Anxiety, and Moral Anxiety. Islamic Spiritual Guidance in reducing anxiety in prenatal patients at Muhammadiyah Metro General Hospital is implemented by providing psychological, spiritual and fiqh pain assistance and education to prenatal patients.

CHANGES IN THE LEGAL FIELD OF PERSONNEL MANAGEMENT IN THE CURRENT CONDITIONS OF MARITAL STATE IN UKRAINE

For the effective development of any enterprise, organization or institution, a key aspect is the organization of work with documents, in particular with personnel documentation. Personnel documentation includes a variety of documents containing information about personnel, such as applications for acceptance, dismissal, transfer to another position, orders, autobiographies, characteristics, contracts and employment agreements recorded in labor books. The personnel department is responsible for the preparation and execution of these documents and is considered a mandatory and important structural unit of any organization. Personnel accounting is carried out at all enterprises and institutions that have the right to independently hire and fire employees, transfer them or reward them, as well as establish their own internal rules and working conditions. Documents related to personnel work are drawn up at almost every enterprise. The quality of documentation and its efficiency significantly affect how effectively work with these documents is conducted. The very process of working with personnel documentation is an essential component of personnel administration. The determining factor in the success of mutual relations and maintaining the balance of the interests of employees and employers is the development and introduction of the necessary organizational and legal document base, which will ensure the progress of the labor process in accordance with the norms of current legislation. Compliance with key measures of personnel work guarantees the management of labor resources in accordance with ethical norms also. This will ensure a civilized resolution of problems and conflicts that may arise between subjects of labor relations. After all, the burden on labor legislation and personnel management is significantly increasing and requires adaptation to new realities in modern conditions of martial law.

The Impact of the Use of e-Partogram on Maternal and Perinatal Outcomes: A Scoping Review.

To overcome shortcomings of the paper partograph, enhance care during labor and delivery, improve record keeping, and help decision-making, several countries have focused on adopting low-cost digital applications. This scoping review highlights the usability and current status of the digital partogram in obstetric care. We conducted a thorough search involving the databases ScienceDirect, PubMed, and Google Scholar for relevant studies from inception till September 2023 by using the keywords "partograph", "electronic", and "obstetric" as well as the Boolean operators "AND" and "OR". Based on the selection criteria, 25 studies exploring the application of electronic partographs (e-partographs) in obstetric care were included in the review. The majority of the studies examined the efficiency and reported the effectiveness of e-partographs in comparison to paper partographs. The e-partograph has also demonstrated a clear benefit in that the healthcare providers filled out the data, and a reminder mechanism was placed, which might help determine whether the labor process was normal or needed more care. Moreover, an e-partograph was simple to adopt and use for obstetric caregivers and had the potential to save time. To sum up, digital partograph produces superior results to paper partograph. The use of an e-partograph can keep deliveries on track while lowering the need for cesarean sections and prolonged labor. The e-partograph provides essential benefits to its users and also provides a warning system with audible and visual cues that might be utilized to detect difficulties during delivery.

Knowledge, Attitude, and Practices of Labor Analgesia Amongst Obstetric Residents: A Cross-Sectional Survey.

Labor analgesia plays a crucial role in ensuring a comfortable and positive birthing experience. It provides physiological benefits to both the mother and the child. Knowledge, awareness, and communication between the anesthesiologist and the obstetrician are essential for the safe conduct of labor analgesia. We conducted this cross-sectional online survey amongst obstetric residents to assess their knowledge, attitude, and practices of labor analgesia. A structured questionnaire consisting of 19 questions was circulated amongst obstetric residents of various hospitals via electronic mode of communication. The responses were analyzed using statistical methods. Among the obstetric residents that we surveyed, 75.7% of them only sometimes employed labor analgesia for their patients. The most commonly employed methods of pain relief are opioids and non-steroidal anti-inflammatory drugs (NSAID). Most of them feel that pain-free labor is necessary because it makes the whole labor process a pleasurable one. Labor analgesia was mostly advocated at patients' request and demand. The barrier to using labor analgesia was most commonly found to be the non-availability of labor analgesia services. Despite the increasing awareness of labor analgesia there still lies a gap between the attitude towardit and the practice of it. Further education to rectify the misconceptions and barriers needs to be taken for providing beneficial services to pregnant females.

