Impact of a Policy to Deliver at 39 Weeks for the Indication of Class III Obesity.

ABSTRACT:

Objective

The aim of this study was to evaluate the effect of a policy to deliver at 39 weeks for class III obesity.

Methods

This was a retrospective cohort study of women with class III obesity delivering at ≥ 37 weeks before (May 2012 to April 2014) and after the policy (September 2014 to August 2016). The primary outcome was the cesarean rate. Secondary outcomes included maternal morbidities and a neonatal morbidity composite. Modified Poisson regression was used to adjust for demographic differences between groups.

Results

The study included a total of 1,210 patients, 580 before the policy and 630 after the policy. Before and after the policy, cesarean rates were similar (41.6% vs. 47.1%; risk ratio [RR]: 1.13 [95% CI: 1.00-1.29]; adjusted RR [aRR]: 1.03 [95% CI:

SUBMITTER: Pierce SL 

PROVIDER: S-EPMC7042037 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature