Interpregnancy body mass index change and success of term vaginal birth after cesarean delivery

Objective We investigated the effect of interpregnancy body mass index (BMI) change on success of term vaginal birth after cesarean (VBAC) among normal, overweight and obese women. Study Design Using 1992-2009 Washington State birth certificate data linked with hospitalization records, we conducted...

Full description

Saved in:
Bibliographic Details
Published in:American journal of obstetrics and gynecology 2014-04, Vol.210 (4), p.330.e1-330.e7
Main Authors: Callegari, Lisa S., MD, MPH, Sterling, Lauren A., BS, Zelek, Sarah T., MPH, Hawes, Stephen E., PhD, Reed, Susan D., MD, MPH
Format: Article
Language:English
Subjects:
Adult
Body Mass Index
Cohort Studies
Female
Humans
Linear Models
Obstetrics and Gynecology
Overweight - complications
Pregnancy
Retrospective Studies
Term Birth
Trial of Labor
Vaginal Birth after Cesarean - statistics & numerical data
Weight Gain
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c358t-2c0ed51dbb18c00a159efe59bc2cfaecc9eba3c6758281ebc55dfab2db650aa43
cites cdi_FETCH-LOGICAL-c358t-2c0ed51dbb18c00a159efe59bc2cfaecc9eba3c6758281ebc55dfab2db650aa43
container_end_page 330.e7
container_issue 4
container_start_page 330.e1
container_title American journal of obstetrics and gynecology
container_volume 210
creator Callegari, Lisa S., MD, MPH
Sterling, Lauren A., BS
Zelek, Sarah T., MPH
Hawes, Stephen E., PhD
Reed, Susan D., MD, MPH
description Objective We investigated the effect of interpregnancy body mass index (BMI) change on success of term vaginal birth after cesarean (VBAC) among normal, overweight and obese women. Study Design Using 1992-2009 Washington State birth certificate data linked with hospitalization records, we conducted a population-based retrospective cohort study of nulliparous women (BMI ≥18.5 kg/m2 ) with a primary cesarean in their first birth and a term trial of labor in their second. Interpregnancy weight change (difference between first and second prepregnancy BMIs) was categorized as maintenance (
doi_str_mv 10.1016/j.ajog.2013.11.013
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1511820521</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0002937813020127</els_id><sourcerecordid>1511820521</sourcerecordid><originalsourceid>FETCH-LOGICAL-c358t-2c0ed51dbb18c00a159efe59bc2cfaecc9eba3c6758281ebc55dfab2db650aa43</originalsourceid><addsrcrecordid>eNo9kUFv1DAQhS0EokvhD3BAPnJJ8Dh11rkgoapApUocgLM1tidbh8RZ7M2K_HscbeH0NOP3xvY3jL0FUYOA9sNQ4zAfaimgqQHqIs_YDkS3r1rd6udsJ4SQVdfs9RV7lfOwlbKTL9mVvJGgtGp3zNzHE6VjokPE6FZuZ7_yCXPmIXr6w90jxgNxjJ7nxTkqB3PPS2TiZzyEiCO3IZ0eOfalyYsBE2HknsZwprS-Zi96HDO9edJr9vPz3Y_br9XDty_3t58eKtcofaqkE-QVeGtBOyEQVEc9qc466Xok5zqy2Lh2r7TUQNYp5Xu00ttWCcSb5pq9v8w9pvn3QvlkppAdjSNGmpdsQAFoKZSEYpUXq0tzzol6c0xhwrQaEGYDawazgTUbWANgipTQu6f5i53I_4_8I1kMHy8GKr88B0rGjSEGh-MvWikP85IKrPIQk6UR5vu2jG010Ihyj9w3fwGjDIxb</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1511820521</pqid></control><display><type>article</type><title>Interpregnancy body mass index change and success of term vaginal birth after cesarean delivery</title><source>ScienceDirect Freedom Collection</source><creator>Callegari, Lisa S., MD, MPH ; Sterling, Lauren A., BS ; Zelek, Sarah T., MPH ; Hawes, Stephen E., PhD ; Reed, Susan D., MD, MPH</creator><creatorcontrib>Callegari, Lisa S., MD, MPH ; Sterling, Lauren A., BS ; Zelek, Sarah T., MPH ; Hawes, Stephen E., PhD ; Reed, Susan D., MD, MPH</creatorcontrib><description>Objective We investigated the effect of interpregnancy body mass index (BMI) change on success of term vaginal birth after cesarean (VBAC) among normal, overweight and obese