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Table 3 Successful assisted vaginal delivery in relation to participant characteristics among women (N = 1987)

From: Effects of maternal obesity on the success of assisted vaginal delivery in Chinese women

Characteristics

Successful Vacuum

Successful Forceps

N (%)

Crude OR [95% CI]

Adjusted OR* [95% CI]

N (%)

Crude OR [95% CI]

Adjusted OR* [95% CI]

Pre-pregnancy BMI (kg/m2)

 Normal Weight (18.5 to < 25.0)

791 (85.6)

Reference

Reference

703 (85.6)

Reference

Reference

 Obese (≥30.0)

262 (86.3)

1.19 [0.59–2.28]

1.09 [0.58–2.34]

231 (96.3)

1.69 [1.07–3.18]*

1.79 [1.11–3.53]*

Age (years)

 < 20

17 (89.4)

1.11 [1.02–1.23]

 

11 (84.6)

0.97 [0.01–1.11]

 

 20–24

98 (94.2)

Reference

 

88 (88.8)

Reference

 

 25–29

312 (88.9)

0.97 [0.74–1.22]

 

271 (87.5)

0.85 [0.76–1.12]

 

 30–35

512 (84.9)

0.91 [0.69–1.21]

 

441 (88.6)

0.87 [0.74–1.18]

 

 > 35

114 (75.1)

0.99 [0.77–1.31]

 

123 (87.2)

0.95 [0.71–1.23]

 

Smoking Cigarettes

 No Smoking

974 (85.7)

0.88 [0.68–1.06]

 

874 (87.9)

0.92 [0.72–1.09]

 

 Smoking

79 (84.0)

Reference

 

60 (89.5)

Reference

 

Diabetes (Type 1, 2, GDM)

 Not Diabetes

994 (87.8)

Reference

Reference

889 (90.1)

Reference

Reference

 Diabetes

59 (60.8)

0.49 [0.31–0.74]*

0.45 [0.27–0.68]*

45 (60.1)

0.40 [0.26–0.71]*

0.44 [0.24–0.66]*

Hypertension (chronic, pregnancy–induced, preeclampsia)

 Not hypertension

985 (85.7)

Reference

 

867 (87.8)

Reference

 

 Hypertension

68 (86.1)

0.92 [0.72–1.12]

 

67 (90.1)

0.85 [0.91–1.18]

 

Received Prenatal Care

 No

15 (88.2)

1.08 [0.74–1.49]

 

17 (89.4)

1.05 [0.79–1.31]

 

 Yes

1038 (85.6)

Reference

 

917 (88.2)

Reference

 

Induction

 No

345 (86.1)

Reference

Reference

265 (87.1)

Reference

Reference

 Yes

708 (85.5)

1.01 [0.78–1.61]

1.07 [0.80–1.67]

668 (88.2)

1.03 [0.78–1.63]

1.01 [0.80–1.57]

Epidural

 No

185 (90.2)

Reference

Reference

115 (85.2)

Reference

Reference

 Yes

868 (84.8)

1.06 [0.85–1.58]

1.07 [0.82–1.39]

819 (88.6)

1.01 [0.76–1.68]

1.08 [0.82–1.44]

Adherence To 2009 IOM Guideline

 Inadequate

94 (87.3)

1.05 [0.80–1.41]

 

78 (89.6)

1.09 [0.78–1.53]

 

 Appropriate

659 (84.9)

Reference

 

619 (87.7)

Reference

 

 Excessive

300 (86.9)

0.92 [0.71–1.12]

 

237 (88.4)

0.95 [0.71–1.47]

 

Estimated Gestational Age

 EGA < 37

52 (85.2)

Reference

 

50 (86.2)

Reference

 

 EGA 37+

1001 (85.7)

0.99 [0.70–1.31]

 

884 (88.1)

0.95 [0.69–1.44]

 

Neonate weight

 SGA

75 (91.7)

3.21 [1.84–5.55]*

3.14 [1.96–6.03]*

137 (87.7)

3.08 [1.89–5.79]*

3.05 [1.99–5.53]*

 AGA

918 (93.0)

Reference

Reference

758 (88.2)

Reference

Reference

 LGA

65 (92.3)

0.26 [0.15–0.45]*

0.24 [0.16–0.44]*

39 (84.8)

0.28 [0.17–0.44]*

0.29 [0.16–0.47]*

  1. Adjusted for: age category, smoking, hypertension, prenatal care, epidural, adherence to GWG, race, marital status, parity, diabetes, induction, augmentation, and estimated gestational age
  2. *Significant Odds Ratios at the p < 0.05 level
  3. GDM (Gestational Diabetes Mellitus), GWG (Gestational Weight Gain), IOM (Institute of Medicine), SGA (Small for Gestational Age), AGA (Average for Gestational Age), LGA (Large for Gestational Age)