Title: Impact of Obesity on Incision to Delivery Time and Total Operative Time at Cesarean Delivery
Authors: Tejas.S.V., Savitha.C.
DOI: https://dx.doi.org/10.18535/jmscr/v5i7.42
Abstract
Objective: To examine the relationship between body mass index (BMI, kg/m2) and incision-to-delivery interval and total operative time at cesarean delivery.
Methods: This was a prospective study of women with singleton gestations undergoing primary and repeat cesarean deliveries in Department of OBG, BMCR&I, BANGALORE from DEC 2014 to MAY 2016 were studied. Women were classified by BMI category (prepregnant weight) at time of delivery (normal 18.5-24.9, overweight 25.0-29.9, obese 30.0-39.9, and morbidly obese 40 or greater). Incision-to-delivery interval and total operative times during cesarean delivery were compared between obese and non obese.
Results: Of the 150 women included in the analysis, 75 were non-obese (50%) and 75 (50%) were obese. Longer operative times and incision-to-delivery interval were found among women as BMI increases. normal BMI(mean [standard deviation] incision-to-delivery: 4.8 [1.29] and total operative time: 34.1 [7.61] minutes), overweight (5.0 [1.36]; 36.79 [9.73] minutes), and obese BMIs (8.24 [2.2]; 52.0 [22.0] minutes) compared with women with non obese BMI at delivery (4.84 [1.29]; 34.6 [13.0] minutes) (P<.001).
Conclusion: Increasing BMI is related to increased incision-to-delivery interval and total operative time at cesarean delivery with morbidly obese BMI exposing fetus to the risk of prolonged incision-to-delivery interval and exposing women to the risk of longer operative times.
Keywords: Cesarean Delivery, Obesity, Incision To Delivery Interval.
