The impact of maternal body mass index on external cephalic version success.

A new interesting article has been published in J Matern Fetal Neonatal Med. 2019 Jul;32(13):2159-2165. doi: 10.1080/14767058.2018.1427721. Epub 2018 Jan 21. and titled:

The impact of maternal body mass index on external cephalic version success.

Authors of this article are:

Chaudhary S, Contag S, Yao R.

A summary of the article is shown below:

OBJECTIVE: The purpose of this study is to determine the association between body mass index (BMI) and success of ECV.METHODS: This is a cross-sectional analysis of singleton live births in the USA from 2010 to 2014 using birth certificate data. Patients were assigned a BMI category according to standard WHO classification. Comparisons of success of ECV between the BMI categories were made using chi-square analysis with normal BMI as the reference group. Cochran-Armitage test was performed to look for a trend of decreasing success of ECV as BMI increased. The odds for successful ECV were estimated using multivariate logistic regression analysis, adjusting for possible confounders.RESULTS: A total of 51,002 patients with documented ECV were available for analysis. There was a decreased success rate for ECV as BMI increased (p < .01). Women with a BMI of 40 kg/m2 or greater had a 58.5% success rate of ECV; women with a normal BMI had 65.0% success rate of ECV. Multivariate analyses demonstrated significant decrease in success of ECV in women with BMI of 40 kg/m2 or greater (OR 0.621, CI 0.542-0.712). Among women with BMI of 40 kg/m2 or greater with successful ECV, 59.5% delivered vaginally. In contrast, 81.0% of women with normal BMI and successful ECV delivered vaginally.CONCLUSIONS: Morbidly obese women have decreased success rate of ECV as BMI increases and decreased vaginal delivery rates after successful ECV.
Check out the article’s website on Pubmed for more information:

This article is a good source of information and a good way to become familiar with topics such as: Adolescent;Adult;Case-Control Studies;Chi-Square Distribution;Cross-Sectional Studies;Delivery, Obstetric;Female;Humans;Labor Presentation;Logistic Models;Middle Aged;Obesity, Morbid;Pregnancy;Pregnancy Complications;Treatment Outcome;Version, Fetal;Young Adult.

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