Progress of Labor among Obese Women
Abou Hassan, B., El-Shobary, F., El-Homosy, S. (2023). Progress of Labor among Obese Women. EKB Journal Management System, 8(3), 137-155. doi: 10.21608/menj.2023.326853
Basma Reda Abou Hassan; Fatma Mohamed El-Shobary; Samah Abd El-Alim El-Homosy. "Progress of Labor among Obese Women". EKB Journal Management System, 8, 3, 2023, 137-155. doi: 10.21608/menj.2023.326853
Abou Hassan, B., El-Shobary, F., El-Homosy, S. (2023). 'Progress of Labor among Obese Women', EKB Journal Management System, 8(3), pp. 137-155. doi: 10.21608/menj.2023.326853
Abou Hassan, B., El-Shobary, F., El-Homosy, S. Progress of Labor among Obese Women. EKB Journal Management System, 2023; 8(3): 137-155. doi: 10.21608/menj.2023.326853

Progress of Labor among Obese Women

Menoufia Nursing Journal
Volume 8, Issue 3, September 2023, Page 137-155  XML PDF (1.07 MB)
Document Type: Original Article
DOI: 10.21608/menj.2023.326853
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Authors
Basma Reda Abou Hassan1; Fatma Mohamed El-Shobary2; Samah Abd El-Alim El-Homosy3
1Clinical Instructor of Maternity and Newborn Health Nursing, Faculty of Nursing, Menoufia University
2Follow of Maternal Health and Newborn, National Liver Institute, Menoufia University,
3Assistant Professor of Maternal and Newborn Health Nursing , Faculty of Nursing, Menoufia University
Abstract
Background: Maternal obesity has been associated with multiple comorbidities and a higher risk of obstetric and antepartum complications, such as prolonged labor and increased CS. The purpose of the present study was to assess progress of labor among obese women. Design: A descriptive research design was used. Sample: A purposive sample of 370 laboring women was divided into two groups: the obese group and the normal-weight women group. Each group had 185 participants. Settings: The study was conducted at the obstetric departments of the University Hospital and Shebin El-Kom Teaching Hospital in Menoufia Governorate. Instruments of this study were a structured interview questionnaire that included sociodemographic characteristics of women (name, age, education, and occupation), menstrual, obstetric, medical surgical history, weight, height, BMI, etc.) and a partogram to assess the progress of labor. Results: There was a lower mean duration of the latent and active phases (first stage), second stage, and total duration of labor in normal-weight women than in obese women. Also, the mean dose of oxytocin during the first stage of labor was lower in   the normal-weight women than in the obese women. Nearly half of the obese women had CS delivery, compared to only one-third of the normal-weight women. Conclusion: Obese women had prolonged labor duration, slow progress of labor, and a higher rate of CS delivery than normal-weight women. Recommendations Provide health education for obese laboring women during their antenatal counseling, including a healthy diet and exercise to reduce their weight.
Keywords
Maternal Obesity; Progress of labor
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