Title: Obesity in pregnancy: Altered onset and progression of labour
Authors: Bogaerts, Annick ×
Witters, Ingrid
Van den Bergh, Bea
Jans, Goele
Devlieger, Roland #
Issue Date: Dec-2013
Publisher: Churchill Livingstone
Series Title: Midwifery vol:29 issue:12 pages:1303-13
Article number: S0266-6138(12)00254-9
Abstract: BACKGROUND: the incidence of obesity increases in all developed countries to frightful percentages, also in women of reproductive age. Maternal obesity is associated with important obstetrical complications; and this group also exhibits a higher incidence of prolonged pregnancies and labours. OBJECTIVE: to review the literature on the pathophysiology of onset and progression of labour in obese woman and translate this knowledge into practical recommendations for clinical management. METHODS: a literature review, in particular a critical summary of research, in order to determine associations, gaps or inconsistencies in this specific but limited body of research. FINDINGS: the combination of a higher incidence of post-term childbirths and increased inadequate contraction pattern during the first stage of labour suggests an influence of obesity on myometrial activity. A pathophysiologic pathway for altered onset and progression of labour in obese pregnant women is proposed. CONCLUSIONS: analysis of the literature shows that obesity is associated with an increased duration of pregnancy and prolonged duration of first stage of labour. IMPLICATIONS FOR PRACTICE: an adapted clinical approach is suggested in these patients.
ISSN: 0266-6138
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Departement Gezondheidszorg - UC Limburg
Pregnancy, Foetus and Newborn (-)
Clinical Genetics
Department of Human Genetics - miscellaneous
Health Psychology
× corresponding author
# (joint) last author

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