Guns, goons, and the waterfront priest: Remaking Manila's anti-communist docks in 1950

This article examines how early Cold War anti-communism transformed labor processes at the Port of Manila. In 1950 the threat of communism at the city's port gained the attention of the highest reaches of the US State Department. Shifting diplomatic discourses and a changing Cold War map imbued new meaning into trade union racketeering and Filipino dockworkers who were, it was dubiously argued, on the verge of joining the country's communists. Through archival analysis of diplomatic dispatches, intelligence reports, and newspaper sources, this article examines a series of spectacular events and covert political diplomacy. In particular it explains how an American Jesuit priest in Manila earned the trust of the State Department and played an outsized role in remaking pier-side labor politics. As concern grew in Washington, American diplomats covertly intervened to back the priest. In detailing how the piers staged global geopolitics, the article also situates these affairs in local political contexts to argue for a more nuanced understanding of anti-communism in Southeast Asia. Filipino trade union leaders and government officials colluded with but also subverted and remade American discourses and diplomacy to their own political and economic advantage.

WOMENS CHOICE OF POSITIONS DURING LABOUR- AN ANCIENT TOUCH TO TODAYS MODERN OBSTETRIC PRACTICE

Introduction: Childbirth medicalization has reduced the parturienta opportunity to labour and deliver in spontaneous position, constricting her to assume the recumbent one. Aims and objectives: the aim of this study was to educate the pregnant women who are not in labour about the alternative positions of labour and take there desired position of delivery. Material And Methods: This Study Was Conducted In Pravara Hospital In Multiparous Ante Natal Women Of 300 By Showing Them The Images Of Different Birthing Positions And Taking There Input In Which They Desire To Labour. Results: Results Of The Study Are Summerised In Form Of Percentages Of Women Willing To Deliver In Different Positions. Conclusion: Counselling Women For Alternative Maternal Positioning May Positively Influence Labour Process Reducing Maternal Pain , Operative Vaginal Delivery , Caeserean Section And Episiotomy Rate.

Braverman and Labor and Monopoly Capital: A Retrospective

Abstract This paper appraises the work of Harry Braverman (1920–76), specifically his classic, Labor and Monopoly Capital, published in 1974 and remaining an influential reference for what has become the labour process approach to the study of work in capitalist societies. Labor and Monopoly Capital (LMC) reshaped what was then known as industrial sociology in the English-speaking world and was impactful across a range of disciplines, including history, organisation and management studies, comparative political economy, and labour geography. It is widely regarded as the foundational text of labour process theory (LPT). Fifty years after the initial publication of LMC, that theoretical approach is not only alive and well, but in the past decade, undergone something of a resurgence, influencing global communities of scholars. The paper takes a close look primarily at the text in its context, examining the genesis of the arguments, the distinctive biography of the author, and the structure of the book drawing out its major and minor themes, including a critical assessment of sources and evidence. We argue that the enormous impact of LMC can be explained by its successful challenge to existing orthodoxies about trajectories in work, technology, and management dominant in the social sciences and orthodox Marxism. This is followed up with a discussion of the reception, diffusion, and development of LMC comparatively and across different geographic domains and academic disciplines. As the debate on LMC eventually became a much broader programme of theory and research on the labour process, we consider some of the key points of differentiation from one of the foundational texts. Whilst acknowledging its enduring legacy, the final section argues that there is only a route forward from, rather than back to Braverman, given the profound changes to global capital and labour in the 50 years since LMC appeared.

