Obesity, obstetric complications and cesarean delivery rate–a population-based screening study
American Journal of Obstetrics and GynecologyPublished 1 April 2004
Joshua L. Weiss, Fergal D. Malone, Danielle Emig, Robert H. Ball, David A. Nyberg, Christine H. Comstock
Citations1,125
SJR quartileQ1
SJR score2.77
SNIP2.75
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TL;DR
Obesity is an independent risk factor for adverse obstetric outcome and is significantly associated with an increased cesarean delivery rate.
Abstract
Obesity is an independent risk factor for adverse obstetric outcome and is significantly associated with an increased cesarean delivery rate.
Keywords
Medicine
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Obstetrical & Gynecological SurveyObstetric Challenges of Massive Obesity Complicating Pregnancy
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PubMedComplications and outcome of pregnancy in obese women.
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