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ASSOCIATION OF BODY MASS INDEX AT THE END OF PREGNANCY AND GESTATIONAL WEIGHT GAIN WITH MODE OF DELIVERY AND DELIVERY COMPLICATIONS
Rajna Latinović
; General County Hospital Požega, Osječka 107, 34000 Požega, Croatia
*
Krešimir Musić
; General County Hospital Požega, Osječka 107, 34000 Požega, Croatia
Leonardo Jukić
; General County Hospital Požega, Osječka 107, 34000 Požega, Croatia; University of Applied Sciences Ivanić-Grad, Moslavačka ulica 11, 10310 Ivanić-Grad, Croatia
Klaudija Jukić
; General County Hospital Požega, Osječka 107, 34000 Požega, Croatia
Domagoj Dokozić
; General County Hospital Požega, Osječka 107, 34000 Požega, Croatia
Luka Zvekić
; General County Hospital Požega, Osječka 107, 34000 Požega, Croatia; University of Applied Sciences Ivanić-Grad, Moslavačka ulica 11, 10310 Ivanić-Grad, Croatia
Bruno Dokozić
; General County Hospital Požega, Osječka 107, 34000 Požega, Croatia
Sanja Hlubuček Čingel
; General County Hospital Požega, Osječka 107, 34000 Požega, Croatia; Josip Juraj Strossmayer University of Osijek, Faculty of Medicine Osijek, Josipa Huttlera 4, 31000 Osijek, Croatia
Branislav Čingel
; General County Hospital Požega, Osječka 107, 34000 Požega, Croatia; Josip Juraj Strossmayer University of Osijek, Faculty of Medicine Osijek, Josipa Huttlera 4, 31000 Osijek, Croatia
Brankica Andromako Matković
; General County Hospital Požega, Osječka 107, 34000 Požega, Croatia
Tomislav Paun
; General County Hospital Požega, Osječka 107, 34000 Požega, Croatia
Željka Jukić
; General County Hospital Požega, Osječka 107, 34000 Požega, Croatia
Božica Lovrić
; General County Hospital Požega, Osječka 107, 34000 Požega, Croatia; University of Applied Sciences Ivanić-Grad, Moslavačka ulica 11, 10310 Ivanić-Grad, Croatia; Josip Juraj Strossmayer University of Osijek, Faculty of Dental Medicine and Health Osijek, Crkvena 21, 31000 Osijek, Croatia
Marin Mamić
; General County Hospital Požega, Osječka 107, 34000 Požega, Croatia
Mihajlo Vladić
; Institute of Public Health of Šibenik-Knin County, Matije Gupca 74, 22000 Šibenik, Croatia
Jovana Latinović
; University Clinical Centre of the Republic of Srpska, Dvanaest beba bb, 78000 Banja Luka, Bosnia and Herzegovina
Nemanja Pećanac
; PHI Hospital Gradiška, Dr Mladena Stojanovića 20, 78400 Gradiška, Bosnia and Herzegovina
* Dopisni autor.
Sažetak
Overweight in pregnancy and excessive gestational weight gain are associated with more frequent cesarean delivery and delivery complications. This retrospective observational study examined the association of body mass index at the end of pregnancy and gestational weight gain with mode of delivery and with at least one recorded delivery complication (birth canal injury, shoulder dystocia, or uterine inertia). It included 1070 deliveries at the General County Hospital Požega (2023–2025). Group differences were assessed using the Mann–Whitney U test, the association between the two exposures using Spearman's correlation coefficient, and associations with outcomes using binary logistic regression adjusted for maternal age, parity, and gestational age. Cesarean delivery was performed in 323 deliveries (30.2%), and at least one complication was recorded in 390 (36.4%). The median body mass index at the end of pregnancy was 28.60 kg/m², and the median gestational weight gain was 12 kg. Body mass index at the end of pregnancy was higher in cesarean deliveries (p < 0.001) and remained associated with cesarean delivery in the multivariable model (p < 0.001). Gestational weight gain was not associated with mode of delivery in the multivariable model (p = 0.943). Weight gain was greater in women with complications in the bivariate analysis (p = 0.004), but after adjustment neither weight gain nor body mass index was significantly associated with complications, whereas higher parity was associated with lower odds of complications. The results indicate an association between higher body mass index at the end of pregnancy and higher odds of cesarean delivery. Because the study was observational and the models showed imperfect calibration, the results do not allow reliable individual-level prediction. Body mass index at the end of pregnancy may be considered one of the factors in assessing the risk of cesarean delivery rather than a stand-alone indicator.
Ključne riječi
cesarean delivery; gestational weight gain; body mass index; delivery complications; mode of delivery
Hrčak ID:
353378
URI
Datum izdavanja:
2.11.2026.
Posjeta: 0 *