Industrial relations as power, place and time: the case of Queensland coal mining

ABSTRACT How has the coal mining industry been changing as employers and unions organise their power resources to control and remake spaces of working and living? The most obvious likely changes are those driven by climate change policies. These are, however, only the most obvious, albeit fundamental, transformations facing coal mining workforces and unions. In the massive export coalfields of the State of Queensland, which have been central to the Australian politics of climate change, a less discussed phenomenon has been unfolding, a remaking of place and power in industrial relations. Employer-driven changes, namely automation, the geography of work and bargaining processes, and workforce composition, have presented themselves as the immediate threats to local traditions of work and social practice, not climate policy. ‘Power resources approaches’, when spatialised, historicised and entwined with labour process analysis, help to explain the breadth of employer-driven change and the unevenness of union responses.

Physiological plateaus during normal labor and birth: A novel definition.

Diagnoses of labor dystocia, and subsequent labor augmentation, make one of the biggest contributions to childbirth medicalization, which remains a key challenge in contemporary maternity care. However, labor dystocia is poorly defined, and the antithetical concept of physiological plateaus remains insufficiently explored. To generate a definition of physiological plateaus as a basis for further research. This qualitative study applied grounded theory methods and comprised interviews with 20 midwives across Australia, conducted between September 2020 and February 2022. Data were coded in a three-phase approach, starting with inductive line-by-line coding, which generated themes and subthemes, and finally, through axial coding. Physiological plateaus represent a temporary slowing of one or multiple labor processes and appear to be common during childbirth. They are reported throughout the entire continuum of labor, typically lasting between a few minutes to several hours. Their etiology/function appears to be a self-regulatory mechanism of the mother-infant dyad. Physiological plateaus typically self-resolve and are followed by a self-resumption of labor. Women with physiological plateaus during labor appear to experience positive birth outcomes. Despite appearing to be common, physiological plateaus are insufficiently recognized in contemporary childbirth discourse. Consequently, there seems to be a significant risk of misinterpretation of physiological plateaus as labor dystocia. While findings are limited by the qualitative design and require validation through further quantitative research, the proposed novel definition provides an important starting point for further investigation. A better understanding of physiological plateaus holds the potential for a de-medicalization of childbirth through preventing unjustified labor augmentation.

The Effect of Jaripunktur on During Pain The Active Phase in Laboring Mothers at Independent Midwifery Clinics Y in Cimahi City

Labor pain is a major problem that is generally felt and experienced by all laboring women during the labor process. If not promptly addressed, this pain can induce excessive anxiety and fear in mothers during labor. This of course can cause labor to be prolonged and labor pain to feel more intense. The purpose of this study was to determine the effect of Jaripunktur (finger meridian points, LI 4 and SP 6) on pain during active phase I in laboring women at INDEPENDENT MIDWIFERY CLINICS Y in Cimahi City. The study was implemented through a Quasi-Experimental approach, utilizing a control group design with pre-test and post-test on two groups. The statistical analysis employed is the Wilcoxon test, with the p-value <0.05. This research involved a total of 38 participants, all of whom were working mothers in the first stage of labor, split into two groups of 19 each for the intervention and control groups respectively. The study took place from November 17 to December 17, 2022, utilizing questionnaires for collecting data. Findings indicated that Jaripunktur's application positively influenced analgesia during the first stage of labor in the mothers studied. Given this study, midwives or other healthcare workers should apply Jaripunktur to women in active stage I labor.

Postoperative Pain Reduction in “Cesarean Mothers” with Hand and Foot Massage

Abstract Objective Experiencing the miracle of childbirth is a profound and joyous moment for every woman. However, amidst this happiness, it is important to acknowledge the physical pain associated with childbirth. As a result, there is a pressing need to address the imperative of alleviating pain in women undergoing cesarean sections. A significant number of women choose cesarean section as a means to circumvent the challenges associated with the labor process. Method A quasi-experimental nonequivalent control group pretest and posttest design was adopted in this study. Using the purposive sampling method, 60 mothers who underwent cesarean-section were selected and randomly assigned to the intervention and control groups. Data were collected using the baseline proforma and Numerical Pain Rating Scale. A pretest was carried out for both groups using the Numerical Pain Rating Scale. The intervention group received hand and foot massages for 20 minutes twice daily (morning and evening) for 3 days. After 5 minutes of intervention, both groups underwent a posttest. Results The mean preintervention pain score on day 1 was 8.10 ± 0.61, and the mean percentage was 81, whereas the posttest mean score was 7.00 ± 0.64 and the mean percentage was 70. There was a decline in the pretest and posttest from day 2 onward. Between the pretest and posttest, pain scores showed a significant difference in the intervention group (F-value (11&319) = 498.32, p = 0.001). Conclusion Mothers who underwent cesarean section benefited from hand and foot massage. Clinical Significance This article holds significance in the contemporary landscape, wherein a substantial number of women opt for cesarean sections due to either pregnancy complications or personal choice. The latest research outcomes contribute to mitigating pain through the implementation of nonpharmacological approaches.

