DOI: 10.6084/m9.figshare.8217227
title: Data files describing the relationship between body mass index and adverse perinatal outcomes in parturient receiving regional labor analgesia.

description: This metadata record consists of ten <b>.jpg</b> files, two <b>.pdf </b>files, four <b>.txt</b> files, one <b>.docx</b> file and one .<b>xlsx</b> file.<br>File <b>Figure-1Gribel.pdf</b> is a flowchart showing the study design including the number of patients who participated in the study and BMI and related factors associated with adverse maternal-fetal outcomes in pregnant women under regional labor analgesia.<br><br>File <b>Figure-2Gribel.pdf</b>, is a dispersion diagram showing the association between the the hospitalization time of patients and their BMI.<br>File <b>Figure 3 x age.jpg</b>, is a dispersion diagram showing the relationship between the BMI and the age of patients.<br><br>File <b>Fig 4 bmi x asa.jpg</b>, is a boxplot diagram showing the association between the BMI of the patients and the American Society of Anesthesiology (ASA) physical statusclassification rating.<br>File <b>Fig 5 bmi x fetal weight.jpg</b>, is a dispersion diagram showing the association between the BMI of patients and fetal weight.<br><br>File <b>Fig 6 bmi x weight gain.jpg</b>, is a boxplot diagram showing the relationship between the BMI and the weight gain of patients during pregnancy. Weight gain was classified as ≤ adequate or &gt; appropriate. <br>File <b>Fig 7 bmi x systemic desease.jpg, </b>is a boxplot diagram showing the relationship between the BMI of patients and the occurrence of systemic diseases.<br><br>File <b>Fig 8 bmi x partoinduced labor.jpg</b>, is a boxplot diagram showing the association between the BMI of patients and induced labor.<br><br>File <b>Fig 9 bmi x primiparity.jpg</b>, is a boxplot diagram showing the association between the BMI of patients and the incidence of primiparity.<br><br>File <b>Fig 10 bmi x episiotomy.jpg</b>, is a boxplot diagram showing the association between the BMI of patients and episiotomy occurrence.<br>File <b>Fig 11 bmi x delivery.jpg</b>, is a boxplot diagram showing the relationship between the BMI of patients and the type of delivery method (cesarean section, operative delivery, vaginal delivery) used.<br><br>File <b>Fig 12</b> <b>bmi x types of analgesia.jpg, </b>is a boxplot diagram showing the relationship between the body mass index (BMI) of patients and the type of analgesia (epidural, subarachnoid and combined analgesia) they received.<br>File<b> Supplementary Dataset 1.xlsx </b>describes the outcome variables of patients who received regional analgesia. The table consists of 36 columns and 36 measured parameters. These are: <i>time of Hospitalisation</i> (in days), <i>hospitalisation&gt;4 days</i> (0: hospitalisation did not exceed 4 days, 1: hospitalisation was longer than 4 days), <i>Age</i>, <i>Primiparity</i> (0: woman is not primiparous, 1: woman is primiparous), <i>Gestational age</i> (in days), <i>Labor induction</i> (0: spontaneous labor, 1: induced labor), <i>Type of delivery </i>(1: vaginal delivery, 2: cesarean section, 3: forceps), <i>Cesarean sec</i> (0: no cesarean section performed, 1: cesarean section was performed), <i>Episiotomy</i> (0: episiotomy was not performed, 1: episiotomy was performed), <i>Laceration 3rd </i>(third degree laceration, 0: no third degree laceration, 1-3: increasing severity of third degree laceration), <i>Macrosomia</i> (0: no evidence of macrosomia, 1: macrosomia present), <i>Fetal weight </i>(in grams), <i>Apgar </i>(Apgar Index at the 5<sup>th</sup> minute, a score of 7-10 is considered normal), <i>Meconium</i> (presence of meconium in the amniotic fluid, 0: no meconium present, 1: meconium present in amniotic fluid), <i>NEOICU </i>(Admission of the newborn baby to the neonatal intensive care unit, 0: no admission to the NEOICU, 1: admission to the NEOICU), <i>NEOICUTIME</i> (time, in days spent at the NEOICU), <i>ASA</i> (American Society of Anesthesiology, physical status classification score, 1: healthy person, 2: mild systemic disease, 3: severe systemic disease), <i>Obesity</i> (0: no obesity, 1: patient is classified as obese), <i>BMI</i> (Body mass index), <i>Weight gain&gt;adequate</i> (0: weight gain not greater than adequate, 1: weight gain greater than adequate), <i>Analgesia</i> (type of regional labor analgesia, 1: combined, 2: epidural, 3: subarachnoid), <i>Analgesia time</i> (interval between analgesia installation and end of 3<sup>rd</sup> stage of labor, in minutes), <i>Vasopressor</i> (0: no use of vasopressor, 1: use of vasopressor), <i>Uterine hypotonia </i>(0:absence of uterine hypotonia, 