women. Study Design Using 1992-2009 Washington State birth certificate data linked with hospitalization records, we conducted a population-based retrospective cohort study of nulliparous women (BMI ≥18.5 kg/m2 ) with a primary cesarean in their first birth and a term trial of labor in their second. Interpregnancy weight change (difference between first and second prepregnancy BMIs) was categorized as maintenance (&lt;1 BMI unit change), loss (≥1 unit), moderate gain (≥1 and &lt;2 units), high gain (≥2 units). We estimated relative risks of VBAC success using generalized linear models with a log-link function, adjusting for maternal age, race/ethnicity, nativity, marital status, education, smoking, primary cesarean indication, interpregnancy interval, birth year for second birth, and prenatal care adequacy. Results Among 8302 women who attempted a term trial of labor, 65% had a successful VBAC. Women with normal BMI before their first pregnancy experienced an 8% decrease in VBAC success with moderate gain (relative risk [RR], 0.92; 95% confidence interval [CI], 0.87–0.98) and a 12% decrease in success with high gain (RR, 0.88; 95% CI, 0.83–0.93), compared with normal weight women who maintained weight. Weight loss increased VBAC success in women who were overweight (RR, 1.12; 95% CI, 1.01–1.25) or obese before their first delivery (RR, 1.24; 95% CI, 1.04–1.49), compared with overweight and obese women, respectively, who maintained weight. Conclusion Women can improve their chance of successful VBAC through interpregnancy weight management.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/j.ajog.2013.11.013</identifier><identifier>PMID: 24215856</identifier><language>eng</language><publisher>United States</publisher><subject>Adult ; Body Mass Index ; Cohort Studies ; Female ; Humans ; Linear Models ; Obstetrics and Gynecology ; Overweight - complications ; Pregnancy ; Retrospective Studies ; Term Birth ; Trial of Labor ; Vaginal Birth after Cesarean - statistics &amp; numerical data ; Weight Gain ; Young Adult</subject><ispartof>American journal of obstetrics and gynecology, 2014-04, Vol.210 (4), p.330.e1-330.e7</ispartof><rights>Published by Mosby, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c358t-2c0ed51dbb18c00a159efe59bc2cfaecc9eba3c6758281ebc55dfab2db650aa43</citedby><cites>FETCH-LOGICAL-c358t-2c0ed51dbb18c00a159efe59bc2cfaecc9eba3c6758281ebc55dfab2db650aa43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24215856$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Callegari, Lisa S., MD, MPH</creatorcontrib><creatorcontrib>Sterling, Lauren A., BS</creatorcontrib><creatorcontrib>Zelek, Sarah T., MPH</creatorcontrib><creatorcontrib>Hawes, Stephen E., PhD</creatorcontrib><creatorcontrib>Reed, Susan D., MD, MPH</creatorcontrib><title>Interpregnancy body mass index change and success of term vaginal birth after cesarean delivery</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>Objective We investigated the effect of interpregnancy body mass index (BMI) change on success of term vaginal birth after cesarean (VBAC) among normal, overweight and obese women. Study Design Using 1992-2009 Washington State birth certificate data linked with hospitalization records, we conducted a population-based retrospective cohort study of nulliparous women (BMI ≥18.5 kg/m2 ) with a primary cesarean in their first birth and a term trial of labor in their second. Interpregnancy weight change (difference between first and second prepregnancy BMIs) was categorized as maintenance (&lt;1 BMI unit change), loss (≥1 unit), moderate gain (≥1 and &lt;2 units), high gain (≥2 units). We estimated relative risks of VBAC success using