The Association of Maternal Body Fat Distribution with Cesarean Delivery, Spontaneous Labor, and Perinatal Morbidity in Women with Body Mass Index ≥ 40 kg/m2

This study investigates the relationship between maternal body fat distribution, as measured by ultrasonographic and anthropometric methods, and the likelihood of cesarean delivery in women with a body mass index (BMI) of 40 kg/m² or higher. The authors found that specific measures of central adiposity were significantly more predictive of cesarean delivery than BMI alone, suggesting that these fat distribution metrics could be valuable in assessing delivery outcomes. Additionally, the study indicates that similar adiposity measurements may also enhance predictive capabilities in women with normal BMI.