What is the safest timing and mode of delivery for a nulliparous woman with a pre-pregnancy BMI of 30 and aged over 30, regarding maternal and neonatal outcomes?

Evidence highlights the increased risks associated with early delivery in higher BMI pregnancies; elective cesarean post-39 weeks may reduce neonatal complications, yet maternal risks remain a concern. Specific evidence for nulliparous women in this demographic is sparse.

Keywords

delivery mode, obstetrics, maternal outcomes, delivery timing, nulliparous, neonatal outcomes, pregnancy, women's health, BMI 30, pre-pregnancy BMI

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