Impact of maternal obesity on the fetal electrocardiogram during labor

• Published in: The journal of maternal-fetal & neonatal medicine Vol. 29; no. 22; p. 3712
• Main Authors: Racz, Sandor, Hantosi, Eszter, Marton, Sandor, Toth, Krisztina, Ruzsa, Diana, Halvax, Laszlo, Bodis, Jozsef, Farkas, Balint
• Format: Journal Article
• Language: English
• Published: England 16.11.2016
• Subjects: Acidosis - diagnosis; Acidosis - etiology; Acidosis - prevention & control; Adult; Case-Control Studies; Electrocardiography; Female; Fetal Hypoxia - diagnosis; Fetal Hypoxia - etiology; Fetal Hypoxia - prevention & control; Fetal Monitoring - methods; Humans; Infant, Newborn; Labor, Obstetric; Obesity; Pregnancy; Pregnancy Complications; Prospective Studies; STAN; ST analysis; obesity; Direct fetal monitoring
• DOI: 10.3109/14767058.2016.1141887

Maternal obesity affects one in every five women giving birth worldwide. This condition is associated with adverse perinatal outcomes, as well as increased morbidity and mortality for mother and offspring. We carried out a prospective study at the University of Pecs Medical Center, Pecs, Hungary, between 1 January 2013 and 1 January 2014. We enrolled 60 obese (body mass index >30 kg/m(2)) low-risk pregnant women and 108 age-, ethnicity-, and parity-matched nonobese pregnant control subjects. The ST segment of the fetal electrocardiogram was assessed by STAN® monitoring. Neonatal outcomes and cord gas analysis of the umbilical vessels were evaluated after birth. No infant with definitive metabolic acidosis was delivered in either group. We observed 32 and 106 ST events in the obese and control group, respectively, but this difference was not statistically significant. To date, none of the infants delivered as part of this study have demonstrated developmental insufficiency. Obesity might not influence the fetal electrocardiogram during labor as an independent risk factor for adverse pregnancy outcomes. Studies with larger cohort sizes are needed to confirm our findings.