Association of body mass index with rate of cervical dialatation in spontaneous onset labour

Objective: To determine association of cervical dialatation rate with body mass index (BMI). Introduction: The prevalence of overweight and obesity is increasing among women of childbearing age. Observational studies show that obese women have up to a 2-fold increased risk for a cesarean delivery compared with normal-weight women. The purpose of this study was to examine the effect of maternal overweight and obesity on the pattern of labor progression in pregnant women with a singleton, term pregnancy with spontaneous onset labour. Methods: We analyzed data from 1531 pregnant women with a term pregnancy those were admitted in SSMC ,Rewa from August 2017- July 2018 with spontaneous onset labour pain at term. The median duration of labor by each centimeter of cervical dilation was computed for under weight(Body mass index BMI<18.5 kg/m2), normal-weight (BMI_ 18.5 –24.9 kg/m2), overweight (BMI >24.9-29.9 kg/m2), and obese (BMI>30 kg/m2) women and used as a measurement of labor progression.  Results: After considering inclusion and exclusion criteria all laboring females were allowed to progress naturally and four hourly partogram was recorded. All females who required augmentation ,caesarean or instrumental delivery were excluded from the study.&nbsp