Weight Gain During Pregnancy Based on Pre-Pregnancy Body Mass Index with Duration of Labor

 Abstract views: 262

Authors

  • Siska Nawang Ayunda Maqfiro Health Polytechnic of Ternate
  • Triany Laila Pelu Poltekkes Kemenkes Ternate, Maluku Utara, Indonesia

DOI:

https://doi.org/10.36456/embrio.v16i1.8141

Keywords:

Weight Gain During Pregnancy, Body Mass Index, Duration of labor

Abstract

Chronic Energy Deficiency and being overweight in pregnancy is a severe problem because it could cause many risks in labor. This study aimed to determine the association between weight gain during pregnancy based on Body Mass Index before pregnancy with the duration of labor. The type of research was analytical observational with a cross-sectional approach. Thirty respondents used the quota sampling technique. The Spearman-rank test showed a significant value of 0,039, so there was a significant relationship between weight gain during pregnancy and the duration of the first stage of labor in the latent phase. The significant value was 0,016, indicating a relationship between weight gain during pregnancy and the duration of the first stage of labor in the active phase. However, a significant value of more than 0,05 in the variable duration of the second, third, and fourth stages of labor. So, it was necessary to monitor weight gain and provide counseling on the impact of excessive weight gain during labor. In addition, women with excessive weight gain should be given more time during the first stage because the duration in the second until the fourth stage of labor would generally run so that it could reduce unnecessary interventions.

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References

Amyx, M., Zeitlin, J., Blondel, B., & Le Ray, C. (2023). Gestational weight gain adequacy and intrapartum oxytocin and cesarean section use: Observational population-based study in France. Acta Obstetricia et Gynecologica Scandinavica, 102(3), 301–312. https://doi.org/10.1111/aogs.14496 DOI: https://doi.org/10.1111/aogs.14496

Blomberg, M. (2014). Maternal body mass index and risk of obstetric anal sphincter injury. BioMed Research International, 2014. https://doi.org/10.1155/2014/395803 DOI: https://doi.org/10.1155/2014/395803

Bogaerts, A., Witters, I., Van den Bergh, B. R. H., Jans, G., & Devlieger, R. (2013). Obesity in pregnancy: Altered onset and progression of labor. Midwifery, 29(12), 1303–1313. https://doi.org/10.1016/j.midw.2012.12.013 DOI: https://doi.org/10.1016/j.midw.2012.12.013

Carlhäll, S. (2018). Maternal Obesity, Duration of Labor and The Role of Leptin. [PhD dissertation, Linköping University Electronic Press]. Digitala Vetenskapliga Arkivet. https://doi.org/10.3384/diss.diva-147650 DOI: https://doi.org/10.3384/diss.diva-147650

Carlhäll, S., Källén, K., & Blomberg, M. (2013). Maternal body mass index and duration of labor. European Journal of Obstetrics and Gynecology and Reproductive Biology, 171(1), 49–53. https://doi.org/10.1016/j.ejogrb.2013.08.021 DOI: https://doi.org/10.1016/j.ejogrb.2013.08.021

Carlhäll, S., Källén, K., & Blomberg, M. (2020). The effect of maternal body mass index on duration of induced labor. Acta Obstetricia et Gynecologica Scandinavica, 99(5), 669–678. https://doi.org/10.1111/aogs.13795 DOI: https://doi.org/10.1111/aogs.13795

Carlson, N. S., Hernandez, T. L., & Hurt, K. J. (2015). Parturition dysfunction in obesity: Time to target the pathobiology. Reproductive Biology and Endocrinology, 13(1), 1–14. https://doi.org/10.1186/s12958-015-0129-6 DOI: https://doi.org/10.1186/s12958-015-0129-6

Cummings, K. F., Helmich, M. S., Ounpraseuth, S. T., Dajani, N. K., & Magann, E. F. (2018). The Third Stage of Labour in the Extremely Obese Parturient. Journal of Obstetrics and Gynaecology Canada, 40(9), 1148–1153. https://doi.org/10.1016/j.jogc.2017.12.008 DOI: https://doi.org/10.1016/j.jogc.2017.12.008

Ellekjaer, K. L., Bergholt, T., & Løkkegaard, E. (2017). Maternal obesity and its effect on labor duration in nulliparous women: A retrospective observational cohort study. BMC Pregnancy and Childbirth, 17(1), 1–10. https://doi.org/10.1186/s12884-017-1413-6 DOI: https://doi.org/10.1186/s12884-017-1413-6

Frolova, A. I., Stout, M. J., Tuuli, M. G., López, J. D., Macones, G. A., & Cahill, A. G. (2016). Duration of the third stage of labor and risk of postpartum hemorrhage. Obstetrics and Gynecology, 127(5), 951–956. https://doi.org/10.1097/AOG.0000000000001399 DOI: https://doi.org/10.1097/AOG.0000000000001399

Gimovsky, A. C., Rasiah, S. S., Vergara-Lopez, C., Has, P., Ayala, N. K., & Stroud, L. R. (2024). Psyche: The 5th “P” and its Associated Impact on the Second Stage of Labor. Rhode Island Medical Journal (2013), 107(1), 37–44.

