Saadia Zaheera
Obstetrics and Gynecology, Qassim University College of Medicine, Buraidah, SAU.
Cureus. 2020 Mar 2;12(3):e7163. doi: 10.7759/cureus.7163.
Background Several studies suggest that maternal obesity might be associated with intraoperative and postoperative complications of cesarean delivery. However, these results are not validated in the Pakistani population. Aim We aimed to assess the association between maternal obesity and intraoperative and postoperative complications of cesarean delivery. Methods We performed a retrospective observational study recording the prevalence of intraoperative and postoperative complications in women undergoing cesarean delivery. For all consecutive cesarean deliveries in Fehmida Sarfaraz hospital, Sialkot, Pakistan, we recorded the data of the maternal age, weight, body mass index (BMI), gestational age at delivery, intraoperative and postoperative complications, and the adverse pregnancy outcomes. We used the chi-square test, Spearman correlation, and linear regression to test the relationship between the study variables. Results We included 245 women in this study (non-obese group: n = 83; obese group: n = 162). BMI positively correlated with the incidence of deep venous thrombosis (DVT; r = 0.249), endometritis (r = 0.148), pyrexia (r=0.139), and wound infections (r = 0.155). Also, BMI could significantly predict DVT (Beta coefficient 2.886, P = 0.003), hospital stay (Beta coefficient 0.801, P = 0.001), pyrexia (Beta coefficient 0.819, P = 0.003), and wound infection (Beta coefficient 0.449, P = 0.049). Conclusion Our data suggest that BMI was significantly correlated with several cesarean section (CS) delivery complications. Obese women undergoing CS delivery are at higher risk of several CS delivery complications. Also, they had a longer hospital stay and higher birth weight for their neonates compared with non-obese women. Future multicentre studies are needed in our population to determine the magnitude of risk across different BMI subgroups.
背景 多项研究表明，母亲肥胖可能与剖宫产的术中及术后并发症有关。然而，这些结果在巴基斯坦人群中尚未得到验证。目的 我们旨在评估母亲肥胖与剖宫产术中及术后并发症之间的关联。方法 我们进行了一项回顾性观察研究，记录接受剖宫产的女性术中及术后并发症的发生率。对于巴基斯坦锡亚尔科特费米达·萨法拉兹医院所有连续的剖宫产手术，我们记录了产妇年龄、体重、体重指数（BMI）、分娩时的孕周、术中及术后并发症以及不良妊娠结局的数据。我们使用卡方检验、斯皮尔曼相关性分析和线性回归来检验研究变量之间的关系。结果 本研究纳入了245名女性（非肥胖组：n = 83；肥胖组：n = 162）。BMI与深静脉血栓形成（DVT；r = 0.249）、子宫内膜炎（r = 0.148）、发热（r = 0.139）和伤口感染（r = 0.155）的发生率呈正相关。此外，BMI能够显著预测DVT（β系数2.886，P = 0.003）、住院时间（β系数0.801，P = 0.001）、发热（β系数0.819，P = 0.003）和伤口感染（β系数0.449，P = 0.049）。结论 我们的数据表明，BMI与几种剖宫产（CS）分娩并发症显著相关。接受CS分娩的肥胖女性发生几种CS分娩并发症的风险更高。此外，与非肥胖女性相比，她们的住院时间更长，新生儿出生体重更高。我们人群中未来需要进行多中心研究，以确定不同BMI亚组的风险程度。
