Gestational weight gain and increased risk of cesarean delivery across body mass index categoriesAJOG Global Reports at a Glance
BACKGROUND: Unnecessary cesarean delivery can have negative implications for both mothers and infants. In the United States, the proportion of women undergoing cesarean delivery exceeds the acceptable World Health Organization proportion. Reducing cesarean deliveries is a national goal of Centers fo...
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Elsevier
2025-02-01
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| Series: | AJOG Global Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666577825000061 |
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| author | Pearl A. McElfish, PhD Britni L. Ayers, PhD Nicola L. Hawley, PhD Aaron Caldwell, PhD Austin Porter, DrPh Michael D. Macechko, MD Donya Watson, MD Jennifer A. Callaghan-Koru, PhD James P. Selig, PhD Jennifer A. Andersen, PhD Nirvana Manning, MD Lanita White, PharmD Enrique Gomez-Pomar, MD Clare C. Brown, PhD |
| author_facet | Pearl A. McElfish, PhD Britni L. Ayers, PhD Nicola L. Hawley, PhD Aaron Caldwell, PhD Austin Porter, DrPh Michael D. Macechko, MD Donya Watson, MD Jennifer A. Callaghan-Koru, PhD James P. Selig, PhD Jennifer A. Andersen, PhD Nirvana Manning, MD Lanita White, PharmD Enrique Gomez-Pomar, MD Clare C. Brown, PhD |
| author_sort | Pearl A. McElfish, PhD |
| collection | DOAJ |
| description | BACKGROUND: Unnecessary cesarean delivery can have negative implications for both mothers and infants. In the United States, the proportion of women undergoing cesarean delivery exceeds the acceptable World Health Organization proportion. Reducing cesarean deliveries is a national goal of Centers for Disease Control and Prevention Healthy People 2030, the American College of Obstetricians and Gynecologists, and the Alliance for Innovation on Maternal Health. OBJECTIVE: This study aimed to examine if excessive gestational weight gain is associated with increased risk of cesarean delivery across multiple body mass index categories. STUDY DESIGN: Analysis was conducted using vital records data from the National Center for Health Statistics birth records. Only low-risk births were included (singleton, term-gestation [≥37 weeks], cephalic presentation, and first birth to exclude women who had a prior cesarean delivery). We used the rate of gestational weight gain (lb/wk) measured as both a categorical and continuous variable. These results were confirmed by a sensitivity analysis using total gestational weight gain (lb). RESULTS: Regardless of prepregnancy body mass index category, women with excessive gestational weight gain had a higher risk of cesarean delivery. Among women with a healthy prepregnancy body mass index, the risk of cesarean delivery decreased with appropriate weight gain, suggesting a potential protective effect of moderate weight gain for individuals with a healthy prepregnancy body mass index. However, weight gain beyond the appropriate level increased the risk of cesarean delivery. For women with overweight or obese prepregnancy body mass index, any increase in gestational weight gain was associated with a higher cesarean delivery risk. CONCLUSION: This study found a strong association between an excessive rate of gestational weight gain and the risk of cesarean delivery, regardless of prepregnancy body mass index, suggesting the need for continued efforts to reduce excessive gestational weight gain across populations. |
| format | Article |
| id | doaj-art-886b3edfe5ec4fec8557e5a446f39ba0 |
| institution | Kabale University |
| issn | 2666-5778 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | AJOG Global Reports |
| spelling | doaj-art-886b3edfe5ec4fec8557e5a446f39ba02025-02-12T05:32:56ZengElsevierAJOG Global Reports2666-57782025-02-0151100445Gestational weight gain and increased risk of cesarean delivery across body mass index categoriesAJOG Global Reports at a GlancePearl A. McElfish, PhD0Britni L. Ayers, PhD1Nicola L. Hawley, PhD2Aaron Caldwell, PhD3Austin Porter, DrPh4Michael D. Macechko, MD5Donya Watson, MD6Jennifer A. Callaghan-Koru, PhD7James P. Selig, PhD8Jennifer A. Andersen, PhD9Nirvana Manning, MD10Lanita White, PharmD11Enrique Gomez-Pomar, MD12Clare C. Brown, PhD13College of Medicine, University of Arkansas for Medical Sciences Northwest, Springdale, AR (McElfish, Callaghan-Koru, and Andersen); Corresponding author: Pearl A. McElfish, PhD.College of Nursing, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR (Ayers)Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT (Hawley)Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences Northwest, Springdale, AR (Caldwell, Callaghan-Koru, and Selig)Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR (Porter and Brown); Arkansas Department of Health, Little Rock, AR (Porter)College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR (Macechko)College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR (Watson, Manning, and Gomez-Pomar); South Arkansas Regional Hospital, El Dorado, AR (Watson)College of Medicine, University of Arkansas for Medical Sciences Northwest, Springdale, AR (McElfish, Callaghan-Koru, and Andersen); Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences Northwest, Springdale, AR (Caldwell, Callaghan-Koru, and Selig)Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences Northwest, Springdale, AR (Caldwell, Callaghan-Koru, and Selig)College of Medicine, University of Arkansas for Medical Sciences Northwest, Springdale, AR (McElfish, Callaghan-Koru, and Andersen)College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR (Watson, Manning, and Gomez-Pomar)Community Health Centers of Arkansas, North Little Rock, AR (White)College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR (Watson, Manning, and Gomez-Pomar); Neonatology, St. Bernards Regional Medical Center, Jonesboro, AR (Gomez-Pomar).Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR (Porter and Brown)BACKGROUND: Unnecessary cesarean delivery can have negative implications for both mothers and infants. In the United States, the proportion of women undergoing cesarean delivery exceeds the acceptable World Health Organization proportion. Reducing cesarean deliveries is a national goal of Centers for Disease Control and Prevention Healthy People 2030, the American College of Obstetricians and Gynecologists, and the Alliance for Innovation on Maternal Health. OBJECTIVE: This study aimed to examine if excessive gestational weight gain is associated with increased risk of cesarean delivery across multiple body mass index categories. STUDY DESIGN: Analysis was conducted using vital records data from the National Center for Health Statistics birth records. Only low-risk births were included (singleton, term-gestation [≥37 weeks], cephalic presentation, and first birth to exclude women who had a prior cesarean delivery). We used the rate of gestational weight gain (lb/wk) measured as both a categorical and continuous variable. These results were confirmed by a sensitivity analysis using total gestational weight gain (lb). RESULTS: Regardless of prepregnancy body mass index category, women with excessive gestational weight gain had a higher risk of cesarean delivery. Among women with a healthy prepregnancy body mass index, the risk of cesarean delivery decreased with appropriate weight gain, suggesting a potential protective effect of moderate weight gain for individuals with a healthy prepregnancy body mass index. However, weight gain beyond the appropriate level increased the risk of cesarean delivery. For women with overweight or obese prepregnancy body mass index, any increase in gestational weight gain was associated with a higher cesarean delivery risk. CONCLUSION: This study found a strong association between an excessive rate of gestational weight gain and the risk of cesarean delivery, regardless of prepregnancy body mass index, suggesting the need for continued efforts to reduce excessive gestational weight gain across populations.http://www.sciencedirect.com/science/article/pii/S2666577825000061body mass indexcesarean deliveryexcessive gestational weight gaingestational weight gainmaternal morbidity |
| spellingShingle | Pearl A. McElfish, PhD Britni L. Ayers, PhD Nicola L. Hawley, PhD Aaron Caldwell, PhD Austin Porter, DrPh Michael D. Macechko, MD Donya Watson, MD Jennifer A. Callaghan-Koru, PhD James P. Selig, PhD Jennifer A. Andersen, PhD Nirvana Manning, MD Lanita White, PharmD Enrique Gomez-Pomar, MD Clare C. Brown, PhD Gestational weight gain and increased risk of cesarean delivery across body mass index categoriesAJOG Global Reports at a Glance AJOG Global Reports body mass index cesarean delivery excessive gestational weight gain gestational weight gain maternal morbidity |
| title | Gestational weight gain and increased risk of cesarean delivery across body mass index categoriesAJOG Global Reports at a Glance |
| title_full | Gestational weight gain and increased risk of cesarean delivery across body mass index categoriesAJOG Global Reports at a Glance |
| title_fullStr | Gestational weight gain and increased risk of cesarean delivery across body mass index categoriesAJOG Global Reports at a Glance |
| title_full_unstemmed | Gestational weight gain and increased risk of cesarean delivery across body mass index categoriesAJOG Global Reports at a Glance |
| title_short | Gestational weight gain and increased risk of cesarean delivery across body mass index categoriesAJOG Global Reports at a Glance |
| title_sort | gestational weight gain and increased risk of cesarean delivery across body mass index categoriesajog global reports at a glance |
| topic | body mass index cesarean delivery excessive gestational weight gain gestational weight gain maternal morbidity |
| url | http://www.sciencedirect.com/science/article/pii/S2666577825000061 |
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