Medical College of Wisconsin
Pregnant patients with severe obesity sometimes experience longer duration labors and higher rate of cesarean delivery. This study is looking at whether gently lifting the abdominal tissues, the pannus, during active labor can help the labor process progress more efficiently. Pregnant patients with severe obesity who are in active labor, anticipating a vaginal delivery will be randomly assigned into either a standard of care group or an interventional group. The interventional group with receive standard obstetric care and a medical device supporting/ lifting the abdominal pannus. The final aims of this project will compare how long labor lasts, mode of delivery (vaginal or cesarean section), and other maternal health outcomes. This study will also evaluate to the comfort of the patient as well of the healthcare providers. This overall goal of this clinical trial is to learn whether lifting the abdominal pannus is a practical and effective way to improve labor outcomes of obese pregnant patients. The knowledge gained will help guide future, larger studies.
Maternal obesity is one of the most important contributors to pregnancy complications such as cesarean delivery and hemorrhage in Wisconsin, representing a growing public health challenge. According to the Wisconsin Department of Health Services, approximately 28% of women entering pregnancy have obesity, and the prevalence of maternal obesity and other disease comorbidities has steadily increased. As the number of pregnancies complicated by obesity continue to rise, so does those complicated by severe obesity (body mass index / BMI \> 40), so does the burden of prolonged labor and significant…
Inclusion Criteria: * Singleton Pregnancy * Cephalic Pregnancy * ≥37 weeks' gestation * Body Mass Index of at least 40 kg/m² Exclusion Criteria: * Major fetal anomaly * Multiple gestation * Prelabor premature rupture of membranes before 36 weeks 0 days gestation * Inability to consent
Panni® XL will be used to provide abdominal pannus retraction from the time of informed consent through the entire duration of labor and delivery
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