Academic Women’s Labour During the COVID-19 Pandemic: A Review and Thematic Analysis of the Literature

<p>The COVID-19 pandemic has impacted academic labour, with women being disproportionately negatively affected. This scoping review provides an exploratory snapshot into the corpus of literature investigating the impact of the pandemic on academic labour. We used a set of criteria to first identify the 86 titles from which we selected 45 as the data set. We analyzed the data on characteristics of location, investigative methods, publication information, and discipline. The findings showed that most of the data were global in context; used primarily qualitative methodologies; published in a wide variety of journals; and spanned diverse disciplines, including science and health, education, business, sociology, and political sciences. We then analyzed the data thematically. The themes we identified were gender inequity, identities and intersectionality, performing work-home binaries, and invisible labour. We added a fifth theme, lived experiences, consisting of women academics’ firsthand accounts. We consider this theme unique, despite its overlap with the other themes, because it is evidence of women academics telling their personal stories. We discuss how our findings show that pandemic conditions worsened existing inequities. The solutions most often cited in the data place emphasis and responsibility on the individual, but we argue that institutions should instead be responsible to redress inequities through improving workplace labour processes. Our research can aid future research on how policy theory can inform socially just policies and practices in the post-pandemic university.</p>

On some Aspects of the Work of the Faculty of Higher Education

The article is devoted to the issue of attracting teachers to carry out professional activities in higher educational institutions. Reform and optimization of higher education affects nature and conditions of employment of teachers of Russian universities. There is a decrease in the status and prestige of teaching. Legislative changes do not always contribute to increasing the prestige of the profession, as well as the desire of practitioners to transfer their experience to the younger generation in educational organizations. An important role in this is played by the requirements for persons applying for the positions of faculty of higher education. If you look at other problematic aspects of the legal regulation of the labor of education workers, taking into account the optimization of the labor process by the employer, then the status of a teacher of higher education does not become one of the goals of a future career for young professionals. It seems that a more thoughtful approach is needed to establish the requirements for the teaching staff of the university. To achieve the main task of vocational training, an effective system of replacing teaching positions should be established, taking into account the realities of our time.

A Study of the Plight of Media Industry Interns: Manufactured Consent in the Labor Process

The media industry is currently undergoing industrial upgrading and transformation, with some traditional positions at risk of being replaced by automation and digitization. Therefore, younger employees who are more aware of the new situation are required. Besides, media companies are facing the challenge of declining revenues since the COVID-19 outbreak has put pressure on the media market. Overall, employment opportunities have been affected in the short term but changes and developments in the industry will bring new employment needs and opportunities. In this case, interns become an important part of the media industry workforce. This paper analyzes the social factors behind the "ideal game" and youth anxiety in the media industry from the perspective of "labor consent". Findings show that interns in the media industry in the digital age are expected to be "progressive", but the reality reflects a conflict between high expectations and de-skilled work, as well as a contradiction between the desire for self-control over a lifetime and the possession of the body. The overemphasis on the quantity of work experience possessed by workers leads to a neglect of quality, and quantitative rationality becomes a paradox of work experience. Under unbalanced conditions of supply and demand, false "labor consent" created by the "ideal game" is manufactured among young people. They repeatedly engage in de-skilled work in an attempt to accumulate internships in order to secure a future of discretionary time.

