The effectiveness of programmed labor in women with obesity and anemia

Objective: to evaluate the effectiveness of programmed birth in women with obesity and anemia. Materials and methods: a prospective cohort study was conducted at the clinical site of the Department of Obstetrics and Gynecology with a course in perinatology of the Medical Institute of Peoples’ Friendship University of Russia in the maternity hospital at the State Budgetary Healthcare Institution City Clinical Hospital No. 29 named aſter N.E. Bauman of the Moscow Health Department. The study included 238 pregnant women with obesity and anemia, who were stratified into 4 groups depending on the degree of obesity (I, II and III) and group IV, which included a combination of obesity and anemia. All respondents included in the study were assessed for obstetric and perinatal outcomes of childbirth depending on the method of delivery: spontaneous labor, PR and abdominal delivery. Results: programmed labor was associated with fewer complications during childbirth and the postpartum period. Statistical analysis showed: 1) programmed delivery reduces the frequency of cesarean section in women with obesity and anemia; 2) programmed delivery in women with obesity and anemia, compared to spontaneous delivery, reduces the duration of the first stage of labor; 3) programmed delivery reduces the frequency of postpartum complications: compared to spontaneous delivery — hypotonic bleeding, ruptures of the birth canal; compared to cesarean section — reduces the frequency of uterine subinvolution. Conclusions programmed delivery reduces the frequency of abdominal delivery and postpartum complications in patients with obesity and anemia.