generalized linear models with a log-link function, adjusting for maternal age, race/ethnicity, nativity, marital status, education, smoking, primary cesarean indication, interpregnancy interval, birth year for second birth, and prenatal care adequacy. Results Among 8302 women who attempted a term trial of labor, 65% had a successful VBAC. Women with normal BMI before their first pregnancy experienced an 8% decrease in VBAC success with moderate gain (relative risk [RR], 0.92; 95% confidence interval [CI], 0.87–0.98) and a 12% decrease in success with high gain (RR, 0.88; 95% CI, 0.83–0.93), compared with normal weight women who maintained weight. Weight loss increased VBAC success in women who were overweight (RR, 1.12; 95% CI, 1.01–1.25) or obese before their first delivery (RR, 1.24; 95% CI, 1.04–1.49), compared with overweight and obese women, respectively, who maintained weight. Conclusion Women can improve their chance of successful VBAC through interpregnancy weight management.</description><subject>Adult</subject><subject>Body Mass Index</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Linear Models</subject><subject>Obstetrics and Gynecology</subject><subject>Overweight - complications</subject><subject>Pregnancy</subject><subject>Retrospective Studies</subject><subject>Term Birth</subject><subject>Trial of Labor</subject><subject>Vaginal Birth after Cesarean - statistics &amp; numerical data</subject><subject>Weight Gain</subject><subject>Young Adult</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNo9kUFv1DAQhS0EokvhD3BAPnJJ8Dh11rkgoapApUocgLM1tidbh8RZ7M2K_HscbeH0NOP3xvY3jL0FUYOA9sNQ4zAfaimgqQHqIs_YDkS3r1rd6udsJ4SQVdfs9RV7lfOwlbKTL9mVvJGgtGp3zNzHE6VjokPE6FZuZ7_yCXPmIXr6w90jxgNxjJ7nxTkqB3PPS2TiZzyEiCO3IZ0eOfalyYsBE2HknsZwprS-Zi96HDO9edJr9vPz3Y_br9XDty_3t58eKtcofaqkE-QVeGtBOyEQVEc9qc466Xok5zqy2Lh2r7TUQNYp5Xu00ttWCcSb5pq9v8w9pvn3QvlkppAdjSNGmpdsQAFoKZSEYpUXq0tzzol6c0xhwrQaEGYDawazgTUbWANgipTQu6f5i53I_4_8I1kMHy8GKr88B0rGjSEGh-MvWikP85IKrPIQk6UR5vu2jG010Ihyj9w3fwGjDIxb</recordid><startdate>20140401</startdate><enddate>20140401</enddate><creator>Callegari, Lisa S., MD, MPH</creator><creator>Sterling, Lauren A., BS</creator><creator>Zelek, Sarah T., MPH</creator><creator>Hawes, Stephen E., PhD</creator><creator>Reed, Susan D., MD, MPH</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140401</creationdate><title>Interpregnancy body mass index change and success of term vaginal birth after cesarean delivery</title><author>Callegari, Lisa S., MD, MPH ; Sterling, Lauren A., BS ; Zelek, Sarah T., MPH ; Hawes, Stephen E., PhD ; Reed, Susan D., MD, MPH</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c358t-2c0ed51dbb18c00a159efe59bc2cfaecc9eba3c6758281ebc55dfab2db650aa43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Body Mass Index</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Linear Models</topic><topic>Obstetrics and Gynecology</topic><topic>Overweight - complications</topic><topic>Pregnancy</topic><topic>Retrospective Studies</topic><topic>Term Birth</topic><topic>Trial of Labor</topic><topic>Vaginal Birth after Cesarean - statistics &amp; numerical data</topic><topic>Weight Gain</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Callegari, Lisa S., MD, MPH</creatorcontrib><creatorcontrib>Sterling, Lauren A., BS</creatorcontrib><creatorcontrib>Zelek, Sarah T., MPH</creatorcontrib><creatorcontrib>Hawes, Stephen E., PhD</creatorcontrib><creatorcontrib>Reed, Susan D., MD, MPH</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Callegari, Lisa S., MD, MPH</au><au>Sterling, Lauren A., BS</au><au>Zelek, Sarah T., MPH</au><au>Hawes, Stephen E., PhD</au><au>Reed, Susan