ArticleAmerican journal of perinatology2021
Risk of Cesarean Delivery for Women with Obesity Using a Standardized Labor Induction Protocol.
Article in American journal of perinatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- Definitions of failed induction of labor in the literature: a systematic review.BMC pregnancy and childbirth · 2025Pooled it
- Cardiovascular-Related Maternal Mortality.Obstetrics and gynecology · 2026Review
- BMI-Stratified Risk of Cesarean Delivery Following Labor Induction: A Robson Classification-Based Cohort Study with Predictive Modeling.Journal of clinical medicine · 2026Article
- Beyond the Scale: Effects of Maternal Obesity on Embryo Morphokinetics and IVF Outcomes.Journal of clinical medicine · 2026Article
- Nationwide assessment of labor induction at full-term for low-risk pregnancy in the United States from 2018 to 2022.Scientific reports · 2026Article
- Labor Induction in Obese Pregnancies at Term: Risk Factors and Pregnancy Outcomes.Journal of pregnancy · 2026Article
- Body mass index and failed induction of labor: A cohort study.Acta obstetricia et gynecologica Scandinavica · 2025Article
- Mode of delivery among pregnant people with obesity undergoing labor induction in the late preterm period.Pregnancy (Hoboken, N.J.) · 2025Article
- Impact of Maternal Overweight and Obesity on Pregnancy Outcomes Following Cesarean Delivery: A Retrospective Cohort Study.Healthcare (Basel, Switzerland) · 2025Article
- Development of a Model to Predict Cesarean Delivery as the Outcome of a Failed Labor Induction in Singleton Obese Pregnant Women at Term.International journal of women's health · 2025Article
- Vaginal delivery following induction and associated factors among laboring women at South Wollo Zone Public Hospitals of Ethiopia, 2023.Scientific reports · 2024Article
- Predicting cesarean delivery among gravidas with morbid obesity-a machine learning approach.AJOG global reports · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveWe aimed to determine the risk of cesarean among women with obesity undergoing labor induction within a prospective trial that utilized a standardized labor protocol. STUDY
designThis was a secondary analysis of a randomized trial of induction methods. Term (≥37 weeks) women with intact membranes undergoing induction with an unfavorable cervix (Bishop's score ≤6 and dilation ≤2 cm) were included. The trial utilized a labor protocol that standardized induction and active labor management, with recommendations for interventions at particular time points. Only women with a recorded body mass index (BMI) at prenatal care start were included in this analysis. The primary outcome was cesarean delivery compared between obese (≥30 kg/m
resultsA total of 465 women were included: 207 (44.5%) obese and 258 (55.5%) nonobese. Women with obesity had a higher risk of cesarean compared with women without obesity (33.3 vs. 23.3%,
conclusionCompared with women without obesity, women with obesity undergoing an induction are at increased risk of cesarean, in particular a failed induction, even within the context of standardized induction management. As standardized practices limit provider variation in labor management, this study may support physiologic differences in labor processes secondary to obesity. KEY POINTS: · Even with a standardized induction protocol, women with obesity are at higher risk of cesarean.. · In particular, women with obesity are at increased risk of cesarean for failed induction.. · These findings support a possible biologic relationship between obesity and failed induction..
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Registered trials
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