This study aimed to determine whether excessive maternal weight gain during pregnancy was associated with a higher risk of prolonged labor. The overall incidence of prolonged labor was 10.2% (2,907/28,442) in nulliparous women and 6.1% (2,597/42,712) in multiparous women. Multivariable analysis indicated that excessive maternal weight gain was significantly associated with prolonged labor in nulliparous (adjusted odds ratio, 1.21; 95% confidence interval, 1.10-1.32) and multiparous women (adjusted odds ratio, 1.15; 95% confidence interval, 1.05-1.27).
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0306247
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