使用罗布森分类法来了解产妇肥胖情况下剖宫产风险增加的情况。
Use of the Robson classification to understand the increased risk of cesarean section in case of maternal obesity.
作者信息
Crequit Simon, Korb Diane, Morin Cécile, Schmitz Thomas, Sibony Olivier
机构信息
Department of Gynecology and Obstetrics, Robert Debré University Hospital, AP-HP, 48 boulevard Sérurier, 75019, Paris, France.
Centre for Epidemiology and Statistics Sorbonne Paris Cité (CRESS), Obstetrical Perinatal and Pediatric Epidemiology Research Team, EPOPé, INSERM, INRA, Université de Paris, Paris, France.
出版信息
BMC Pregnancy Childbirth. 2020 Nov 26;20(1):738. doi: 10.1186/s12884-020-03410-z.
BACKGROUND
The aim of this study was to identify characteristics of pregnant women with obesity that contribute to increased cesarean rate.
METHODS
Retrospective cohort in a single academic institution between 2012 and 2019. Women who delivered during this period were classified according to the Robson classification. Women with normal body mass index (N = 11,797) and with obesity (N = 2991) were compared. The contribution of each Robson group to the overall caesarean rate were compared.
RESULTS
The overall cesarean rate was higher for women with (28.1%) than without (14.2%, p < 0.001) obesity. This result came mainly from Robson group 5a (history of one cesarean). After adjustment for medical factors within this group, the association between maternal obesity and cesarean during labor was significant.
CONCLUSIONS
The higher cesarean rate in women with obesity is explained by Robson group 5a in which obesity is an independent risk factor of in labor cesarean delivery.
背景
本研究旨在确定肥胖孕妇导致剖宫产率升高的特征。
方法
对一所学术机构2012年至2019年间的回顾性队列研究。在此期间分娩的妇女根据罗布森分类法进行分类。比较了体重指数正常（N = 11797）和肥胖（N = 2991）的妇女。比较了每个罗布森组对总体剖宫产率的贡献。
结果
肥胖妇女的总体剖宫产率（28.1%）高于非肥胖妇女（14.2%，p < 0.001）。这一结果主要来自罗布森组5a（有一次剖宫产史）。在对该组内的医学因素进行调整后，孕妇肥胖与分娩时剖宫产之间的关联具有显著性。
结论
肥胖妇女剖宫产率较高可由罗布森组5a解释，其中肥胖是分娩时剖宫产的独立危险因素。
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