Graybill, K. (2023, August 18). What are the 5 P’s of Labor?. The Womb Room Childbirth & Spinning Babies. https://www.wombroom.mom/post/5-ps-of-labor#:~:text=The%205%20P’s%20of%20labor%E2%80%94Passenger%2C%20Passageway%2C%20Powers%2C,healthy%20and%20happy%20birthing%20process.

Hajagos-Tóth, J., Ducza, E., Samavati, R., Vari, S. G., & Gaspar, R. (2017). Obesity in pregnancy: A novel concept on the roles of adipokines in uterine contractility. Croatian Medical Journal, 58(2), 96–104. https://doi.org/10.3325/cmj.2017.58.96 DOI: https://doi.org/10.3325/cmj.2017.58.96

Hautakangas, T., Uotila, J., Kontiainen, J., Huhtala, H., & Palomäki, O. (2022). Impact of obesity on uterine contractile activity during labour: A blinded analysis of a randomised controlled trial cohort. BJOG: An International Journal of Obstetrics and Gynaecology, 129(10), 1790–1797. https://doi.org/10.1111/1471-0528.17128 DOI: https://doi.org/10.1111/1471-0528.17128

Hilliard, A. M., Chauhan, S. P., Zhao, Y., & Rankins, N. C. (2012). Effect of obesity on length of labor in nulliparous women. American Journal of Perinatology, 29(2), 127–132. https://doi.org/10.1055/s-0031-1295653 DOI: https://doi.org/10.1055/s-0031-1295653

Hjertberg, L., Uustal, E., Pihl, S., & Blomberg, M. (2018). Maternal body mass index and anovaginal distance in active phase of term labor. BioMed Research International, 2018, Article ID 1532949. https://doi.org/10.1155/2018/1532949 DOI: https://doi.org/10.1155/2018/1532949

Hung, T. H., & Hsieh, T. T. ang. (2016). Pregestational body mass index, gestational weight gain, and risks for adverse pregnancy outcomes among Taiwanese women: A retrospective cohort study. Taiwanese Journal of Obstetrics and Gynecology, 55(4), 575–581. https://doi.org/10.1016/j.tjog.2016.06.016 DOI: https://doi.org/10.1016/j.tjog.2016.06.016

Indonesia Ministry of Health. (2020). Integrated Antenatal Care Guidelines Third Edition (Third). Jakarta: Directorate General of Public Health.

Indonesia Ministry of Health. (2021a). Indonesian Health Profile in 2020 (B. Hardhana, F. Sibuea, & W. Widiantini, Eds.). Jakarta: Kemenkes RI.

Indonesia Ministry of Health. (2021b). Let’s decrease MMR and IMR, Ministry of Health Sharpened Health Transformation System. https://www.kemkes.go.id/article/view/21122400006/turunkan-aki-akb-kemenkes-pertajam-transformasi-sistem-kesehatan.html

Indonesia Ministry of Health. (2023). Maternal and Child Health Handbook. Jakarta.

Irianto, D. P. (2017). Complete nutrition guide for families and athlete (Revisi; Yeksha, Ed.). Yogyakarta: Andi Publisher.

Kim, T., Burn, S. C., Bangdiwala, A., Pace, S., & Rauk, P. (2017). Neonatal morbidity and maternal complication rates in women with a delivery body mass index of 60 or higher. Obstetrics and Gynecology, 130(5), 988–993. https://doi.org/10.1097/AOG.0000000000002316 DOI: https://doi.org/10.1097/AOG.0000000000002316

Maqfiro, S., & Abd Mutalib, R. H. (2022). Characteristics of Woman and Weight Gain During Pregnancy with Post Partum Hemorrhage at Tidore Islands Hospital. International Journal of Health Medicine and Current Research-Ijhmcr, 7(2), 2221–2230. https://doi.org/10.22301/IJHMCR.2221-2230.2140

Mother & Child Installation. (2022, August 3). Obesity in pregnancy. Kemenkes Direktorat Jendral Pelayanan Kesehatan. https://yankes.kemkes.go.id/view_artikel/909/obesitas-pada-kehamilan#:~:text=Obesity in pregnancy is very, preeclampsia %2C diabetes%2C and miscarriage.

