The Risk of Cesarean Delivery as related to Maternal Height and Race
ACOG ePoster. Skeith A. Apr 27, 2018; 211558; 16K
Ashley Skeith
Ashley Skeith
Login now to access Regular content available to all registered users.

You may also access this content "anytime, anywhere" with the Free MULTILEARNING App for iOS and Android
Rate & Comment (0)
Introduction: We sought to determine differences in the rate of cesarean delivery associated with maternal height as related to race.

Methods: We conducted a retrospective cohort study of 9,208,030 women with singleton, non-anomalous, vertex, term gestations from 2012 to 2014 and examined rates of cesarean delivery based on maternal height and race. Maternal height was divided into 2-inch increments and race was classified as Asian, Hispanic, White, or Black. Results were stratified by parity and history of previous cesarean delivery. Chi-square tests were employed for statistical comparisons and a p-value of less than 0.05 was used to indicate statistical significance.

Results: Overall, we found that maternal height is inversely related to risk of cesarean delivery, regardless of race. The overall odds ratio of cesarean delivery as related to increasing maternal height is 0.93 (95% confidence interval [CI], 0.9309-0.9321). When stratified by race, our results showed that height is most protective for Asians (OR 0.91, 95% CI 0.909-0.918) and least protective for Hispanics (OR 0.95, 95% CI 0.946-0.949), indicating that for every 2-inch increase in maternal height, there is a 9% reduction in risk of cesarean delivery in Asian women, but only a 5% reduction in risk for Hispanic women.

Conclusion/Implications: Maternal height modifies the risk of cesarean delivery, which varies based on race. Though stature as related to race has not typically been included in prenatal counseling for women, it may be reasonable to alter counseling based on these patient characteristics.
    This eLearning portal is powered by:
    This eLearning portal is powered by MULTIEPORTAL
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.

Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.

Save Settings