Preview

Medical Herald of the South of Russia

Advanced search

The effectiveness of programmed labor in women with obesity and anemia

https://doi.org/10.21886/2219-8075-2025-16-3-38-48

Abstract

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.

About the Authors

A. A. Orazmuradov
Peoples’ Friendship University of Russia n. a. Patrice Lumumba
Russian Federation

Agamurad A. Orazmuradov, Dr. Sci. (Med.), Professor, Professor of the Department of Obstetrics and Gynecology with a Course in Perinatology, Medical Institute

Moscow



N. M. Zokirova
Peoples’ Friendship University of Russia n. a. Patrice Lumumba
Russian Federation

Nozimabonu M. Zokirova, Postgraduate Student of the Department of Obstetrics and Gynecology with a Course in Perinatology, Medical Institute

Moscow



I. V. Bekbaeva
Peoples’ Friendship University of Russia n. a. Patrice Lumumba
Russian Federation

Irina V. Bekbaeva, Cand. Sci. (Med.), Assistant, Department of Obstetrics and Gynecology with a Course in Perinatology, Medical Institute

Moscow



E. V. Mukovnikova
Peoples’ Friendship University of Russia n. a. Patrice Lumumba
Russian Federation

Ekaterina V. Mukovnikova, Postgraduate Student, Department of Obstetrics and Gynecology with a Course in Perinatology, Medical Institute

Moscow



O. K. Doronina
Peoples’ Friendship University of Russia n. a. Patrice Lumumba
Russian Federation

Olga K. Doronina, Dr. Sci. (Med.), Professor, Professor of the Department of Obstetrics and Gynecology with a Course in Perinatology, Medical Institute

Moscow



G. A. Orazmuradova
Peoples’ Friendship University of Russia n. a. Patrice Lumumba
Russian Federation

Gozel A. Orazmuradova, student, Medical Institute

Moscow



References

1. Pasricha SR, Tye-Din J, Muckenthaler MU, Swinkels DW. Iron deficiency. Lancet. 2021;397(10270):233-248. https://doi.org/10.1016/S0140-6736(20)32594-0

2. Ali NB, Dibley MJ, Islam S, Rahman MM, Raihana S, et al. Overweight and obesity among urban women with iron deficiency anaemia in Bangladesh. Matern Child Nutr. 2021;17(2):e13102. https://doi.org/10.1111/mcn.13102

3. Hashan MR, Das Gupta R, Day B, Al Kibria GM. Differences in prevalence and associated factors of underweight and overweight/obesity according to rural-urban residence strata among women of reproductive age in Bangladesh: evidence from a cross-sectional national survey. BMJ Open. 2020;10(2):e034321. https://doi.org/10.1136/bmjopen-2019-034321

4. Habib A, Kureishy S, Soofi S, Hussain I, Rizvi A, et al. Prevalence and Risk Factors for Iron Deficiency Anemia among Children under Five and Women of Reproductive Age in Pakistan: Findings from the National Nutrition Survey 2018. Nutrients. 2023;15(15):3361. https://doi.org/10.3390/nu15153361

5. Purdy JC, Shatzel JJ. The hematologic consequences of obesity. Eur J Haematol. 2021;106(3):306-319. https://doi.org/10.1111/ejh.13560

6. González-Domínguez Á, Visiedo-García FM, Domínguez-Riscart J, González-Domínguez R, Mateos RM, Lechuga-Sancho AM. Iron Metabolism in Obesity and Metabolic Syndrome. Int J Mol Sci. 2020;21(15):5529. https://doi.org/10.3390/ijms21155529

7. Chen Z, Cao B, Liu L, Tang X, Xu H. Association between obesity and anemia in an nationally representative sample of United States adults: a cross-sectional study. Front Nutr. 2024;11:1304127. https://doi.org/10.3389/fnut.2024.1304127

8. Langley-Evans SC, Pearce J, Ellis S. Overweight, obesity and excessive weight gain in pregnancy as risk factors for adverse pregnancy outcomes: A narrative review. J Hum Nutr Diet. 2022;35(2):250-264. https://doi.org/10.1111/jhn.12999

9. Doi L, Williams AJ, Marryat L, Frank J. Cohort study of high maternal body mass index and the risk of adverse pregnancy and delivery outcomes in Scotland. BMJ Open. 2020;10(2):e026168. https://doi.org/10.1136/bmjopen-2018-026168

10. Lauth C, Huet J, Dolley P, Thibon P, Dreyfus M. Maternal obesity in prolonged pregnancy: Labor, mode of delivery, maternal and fetal outcomes. J Gynecol Obstet Hum Reprod. 2021;50(1):101909. https://doi.org/10.1016/j.jogoh.2020.101909

11. Kerbage Y, Senat MV, Drumez E, Subtil D, Vayssiere C, Deruelle P. Risk factors for failed induction of labor among pregnant women with Class III obesity. Acta Obstet Gynecol Scand. 2020;99(5):637-643. https://doi.org/10.1111/aogs.13794

12. Axelsson D, Brynhildsen J, Blomberg M. Maternal obesity and the risk of postpartum infections according to mode of delivery. J Matern Fetal Neonatal Med. 2023;36(2):2245102. https://doi.org/10.1080/14767058.2023.2245102


Review

For citations:


Orazmuradov A.A., Zokirova N.M., Bekbaeva I.V., Mukovnikova E.V., Doronina O.K., Orazmuradova G.A. The effectiveness of programmed labor in women with obesity and anemia. Medical Herald of the South of Russia. 2025;16(3):38-48. (In Russ.) https://doi.org/10.21886/2219-8075-2025-16-3-38-48

Views: 17


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2219-8075 (Print)
ISSN 2618-7876 (Online)