Maternal obesity and intrapartum obstetric complications among pregnant women: Retrospective cohort analysis from medical birth registry in Northern Tanzania

Mwanamsangu, Amasha; Mahande, Michael Johnson; Mazuguni, Festo; Bishanga, Dunstan R.; Mazuguni, Nickolas; Msuya, Sia E.; Mosha, Dominic

doi:10.1002/osp4.395

Cited by 9 publications

(12 citation statements)

References 40 publications

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“…Simultaneously, obesity is also prevalent in low-and middle-income countries and high-income countries, particularly among economically poor populations (22)(23)(24)(25) . Maternal obesity is associated with serious adverse pregnancy outcomes including early pregnancy loss, preterm birth, stillbirth, gestational diabetes, pre-eclampsia and other hypertensive disorders, higher rates of labour induction and caesarean delivery, as well as associated with childhood obesity (26)(27)(28)(29)(30)(31) .…”

Section: Maternal Nutritional Status and Health Outcomesmentioning

confidence: 99%

The missing focus on women’s health in the First 1,000 days approach to nutrition

Kinshella

Moore

Elango

2020

Public Health Nutr.

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The First 1,000 Days approach highlights the time between conception and a child’s second birthday as a critical period where adequate nutrition is essential for adequate development and growth throughout the child’s life and potentially onto their own offspring. Based on a review of relevant literature, this commentary explores the First 1,000 Days approach with a maternal lens. While the primary objective of the First 1,000 Days approach to nutrition is to reduce child malnutrition rates, particularly chronic undernutrition in the form of stunting, interventions are facilitated through mothers in terms of promoting healthy behaviours such as exclusive breastfeeding and attention to her nutritional status during pregnancy and lactation. Though these interventions facilitated through women, women’s health indicators are rarely tracked and measured, which we argue represents a missed opportunity to strengthen the evidence base for associations between maternal nutrition and women’s health outcomes. Limited evidence on the effects of dietary interventions with pregnant and lactating mothers on women’s health outcomes hinders advocacy efforts, which then contributes to lower prioritization and less research.

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Section: Maternal Nutritional Status and Health Outcomesmentioning

confidence: 99%

The missing focus on women’s health in the First 1,000 days approach to nutrition

Kinshella

Moore

Elango

2020

Public Health Nutr.

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“…Among women of childbearing age, overweight and obesity have been associated with increased risk of non-communicable diseases (NCDs), pregnancy complications, caesarean section births, adverse birth outcomes, and infant mortality [8][9][10][11]. A recent study conducted in Tanzania reported associations between maternal overweight and increased risk of intrapartum obstetric complications and caesarean section births [12]. Furthermore, offspring of obese mothers have had up to 29% increased risk of hospital admission from cardiovascular disease and 35% increased risk of premature death in adulthood compared to offspring of normal BMI mothers [13].…”

Section: Introductionmentioning

confidence: 99%

Risk factors for overweight and obesity among women of reproductive age in Dar es Salaam, Tanzania

et al. 2021

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Background Overweight and obesity have increased considerably in low- and middle-income countries over the past few decades, particularly among women of reproductive age. This study assessed the role of physical activity, nutrient intake and risk factors for overweight and obesity among women in Dar es Salaam, Tanzania. Methods We conducted a cross-sectional survey among 1004 women aged 15–49 years in the Dar es Salaam Urban Cohort Study (DUCS) from September 2018 to January 2019. Dietary intake was assessed using a food frequency questionnaire (FFQ). Physical activity was assessed using the Global Physical Activity Questionnaire (GPAQ) using metabolic equivalent tasks (MET). Modified poison regression models were used to evaluate associations between physical activity and nutrient intake with overweight/obesity in women, controlling for energy and other factors. Results The mean (±SD) age of study women was 30.2 (±8.1) years. Prevalence of overweight and obesity was high (50.4%), and underweight was 8.6%. The risk of overweight/obesity was higher among older women (35–49 vs 15–24 years: PR 1.59; 95% CI: 1.30–1.95); women of higher wealth status (PR 1.24; 95% CI: 1.07–1.43); and informally employed and married women. Attaining moderate to high physical activity (≥600 MET) was inversely associated with overweight/obesity (PR 0.79; 95% CI: 0.63–0.99). Dietary sugar intake (PR 1.27; 95% CI: 1.03–1.58) was associated with increased risk, and fish and poultry consumption (PR 0.78; 95% CI: 0.61–0.99) with lower risk of overweight/obesity. Conclusion Lifestyle (low physical activity and high sugar intake), age, wealth status, informal employment and marital status were associated with increased risk of overweight/obesity, while consumption of fish and poultry protein was associated with lower risk. The study findings underscore the need to design feasible and high-impact interventions to address physical activity and healthy diets among women in Tanzania.

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“…Most of the studies were conducted in Nigeria (6/17) [39][40][41][42][43][44]; and South Africa (3/17) [45][46][47] (Table 3). Twelve of the included studies were conducted either in tertiary health centres or maternity clinics [10,[39][40][41][42][43]45,46,[48][49][50][51]; while the other 5 studies were conducted in community or neighbourhood settings [38,44,47,52,53].…”

Section: Study Settingmentioning

confidence: 99%

Maternal Obesity as a Risk Factor for Caesarean Delivery in Sub-Saharan Africa: A Systematic Review

Brizan

Amabebe

2022

Life

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Background: Maternal obesity is associated with several adverse reproductive outcomes. It is a growing public health burden in sub-Saharan Africa, a region with low resources and capacity to care for the large, affected population. Objectives: To assess the evidence of maternal obesity as a risk factor for caesarean delivery in women in sub-Saharan Africa. Methods: A systematic review of relevant original articles using PubMed, MEDLINE, and CINAHL was performed. Google Scholar and the reference lists of relevant systematic reviews and meta-analyses were also searched for other eligible studies. Observational studies assessing maternal body mass index (BMI) ≥ 30 kg/m2 before or during gestation and caesarean delivery as birth outcome were included. Results: All 17 studies were published between 2009 and 2021 and included 227,675 (236–153,102) participants. The prevalence of maternal obesity ranged from 3.9 to 44%. All except two studies (88%) indicated an association of obesity and risk of caesarean delivery in pregnant women in sub-Saharan Africa. Overweight/obese women had up to 4-fold increased risk of caesarean delivery compared to normal weight women. Three studies also reported a direct relationship between morbid obesity and prevalence of caesarean delivery in the sub-region. The risk of caesarean delivery appears to increase with increasing BMI e.g., >5 times in women with BMI ≥ 40 kg/m2 than in normal weight women. Conclusions: In sub-Saharan Africa, increased BMI in pregnancy is a risk factor for subsequent caesarean delivery. The risk of caesarean delivery appears to increase with increasing BMI. A robust meta-analysis and other patho-mechanistic studies can be conducted to confirm causal association. Culturally appropriate weight management and nutritional interventions should be implemented to reduce the incidence of obesity-induced caesarean delivery in sub-Saharan Africa.

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Maternal obesity and intrapartum obstetric complications among pregnant women: Retrospective cohort analysis from medical birth registry in Northern Tanzania

Abstract: Background:In the last decade, Tanzania has observed a dramatic increase in over-

Cited by 9 publications

References 40 publications

The missing focus on women’s health in the First 1,000 days approach to nutrition

The missing focus on women’s health in the First 1,000 days approach to nutrition

Risk factors for overweight and obesity among women of reproductive age in Dar es Salaam, Tanzania

Maternal Obesity as a Risk Factor for Caesarean Delivery in Sub-Saharan Africa: A Systematic Review

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