Age, Anthropometric Measurements and Mode of Delivery among Primigravidae Women at Addis Ababa Governmental Hospitals, Ethiopia

Abstract

Background: In developing countries, a significant number of maternal deaths are attributable to the complications of obstructed labor. Identifying women at risk for Cephalopelvic Disproportion (CPD) prepares physicians for on time treatment and enables them to minimize maternal-fetal trauma that accompanies this midwifery emergency. The study aims to identify diagnostic accuracy of maternal age and anthropometric measurements to predict CPD among Primigravidae women visiting Addis Ababa Governmental Hospital. Methods: Hospital based prospective cohort study was carried out at Governmental Hospitals in Addis Ababa. The sample size was 384 mothers. Five hospitals were selected from Addis Ababa governmental hospitals by using simple random sampling (lottery method). Data was entered into EPI data version 3.3 and analyzed using SPSS version 23 statistical package. Results: The current study shows as the most predictive variable is maternal height with Positive Predictive Value percentage of 64.9, sensitivity of 85.4% and specificity of 96.4% followed by Michaelis rhomboid transverse diameter with Positive Predictive Value of 14.8%, sensitivity of 51.3%, and specificity of 89.4%. Conclusions: Age and maternal anthropometric measurements can predict CPD to some extent. Combining some of maternal anthropometric measurements with each other enhances the predictive value to a relatively modest degree. In this study when height is combined with other anthropometric measurements it doesn't show increment in predictive value.

Comparison of Michaelis Rhombus, Height and Foot Length of Patient in Prediction of Mode of Delivery

“…Similar to study conducted by Demitew S et al in which foot length 22.6 ± 0.7 cm underwent LSCS for CPD and foot length 23.7 ± 0.9 cm delivered vaginally. 5 and Deepika N et al in which foot length 24.1 ± 0.1 cm underwent LSCS for CPD and foot length 25.3 ± 1.9 cm delivered vaginally 6 , another similar study Santosh J et al in which foot length 22.3 ± 1.1 cm underwent LSCS for CPD and foot length 23.2 ± 1.9 cm delivered vaginally. 7 But contrary to the studies conducted by Awonuga et al 8 and Mahmood et al, 9 no significant correlation was found (Have taken Foot Length < 18 cm and > 18 cm).…”

The maternal anthropometry and hemoglobin status in relations to newborn birth weight among primiparous mothers at Adama Hospital Medical College, Eastern Ethiopia: a cross-sectional study

“…Foot length is measured by a wooden centimeter from the heel to the tip of the longest toe. All maternal anthropometric measurements were taken three times, and the average was taken (17). Maternal hemoglobin (Hgb) was determined using a portable hemoglobinometer, the HemoCue Hgb analyzer (HemoCue Hb 201+, Sweden), by taking a drop of blood and puncturing the tip of the middle finger of the mother with a sterile lancet.…”

“…Height: Measured in the standing position following standards of measuring height by using a stadiometer (mothers stood next to a wall with their feet and knees together, knees straight, heels, legs, hip, shoulders, back of the head parallel to the wall, their body completely flat and stretched, hands hanging on both sides, and looking straight ahead and standing height was measured in centimeter (cm) (17).…”

Validation of Sacral Rhomboid Diameters and Maternal Height in Antenatal Prediction of Contracted Pelvis in Primigravida

“…Michaelis noted the difference in size or shape of this area in women with and without contracted pelvis and also explained its importance for the pelvic cavity [6,7]. Maternal height is presently the only parameter included in ANC charts for the identification of women at risk of pelvic disproportion [4,[8][9][10]. Other factors such as external pelvic diameters, foot length, symphysio fundal height, weight gain during pregnancy have been evaluated in various studies [4,[8][9][10] with controversial results in some of them [4,8,10].…”

“…Maternal height is presently the only parameter included in ANC charts for the identification of women at risk of pelvic disproportion [4,[8][9][10]. Other factors such as external pelvic diameters, foot length, symphysio fundal height, weight gain during pregnancy have been evaluated in various studies [4,[8][9][10] with controversial results in some of them [4,8,10]. The present study aims to assess the validity of sacral rhomboid diameters along with maternal height in primigravida at term pregnancy to predict the contracted pelvis antenatally.…”