Table B2Nulliparous women with planned birth in an alongside midwifery unit: how BMI above or below 35 kg/m2 may affect the rate of caesarean birth and postpartum haemorrhage

Body mass index (BMI) at booking (kg/m2)Average rate of intrapartum caesarean birth (category 1, 2 or 3)Average rate of emergency caesarean birth (category 1 or 2)Average rate of postpartum haemorrhage
35 or less 82 per 1,000 (so this does not happen in about 918 pregnancies per 1,000)65 per 1,000 (so this does not happen in about 935 pregnancies per 1,000)17 per 1,000 (so this does not happen in about 983 pregnancies per 1,000)
More than 35 138 per 1,000 (so this does not happen in about 862 pregnancies per 1,000). This is an average increase of 56 per 1,000 compared with women with a BMI less than 35 kg/m2 (so for about 944 pregnancies per 1,000, the outcome was the same)122 per 1,000 (so this does not happen in about 878 pregnancies per 1,000). This is an average increase of 57 per 1,000 compared with women with a BMI less than 35 kg/m2 (so for about 943 pregnancies per 1,000, the outcome was the same)51 per 1,000 (so this does not happen in about 949 pregnancies per 1,000). This is an average increase of 34 per 1,000 compared with women with a BMI less than 35 kg/m2 (so for about 966 pregnancies per 1,000, the outcome was the same)

From: Intrapartum care

Cover of Intrapartum care
Intrapartum care.
NICE Clinical Guidelines, No. 235.
Copyright © NICE 2023.

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