‘AgTech’ and the restructuring of agrifood labour regimes: Digital technologies, migrant labour and the intensification of production in the UK glasshouse sector

AbstractThis article examines the challenges surrounding the adoption of robotic automation and ‘AgTech’ in glasshouse agrifood production and considers ways in which growers and technology capital are seeking to transform the organisation of work at the point of production because of digital technological interventions. The article does so by examining the deployment by growers of ‘AgTech’ in the glasshouse agrifood sector in the context of the labour regime centred around seasonal migrant labour supply in the UK. The article makes three main contributions. Conceptually it centres technological transformation of the workplace within the context of wider labour regimes. Second, it argues that transformations of the labour process at the point of production through the introduction of ‘AgTech’ are one response by growers to labour supply shortages. Third, it examines the attempts by grower capital to intensify and fragment the nature of work as a result of the introduction of ‘AgTech’.

Audience analytics and tensions in digital news work: evidence from Swiss news media

PurposeTracing audience preferences via audience analytics software has become a vital strategy for many news organizations to ensure their competitiveness in media markets. Extant research also confirms the growing presence of these tools in digital news work in recent years across many local and international news media. However, little is understood about the analytics-driven tensions emerging among journalists and media managers. This paper aims to address this gap by drawing on the labor process theory, which critically analyzes labor and workplace transformations under capitalism.Design/methodology/approachThe present study employs an interview-based qualitative methodology to deeply understand the factors at the base of the emerging tensions between news workers and managers brought about by audience metrics tools.FindingsResults show how some perceptions, activities and contextual triggers related to analytics could make relationships between workers and managers problematic. The pressures felt by some journalists stemmed from the way their media managers introduced, interpreted, communicated and applied analytics in the workplace, which were not tied to the quality and learning goals related to journalists’ aspirations. As our evidence suggests, the analytics-induced tensions among news workers were rather an outcome of managerial deficits than of systematic plans to exploit journalists.Originality/valueBy identifying the nature of fundamental analytics-driven tensions in newsrooms, this paper contributes to our understanding of how media managers can embrace more effective approaches toward audience analytics, workforce and organizational performance.

Obstetric outcome following bariatric surgery in kingdom of Bahrain

Obesity has complications in relation to health as well as pregnancy. Bariatric surgeries gain interest among obese women to reduce the adverse obstetric outcomes. However, pregnancy post bariatric surgeries have benefits as well as risks. The study analyzed the effects of bariatric surgery on pregnancy, delivery, and postpartum period.This is a retrospective study conducted in Bahrain Defense Force Hospital from September 2019 till August 2020. The study included women in the reproductive age who had bariatric surgery before planning pregnancy and a control group of women who did not undergo the bariatric surgeries. Comparison of obstetric outcome was done between both groups. Data included demographic characteristics, method conceived, antenatal pathway, delivery process and postpartum period. Results were presented as odds-ratios (OR) with 95% confidence interval (CI) and P-values. P values of less than 0.05 were considered statistically significant.This analysis includes 2972 patients. 47 patients of them had undergone previous bariatric procedure. Patients with previous bariatric surgery were older 32.8vs 29.9 and interestingly heavier with BMI 34.5 vs 31.1. Patients with previous bariatric surgery had more antenatal complications 36% vs 18.5% (p=0.002). The most evident complication is gestational diabetes with 21.3% of patients who had bariatric surgery developed Gestational Diabetes Mellitus(GDM) during pregnancy compared to 8.9% of patients without the surgery (P=0.004). Both groups had similar start of labor, 1 stage of labor, 2 stage of labor, 3 stage of labor and prolonged 2 stage of labor. Caesarean section rate was similar at 42.6% vs 35.4% (p=0.31). After adjusting confounding factors, previous bariatric surgery increased length of stay in hospital more than 3 days with OR 2.3 95%CI (1.2-4.4) P=0.01.Our study concluded the antenatal complications, Gestational diabetes as well as postpartum length of stay are significantly increased in post bariatric pregnant women. However, labor process and fetal outcome did not show significant difference.