Muir, R., Khan, R., Shmygol, A., Quenby, S., & Elmes, M. (2023). The impact of maternal obesity on in vivo uterine contractile activity during parturition in the rat. Physiological Reports, 11(5), 1–10. https://doi.org/10.14814/phy2.15610 DOI: https://doi.org/10.14814/phy2.15610

Norman, S. M., Tuuli, M. G., Odibo, A. O., Caughey, A. B., Roehl, K. A., & Cahill, A. G. (2012). The effects of obesity on the first stage of labor. Obstetrics and Gynecology, 120(1), 130–135. https://doi.org/10.1097/AOG.0b013e318259589c DOI: https://doi.org/10.1097/AOG.0b013e318259589c

Nyfløt, L. T., Stray-Pedersen, B., Forsén, L., & Vangen, S. (2017). Duration of labor and the risk of severe postpartum hemorrhage: A case-control study. PLoS ONE, 12(4), 1–10. https://doi.org/10.1371/journal.pone.0175306 DOI: https://doi.org/10.1371/journal.pone.0175306

Østborg, T. B., Sande, R. K., Kessler, J., Tappert, C., von Brandis, P., & Eggebø, T. M. (2022). Put your weight behind it—Effect of body mass index on the active second stage of labour: A retrospective cohort study. BJOG: An International Journal of Obstetrics and Gynaecology, 129(13), 2166–2174. https://doi.org/10.1111/1471-0528.17186 DOI: https://doi.org/10.1111/1471-0528.17186

Polónia Valente, R., Santos, P., Ferraz, T., Montenegro, N., & Rodrigues, T. (2020). Effect of obesity on labor duration among nulliparous women with epidural analgesia. Journal of Maternal-Fetal and Neonatal Medicine, 33(13), 2195–2201. https://doi.org/10.1080/14767058.2018.1543655 DOI: https://doi.org/10.1080/14767058.2018.1543655

Salman, M. M., Mokhtar, R., Ghanem, K., Nabil, A., Wasef, F., Mahmoud, M., & El, A. (2022). Effect of body (BMI) on mode of delivery and maternal and neonatal complications in nulliparous women. Ginekologia I Poloznictwo, 3(64), 1–7. https://www.ginekologiaipoloznictwo.com/articles/effect-of-body-mass-index-bmi-on-mode-of-delivery-and-maternal-and-neonatal-complications-in-nulliparous-women.pdf

Samy, M., Sanad, Z., Emara, M., & Mohamed Abdou, S. (2015). Effect of obesity on the length of the first and second stages of labor. Menoufia Medical Journal, 28(4), 858. https://doi.org/10.4103/1110-2098.173604 DOI: https://doi.org/10.4103/1110-2098.173604

Shenouda, C., Wijesooriya, A., Toufeili, A., Miller, M. R., Penava, D., & de Vrijer, B. (2020). Labour Progression in Obese Women: Are Women With Increased Body Mass Index Having Unnecessary Cesarean Sections? Journal of Obstetrics and Gynaecology Canada, 42(3), 293–300. https://doi.org/10.1016/j.jogc.2019.04.014 DOI: https://doi.org/10.1016/j.jogc.2019.04.014

Swer, M. M. (2021). Clinical Assessment of Labor Progress. In E. Chandraharan (Ed.), The Continuous Textbook of Women’s Medicine Series – Obstetrics Module (Vol. 11). London: Global Women’s Medicine. https://doi.org/10.3843/GLOWM.413923 DOI: https://doi.org/10.3843/GLOWM.413923

Tsai, Y. L., Chen, L. C., Seow, K. M., & Chong, K. M. (2015). The recommendations of the American Institute of Medicine (IOM) for normal and underweight women to reduce the risk of low birth weight. Taiwanese Journal of Obstetrics and Gynecology, 54(1), 1–7. https://doi.org/10.1016/j.tjog.2014.11.007 DOI: https://doi.org/10.1016/j.tjog.2014.11.007

Wendremaire, M., Mourtialon, P., Goirand, F., Lirussi, F., Barrichon, M., Hadi, T., … Bardou, M. (2013). Effects of leptin on lipopolysaccharide-induced remodeling in an in vitro model of human myometrial inflammation. Biology of Reproduction, 88(2), 1–10. https://doi.org/10.1095/biolreprod.112.104844 DOI: https://doi.org/10.1095/biolreprod.112.104844

Wigianita, M. R., Umijati, S., & Trijanto, B. (2020). The relationship between maternal weight gain during pregnancy and newborn weight. Darussalam Nutrition Journal, 4(2), 57. https://doi.org/10.21111/dnj.v4i2.3944 DOI: https://doi.org/10.21111/dnj.v4i2.3944

Wray, S., & Arrowsmith, S. (2021). Uterine Excitability and Ion Channels and Their Changes with Gestation and Hormonal Environment. Annual Review of Physiology, 83, 331–357. https://doi.org/10.1146/annurev-physiol-032420-035509 DOI: https://doi.org/10.1146/annurev-physiol-032420-035509

Zelig, C. M., Nichols, S. F., Dolinsky, B. M., Hecht, M. W., & Napolitano, P. G. (2013). Interaction between maternal obesity and bishop score in predicting successful induction of labor in term, nulliparous patients. American Journal of Perinatology, 30(1), 75–80. https://doi.org/10.1055/s-0032-1322510 DOI: https://doi.org/10.1055/s-0032-1322510

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Published

2024-05-31

How to Cite

Maqfiro, S. N. A., & Pelu, T. L. (2024). Weight Gain During Pregnancy Based on Pre-Pregnancy Body Mass Index with Duration of Labor. EMBRIO: Jurnal Kebidanan, 16(1), 35–47. https://doi.org/10.36456/embrio.v16i1.8141