Obesity Effect on Induction of Labor Duration [25R]

• DOI: 10.1097/01.aog.0000514169.20775.1a
• Publication Date: 2017-05-06T17:56:58Z
• Authors: Garrett Fitzgerald; Sarah Crimmins; Jerome Kopelman; Chris Harman; Ozhan Turan
• Keywords: Labor Induction; Bishop score

INTRODUCTION: Obesity and associated morbidity significantly impacts obstetric management, including increased indication for induction of labor (IOL). Retrospective studies report obesity prolonging course. We aim to investigate duration IOL stratified by body mass index (BMI). hypothesize prolongs IOL. METHODS: Prospective cohort study singletons undergoing Obstetric management was per provider's discretion (vaginal misoprostol, cervical balloon, intravenous oxytocin). The primary outcome interval from starting latent labor. Secondary outcomes include active delivery. Labor considered prolonged if greater than 24 h labor, 36 Patients were analyzed BMI category (under 30, between 30 39.9, over 40 kg/m 2 ). Cesarean delivery excluded. Non-parametric chi-square test used analysis. RESULTS: Total 99 enrolled, 23 delivered cesarean, leaving 76 analyzed. median (19-75); 17 under 37 22 40. parity Bishop's score not different. group (10.6 v 9.6 12.7 h, P=.5), (14.1 15.0 19.2 (18.5 17.8 20.6 P=.5) time achieve trended longer with increasing (P=.049). CONCLUSION: Prospectively induced curves different normal weight, obese, severely obese women. This provides evidence that, regardless BMI, is a viable option.