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. Author manuscript; available in PMC: 2019 Sep 24.
Published in final edited form as: J Midwifery Womens Health. 2019 Jan 16;64(1):55–67. doi: 10.1111/jmwh.12935

Table 4.

Influences of Maternal Obesity on Time to Birth and Medication Dosage by Labor Inducing Agent

Study BMI Ranges kg/m2 Time to Birth h P Value Medication Dosage in Labor P Value
Prostaglandins
Gauthier et al, 201223 20–25 21.20 (17.18)a,b 1.2 (0.3)c
≥30 26.25 (19.22)a,b .0258 1.4(0.6)c .0126
Lassiter et al, 201624 <30 17.72 (7.3)a,b 1.59d
30–0 20.01 (8.3)a,b 2.05d
≥40 22.90 (11.6)a,b .0001 2.32d .003
O’Dwyer et al, 201327 20–29 6.10a,e 2.5f
Overweight 6.00a,e 2.7f
>30 6.60a,e NS 2.8f NS
Transcervical catheters
Anabusi et al, 201620 ≤30 16.00g Not applicable
>30 16.95g .092
Oxytocin
Lassiter et al, 201624 <30 17.72 (7.3)a,b 7.17a,h
30–40 20.01 (8.3)a,b 8.54a,h
>40 22.90 (11.6)a,b .0001 10.39a,h .023
Maeder et al, 201728 <25 13.96 (8.10)a,b 6.37 (7.06)a,h
25–29.9 16.00 (7.54)a,b 5.98 (5.00)a,h
≥30 18.30 (8.65)a,b .018 7.50 (6.49)a,h .252
O’Dwyer et al, 201327 20–25 6.10a,e Not reported
Overweight 6.00a,e
>30 6.60a,e NS
Pevzner et al, 200921 <30 22.70 (11.4–39.6)b,g 2.6 (0.4–13.5)g,h
30–39 24.90 (12.2–43.0)b,g 3.5 (0.3–15.8)g,h
>40 27.00 (12.9–50.4)b,g <.001 5.0 (0.4–20.9)g,h <.001

Abbreviations: BMI, body mass index; NS, not significant.

a

Mean (SD, if reported).

b

Time from labor induction to birth.

c

Mean (SD) number of prostaglandin doses.

d

Mean number of doses of misoprostol.

e

Time in first stage of labor for nulliparous women.

f

Mean prostaglandin dose for nulliparous women.

g

Median (10%−90% range, if reported).

h

Total units of oxytocin.