1: presence of uterine hypotonia), <i>Headache</i> (0: absence of headache, 1: presence of headache), <i>Failure</i> (failure of anesthesia, 0: no failure of anesthesia, 1: failure of anesthesia), <i>Accidental puncture </i>(puncture accident during anesthesia, 0: no puncture accident, 1: occurrence of puncture accident during anesthesia), <i>Transfusion</i> (blood transfusion in the third stage of labor, 0: no blood transfusion was performed, 1: blood transfusion performed), <i>Birth injury</i> (neonatal birth injury, 0: no birth injury, 1: birth injury present), Systemic disease (0: absence of systemic disease, 1: presence of systemic disease), <i>Companion</i> (0: absence of companion during labor, 1: presence of companion during labor), <i>Non- pharmacological methods number</i> (number of non-pharmacological methods used to manage pain during labor), <i>Breastfeed</i> (breastfeeding in the first hour after birth, 0: no breastfeeding, 1: breastfeeding), <i>Oxytocin</i> (use of oxytocin to modulate contractility in patients under regional anesthesia, 0: no use of oxytocin, 1: use of oxytocin).<br>File <b>Legends.docx</b>,<b> </b>provides a description of the data files in this metadata record.<br>File <b>Results27042017.txt </b>is the output of R analysis describing BMI and main study variables association tests.<br>File <b>Results15052017.txt</b> is the output of R analysis describing BMI and numerical variables of study correlation tests, BMI and categorical variables of study associations tests and BMI and significative variables linear regression. <br>File <b>Results01062017.txt</b> is the output of R analysis describing univariate and multivariate logistic regression model tests: Factors associated with long hospitalisation.<br>File <b>Results27112017.txt </b>is the output of R analysis describing the association between BMI and Apgar&lt;7 on the 5<sup>th</sup> min and Long hospitalisation time and Apgar&lt;7 on the 5<sup>th</sup> min tests. The Apgar Score relates to fetal data and is a method to quickly summarise the health of newborn children against infant mortality. Apgar stands for "Appearance, Pulse, Grimace, Activity, and Respiration". All the figures were generated from the data described in <b>Results27112017.txt.</b><br>The aim of this retrospective cohort study was to analyse the influence of BMI, demographic, obstetric and anesthesia-associated factors on adverse maternal-fetal outcomes in pregnant women under regional labor analgesia. For example identifying the relationship between BMI and the occurrence of systemic diseases in parturient women receiving regional labor analgesia can help health care organisations to improve the assistance provided for these women during their hospitalisation. <br>The study was conducted from November 2012 to May 2016 in the Maternity School Hospital, Federal University of Rio de Janeiro. A total of 685 patients participated in the study. Data presented in the related article were collected from charts of pregnant women who were evaluated during hospital admission (with a single fetus aged above 36 weeks) and who reached the labor active phase either spontaneously or by induction. This informational was dated by the first trimester ultrasound, in which the child was in the longitudinal position, without malformation and with good vitality. The pregnant women who received complete prenatal care and those who were attended in their preanesthetic visit (classified as II or III as recommended) were included and subjected to regional labor analgesia during labor.<br>Anthropometric data (such as pregestational BMI and ages), clinical data (such as intercurrent systemic diseases like diabetes, and the ASA classification), obstetric history data (such as parity and gestational age) and intrapartum obsteric interventions data (such as induction of labor and intrapartum use of oxytocin) were collected for each patient. The patients underwent regional anesthesia. Regional analgestic techniques used in this study were as follows: continuous (epidural or combined) or simple subarachnoid anesthesia. <br>The outcome variables were divided into three groups: maternal data (such as type of delivery and maternal hospitalisation time in days), fetal data (such as breastfeeding in the first hour of life and neonatal birth injury) and anesthetic data (such as time of analgesia and anesthetic complications.<br>The data collected were organised in Microsoft Excel spreadsheets and statistical analysis was performed using the R Core Team 2016 program. The data obtained were processed for descriptive statistical analysis of association and regression. <br><br><br><br>