ArticleBMC pregnancy and childbirth2018
Impact of obesity and other risk factors on labor dystocia in term primiparous women: a case control study.
Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 32 citations in OpenAlex.
- Impact of obesity on uterine contractile activity during labour: A blinded analysis of a randomised controlled trial cohort.BJOG : an international journal of obstetrics and gynaecology · 2022Trial
- How does uterine contractile activity affect the success of trial of labour after caesarean section, and the risk of uterine rupture? An exploratory, blinded analysis of a cohort from a randomised controlled trial.BJOG : an international journal of obstetrics and gynaecology · 2022Trial
- Ultrasound-guided bone fulcrum lever rotation for fetal head malposition.Archives of gynecology and obstetrics · 2026Article
- Lipidomics of prolonged labor duration in African American birthing people.Scientific reports · 2026Article
- Article
- Influence of premature rupture of membranes on the peripartum outcomes in vaginally intended breech deliveries at term: A FRABAT study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- Maternal obesity in low-resource settings: a multicenter cohort study of labor and neonatal outcomes in Guinea.Frontiers in medicine · 2025Article
- Inconsistent definitions of prolonged labor in international literature: a scoping review.AJOG global reports · 2024Article
- The association between maternal body mass index and serial plasma oxytocin levels during labor.PloS one · 2023Observational
- Parturition in Mammals: Animal Models, Pain and Distress.Animals : an open access journal from MDPI · 2021Review
- Implications of the RhoA/Rho associated kinase pathway and leptin in primary uterine inertia in the dog.The Journal of reproduction and development · 2021Article
- Labor dystocia and risk of histological chorioamnionitis and funisitis: a study from a single tertiary referral center.BMC pregnancy and childbirth · 2021Article
- Amniotic fluid lactate level as a diagnostic tool for prolonged labour.Journal of mother and child · 2020Review
- Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPurpose of this study was to investigate differences between primiparous term pregnancies, one leading to vaginal delivery (VD) and the other to acute cesarean section (CS) due to labor dystocia in the first stage of labor. We particularly wanted to assess the influence of body mass index (BMI) on CS risk.
methodsA retrospective case-control study in a tertiary delivery unit with 5200 deliveries annually. Cases were 296 term primiparous women whose intended vaginal labor ended in acute CS because of dystocia. Controls were primiparas with successful vaginal delivery VD (n = 302). The data were retrieved from medical records. Multiple logistic regression analyses were used to assess the associations between BMI and covariates on labor dystocia.
resultsIn the cases ending with acute CS, women were older (OR 1.06 [1.03-1.10]), shorter (OR 0.94 [0.91-0.96]) and more often had a chronic disease (OR 1.60 [1.1-2.29]). In this group fetal malposition (OR 42.0 [19.2-91.9]) and chorioamnionitis (OR 10.9 [5.01-23.6]) were more common, labor was less often in an active phase (OR 3.37 [2.38-4.76]) and the cervix was not as well ripened (1.5 vs. 2.5 cm, OR 0.57 [0.48-0.67] on arrival at the birth unit. BMI was higher in the dystocia group (24.1 vs. 22.6 kg/m
conclusionsLabor dystocia is a multifactorial phenomenon in which the possibility to ameliorate the condition via medical treatment is limited. Hospital admission at an advanced stage of labor is recommended. Pre-pregnancy weight control in the population at reproductive age is essential, as a high BMI is strongly associated with labor dystocia.
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Registered trials
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