From: Pre-pregnancy Body Mass Index (BMI) and delivery outcomes in a Canadian population
Obstetrics characteristic | Total sample (N = 1996) 1 | Normal weight (BMI 18.5-24.9 kg/m 2) | Overweight (BMI 25–29.9 kg/m 2) | p* | Obese (BMI ≥ 30 kg/m 2) | p †|
---|---|---|---|---|---|---|
Gravidity | Â | Â | Â | 0.488 | Â | 0.142 |
  Primigravida | 774 (38.9) | 522 (39.9) | 179 (38.1) |  | 73 (34.6) |  |
  Multigravida | 1215 (61.1) | 786 (60.1) | 291 (61.9) |  | 138 (65.4) |  |
Parity | Â | Â | Â | 0.416 | Â | 0.348 |
  Primiparous | 1045 (52.4) | 699 (52.3) | 241 (51.1) |  | 105 (49.8) |  |
  Multiparous | 951 (47.6) | 614 (46.8) | 231 (48.9) |  | 106 (50.2) |  |
Assisted conception2 | Â | Â | Â | 0.125 | Â | 0.395 |
  No | 1864 (97.1) | 1234 (94.3) | 435 (92.4) |  | 195 (92.9) |  |
  Yes | 58 (2.9) | 74 (5.7) | 36 (7.6) |  | 15 (7.1) |  |
Gestational age at delivery | Â | Â | Â | 0.744 | Â | 0.422 |
  370/7 – 416/7 weeks (term) | 1991 (99.7) | 1309 (99.7) | 471 (99.8) |  | 211 (100) |  |
  ≥ 420/7 weeks (post-term) | 5 (0.3) | 4 (0.3) | 1 (0.2) |  | 0 (0.0) |  |
Type of labour | Â | Â | Â | <0.001 | Â | <0.001 |
  Spontaneous | 1285 (66.6) | 904 (71.2) | 277 (60.7) |  | 104 (51.0) |  |
  Induced | 644 (33.4) | 365 (28.8) | 179 (39.3) |  | 100 (49.0) |  |
Method of induction3 | ||||||
 Oxytocin |  |  |  | 0.100 |  | 0.197 |
  No | 138 (21.4) | 88 (24.1) | 32 (17.9) |  | 18 (18.0) |  |
  Yes | 506 (78.6) | 277 (75.9) | 147 (82.1) |  | 82 (82.0) |  |
 Amniotomy |  |  |  | 0.630 |  | 0.596 |
  No | 392 (60.9) | 226 (61.9) | 107 (59.8) |  | 59 (59.0) |  |
  Yes | 252 (39.1) | 139 (38.1) | 72 (40.2) |  | 41 (41.0) |  |
 Other methods4 |  |  |  | 0.485 |  | 0.605 |
  No | 504 (78.3) | 287 (78.6) | 136 (76.0) |  | 81 (81.0) |  |
  Yes | 140 (21.7) | 78 (21.4) | 43 (24.0) |  | 19 (19.0) |  |
Mode of delivery | Â | Â | Â | 0.236 | Â | <0.001 |
  Spontaneous vaginal delivery | 1492 (77.3) | 998 (78.6) | 341 (74.8) |  | 153 (75.0) |  |
  Operative vaginal delivery | 192 (10.0) | 129 (10.2) | 55 (12.1) |  | 8 (3.9) |  |
  Caesarean section | 245 (12.7) | 142 (11.2) | 60 (13.2) |  | 43 (21.1) |  |
Labour duration in spontaneous vaginal deliveries | ||||||
  Second stage of labour (min) | 64.4 (68.6) | 66.1 (61.7-70.5) | 62.6 (55.8-69.3) | 1.000 | 57.7 (47.6-67.8) | 0.448 |
  Third stage of labour (min) | 7.7 (9.2) | 7.81 (7.2-8.4) | 7.6 (6.8-8.4) | 1.000 | 7.1 (5.8-8.3) | 1.000 |
Labour duration in operative vaginal deliveries | ||||||
  Second stage of labour (min) | 115.8 (87.7) | 116.6 (100.4-132.7) | 108.2 (88.2-128.2) | 1.000 | 157.3 (88.7-225.7) | 0.614 |
  Third stage of labour (min) | 6.1 (6.5) | 6.35 (5.1-7.6) | 5.89 (4.7-7.1) | 1.000 | 4.0 (2.7-5.2) | 0.983 |
Obstetrical analgesia (epidural) | Â | Â | Â | 0.017 | Â | <0.001 |
  No | 752 (39.0) | 532 (41.9) | 162 (35.5) |  | 58 (28.4) |  |
  Yes | 1177 (61.0) | 737 (58.1) | 294 (64.5) |  | 146 (71.6) |  |