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April 1, 2026Journal of PregnancyOpen Access

Labor Induction in Obese Pregnancies at Term: Risk Factors and Pregnancy Outcomes

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Authors

HNHuwaida NabilahHJHermanto Tri JoewonoMAMuhammad Ilham Akhmalul Akbar

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Overview

Cross-sectional study evaluates labor induction outcomes in obese women, suggesting risk factors for maternal and neonatal issues.

Key Points

  • This study aims to identify risk factors linked to failed labor induction in obese pregnancies and to assess related maternal and neonatal outcomes.
  • Cross‐sectional design involving obese pregnant women with BMI ≥ 30 kg/m²
  • Conducted at two academic hospitals in Surabaya, Indonesia, during 2023
  • Participants classified into successful and failed induction groups
  • Comparison of maternal characteristics and pregnancy outcomes
  • Multivariable logistic regression used to identify independent risk factors for induction failure.
  • 159 women participated, with 53 failed and 106 successful inductions
  • Failed induction associated with primiparity (aOR 3.10) and Bishop score < 3 (aOR 2.02)
  • Higher maternal weight gain linked to induction failure (aOR per kg increase 0.89)
  • Failed induction resulted in significantly higher rates of severe preeclampsia (18.9% vs. 1.9%) and cesarean delivery (100% vs. 5.7%)
  • Longer hospitalization and lower 1‐min Apgar scores observed in failed inductions.

Cite This Study

Nabilah et al. (2026) studied this question.

synapsesocial.com/papers/69cd7b475652765b073a9276https://doi.org/10.1155/jp/8982438
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