[Delivery of the overweight woman. Analysis of 115 patients].
OBJECTIVE
Our purpose was to assess the effect of weight gain during pregnancy on labor and delivery. Abnormal pregnancies were excluded from the study to avoid interaction with the management of labor.


METHODS
A retrospective monocentric case-control study was carried out. We analysed 115 pregnancies delivered in our institution between June 1994 and November 1994. The course of labor was studied in 2 groups of patients: a group of overweight patients and a control group.


RESULTS
In the overweight patients, the frequency of induction of labor (25%) and of obstetrical analgesia (82%) was significantly higher than in the control group (respectively 7% and 64%), as well as the average duration of labour and the average duration of the rupture of the membranes. The rate of cesarean section was higher in the overweight patient group (16.7%) than in the control group (3.7%). The difference was not significant because of the small number of patients.


CONCLUSIONS
These results show a more frequent requirement of induction of labour, analgesia, and cesarean section in overweight patients. This led us to propose a multidisciplinary management of overweight patients to minimize these different obstetrical risks during labor.
Giacalone
P L
PL
Services de Gynécologie et Obstétrique, Hôpital A. de Villeneuve, Montpellier.
Dayrolle
S
S
Boulot
P
P
Hédon
B
B
Laffargue
F
F
D000293:Adolescent; D000328:Adult; D016362:Analgesia, Obstetrical; D002585:Cesarean Section; D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D006801:Humans; D007751:Labor, Induced; D009765:Obesity / Q000628:therapy*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors