{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T08:01:45Z","timestamp":1767772905013,"version":"3.40.5"},"reference-count":31,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,6,2]],"date-time":"2023-06-02T00:00:00Z","timestamp":1685664000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Scarce data exist regarding obstetric complications of short\u2010stature patients. This study aimed to investigate obstetric and perinatal outcomes in women with short stature; specifically, to investigate whether short\u2010stature patients are at an increased risk for cesarean delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A population\u2010based cohort study was conducted, including all singletons born between the years 1991 and 2021 at a tertiary medical center. Obstetric and perinatal outcomes of short\u2010stature patients were compared with those of non\u2010short patients. A generalized estimation equation binary logistic model was constructed to adjust for confounders and maternal recurrence in the cohort.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study population included 356\u2009356 parturient; among them, 14\u2009035 (3.9%) were short\u2010stature patients. Short\u2010stature patients had significantly higher rates of cesarean delivery (20.7% vs 13.7%, odds ratio\u2009=\u20091.64, 95% confidence interval 1.57\u20131.71, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), induction of labor, pathologic presentations, prolonged second stage of labor, non\u2010reassuring fetal monitoring, and meconium\u2010stained amniotic fluid. Newborns of short\u2010stature patients had a significantly higher risk of being small for gestational age as compared with those of non\u2010short patients. In the generalized estimation equation models, the association between short stature and risk of cesarean delivery remained significant (adjusted odds ratio\u2009=\u20091.32, 95% confidence interval 1.27\u20131.38, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), as well as the risk of small for gestational age newborns (adjusted odds ratio\u2009=\u20091.51, 95% confidence interval 1.40\u20131.63, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), but not for the other adverse outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Maternal short stature is an independent risk factor for cesarean delivery and is associated with small for gestational age newborns.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14907","type":"journal-article","created":{"date-parts":[[2023,6,3]],"date-time":"2023-06-03T03:44:28Z","timestamp":1685763868000},"page":"978-982","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Obstetric and perinatal outcome in short\u2010stature patients"],"prefix":"10.1002","volume":"163","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8759-5323","authenticated-orcid":false,"given":"Noa","family":"Leybovitz\u2010Haleluya","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Soroka University Medical Center, Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eyal","family":"Sheiner","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Soroka University Medical Center, Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamar","family":"Wainstock","sequence":"additional","affiliation":[{"name":"The Department of Public Health, Faculty of Health Sciences Ben Gurion University of the Negev  Beer\u2010Sheva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,6,2]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3909\/ricm0678"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.7554\/eLife.72984"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-8587(15)00474-X"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.3233\/jad-2007-11310"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a116950"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2004.09.013"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/0020-7292(91)90671-Q"},{"key":"e_1_2_8_9_1","first-page":"251","article-title":"The relationship between maternal height and cephalopelvic disproportion in Dar Es Salaam","volume":"52","author":"Everett VJ","year":"1975","journal-title":"East Afr Med J"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/0028-2243(81)90080-0"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016348709083038"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1079\/PNS19630013"},{"key":"e_1_2_8_13_1","first-page":"1","article-title":"The size and shape of the female pelvis","volume":"59","author":"Bernard RM","year":"1952","journal-title":"Edinb. 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