D., MD, MPH</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Interpregnancy body mass index change and success of term vaginal birth after cesarean delivery</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2014-04-01</date><risdate>2014</risdate><volume>210</volume><issue>4</issue><spage>330.e1</spage><epage>330.e7</epage><pages>330.e1-330.e7</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><abstract>Objective We investigated the effect of interpregnancy body mass index (BMI) change on success of term vaginal birth after cesarean (VBAC) among normal, overweight and obese women. Study Design Using 1992-2009 Washington State birth certificate data linked with hospitalization records, we conducted a population-based retrospective cohort study of nulliparous women (BMI ≥18.5 kg/m2 ) with a primary cesarean in their first birth and a term trial of labor in their second. Interpregnancy weight change (difference between first and second prepregnancy BMIs) was categorized as maintenance (&lt;1 BMI unit change), loss (≥1 unit), moderate gain (≥1 and &lt;2 units), high gain (≥2 units). We estimated relative risks of VBAC success using generalized linear models with a log-link function, adjusting for maternal age, race/ethnicity, nativity, marital status, education, smoking, primary cesarean indication, interpregnancy interval, birth year for second birth, and prenatal care adequacy. Results Among 8302 women who attempted a term trial of labor, 65% had a successful VBAC. Women with normal BMI before their first pregnancy experienced an 8% decrease in VBAC success with moderate gain (relative risk [RR], 0.92; 95% confidence interval [CI], 0.87–0.98) and a 12% decrease in success with high gain (RR, 0.88; 95% CI, 0.83–0.93), compared with normal weight women who maintained weight. Weight loss increased VBAC success in women who were overweight (RR, 1.12; 95% CI, 1.01–1.25) or obese before their first delivery (RR, 1.24; 95% CI, 1.04–1.49), compared with overweight and obese women, respectively, who maintained weight. Conclusion Women can improve their chance of successful VBAC through interpregnancy weight management.</abstract><cop>United States</cop><pmid>24215856</pmid><doi>10.1016/j.ajog.2013.11.013</doi></addata></record>
fulltext fulltext
identifier ISSN: 0002-9378
ispartof American journal of obstetrics and gynecology, 2014-04, Vol.210 (4), p.330.e1-330.e7
issn 0002-9378
1097-6868
language eng
recordid cdi_proquest_miscellaneous_1511820521
source ScienceDirect Freedom Collection
subjects Adult
Body Mass Index
Cohort Studies
Female
Humans
Linear Models
Obstetrics and Gynecology
Overweight - complications
Pregnancy
Retrospective Studies
Term Birth
Trial of Labor
Vaginal Birth after Cesarean - statistics & numerical data
Weight Gain
Young Adult
title Interpregnancy body mass index change and success of term vaginal birth after cesarean delivery
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-26T09%3A23%3A16IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Interpregnancy%20body%20mass%20index%20change%20and%20success%20of%20term%20vaginal%20birth%20after%20cesarean%20delivery&rft.jtitle=American%20journal%20of%20obstetrics%20and%20gynecology&rft.au=Callegari,%20Lisa%20S.,%20MD,%20MPH&rft.date=2014-04-01&rft.volume=210&rft.issue=4&rft.spage=330.e1&rft.epage=330.e7&rft.pages=330.e1-330.e7&rft.issn=0002-9378&rft.eissn=1097-6868&rft_id=info:doi/10.1016/j.ajog.2013.11.013&rft_dat=%3Cproquest_cross%3E1511820521%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c358t-2c0ed51dbb18c00a159efe59bc2cfaecc9eba3c6758281ebc55dfab2db650aa43%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1511820521&rft_id=info:pmid/24215856&rfr_iscdi=true