Predicting trends in operative delivery for cephalopelvic disproportion in Africa

Harrison, KelseyA.

doi:10.1016/0140-6736(90)90982-b

Cited by 16 publications

(10 citation statements)

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“…Thus, the girls may start pregnancy at a great disadvantage. Moreover, they are at increased risk of problems in delivery due to cephalopelvic disproportion and of delivering low birth weight infants (26,27,28). So, programs to support adequate nutrition for adolescents could provide an opportunity for healthy transition from childhood to adulthood and could be an important step towards breaking the vicious cycle of intergenerational malnutrition.…”

Section: Discussionmentioning

confidence: 99%

Nutritional Status of Adolescent Girls from Rural Communities of Tigray, Northern Ethiopia

Mulugeta¹,

Hagos²,

Stoecker³

et al. 2009

Ethiopian Journal of Health Development

105

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Background: Addressing the nutritional needs of adolescents could be an important step towards breaking the vicious cycle of intergenerational malnutrition. Objective: Assess nutritional status of rural adolescent girls. Design: Cross-sectional. Methods: Anthropometric and socio-demographic information from 211 adolescent girls representing 650 randomly selected households from thirteen communities in Tigray was used in data analysis. Height-for-age and BMI-for-age were compared to the 2007 WHO growth reference. Data were analyzed using SAS, Version 9.1. Results: None of the households reported access to adolescent micronutrient supplementation. The girls were shorter and thinner than the 2007 WHO reference population. The cross-sectional prevalence of stunting and thinness were 26.5% and 58.3%, respectively. Lack of latrine facilities was significantly associated with stunting (p = 0.0033) and thinness (p<0.0001). Age was strong predictor of stunting (r 2 = 0.8838, p<0.0001) and thinness (r 2 = 0.3324, p<0.0001). Conclusion: Undernutrition was prevalent among the girls. Strategies to improve the nutritional status of girls need to go beyond the conventional maternal and child health care programs to reach girls before conception to break the intergenerational cycle of malnutrition. Further, carefully designed longitudinal studies are needed to identify the reasons for poor growth throughout the period of adolescence in this population. IntroductionAdolescence is an intense anabolic period when requirements for all nutrients increase. During adolescence, 20% of final adult height and 50% of adult weight are attained, bone mass increases of 45% and dramatic bone remodeling occur and soft tissues, organs, and even red blood cell mass increase in size (1). This situation is further complicated when adolescents are often exposed to infections and parasites that can compromise nutritional status. Among those sexually active, there is also an increased risk of infection from sexually transmitted diseases.

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Section: Discussionmentioning

confidence: 99%

Nutritional Status of Adolescent Girls from Rural Communities of Tigray, Northern Ethiopia

Mulugeta¹,

Hagos²,

Stoecker³

et al. 2009

Ethiopian Journal of Health Development

105

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“…On the other hand, short stature that carries on to adulthood is associated with an increased risk of adverse reproductive outcomes. Thus, risks of low birth weight, cephalopelvic disproportion, dystocia, and cesarean section are increased in shorter mothers (Camilleri, 1981;Harrison, 1990).…”

Section: Introductionmentioning

confidence: 97%

Anthropometry in Tarahumara Indian women of reproductive age in northern Mexico: Is overweight becoming a problem?

Monárrez‐Espino¹,

Greiner²

2000

GEFN

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Recent studies point to an increasing prevalence of obesity and its consequences among American Indians. This study was conducted to assess whether overweight may constitute a problem among adolescent and adult women in one of the most isolated ethnic groups in North America. A population-based sample of 459 Tarahumara women was taken from Guachochi Municipality in northern Mexico. A BMI 30 kg/m 2 was found in 16.9% of women aged 25-49 years old. A BMI-for-age 85th percentile was found in 14.3% and 16.8% of women aged 12-17 and 18-24 years respectively. Very few women had a BMI < 18.5 while a normal BMI (18.5-24.9) was present in 50.3% of women living in communities with < 100 inhabitants but only 35.5% of those living in localities with 100 inhabitants. Literacy and bilingualism were positively associated with overweight. Overweight does appear to be a problem of increasing public health significance, particularly where "Mestizo" influence is likely to growing. Systematic efforts to prevent obesity are needed.

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“…A higher prevalence of chondrodystrophies of the pelvis associated with nutritional deficiencies, as well as reduced absolute size of the pelvis, have been reported among women of short height relative to taller women 2,3 . Numerous studies of healthy women from both affluent countries 2–7 and less affluent countries 8–10 have shown shorter maternal height and/or larger newborn weight to be associated with increased delivery complications, whereas an increase in fetal growth is associated with lower risk of perinatal distress.…”

Section: Introductionmentioning

confidence: 99%

Maternal height and newborn size relative to risk of intrapartum caesarean delivery and perinatal distress

Merchant¹,

Villar

Kestler

2001

BJOG

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Objective To estimate the changes in risk of intrapartum caesarean delivery and perinatal distress that may be introduced through increased birth size, resulting from interventions such as improving nutrition of the mother; and to characterise delivery risk relative to maternal stature by birth size. Design Model these risks using data from the Guatemalan Perinatal Study. Setting The antenatal clinic of the Gynaecology and Obstetrics Hospital of the Guatemalan Social Security Institute in Guatemala City serving predominantly working class women. Population Women who had their first prenatal visit between April 1984 and January 1986. Methods Multivariate logistic regression models were developed to estimate incidence of intrapartum caesarean delivery and perinatal distress and used to calculate changes in risk associated with changes in size. Main outcome measures Incidences of intrapartum caesarean delivery and perinatal distress. Results A woman of 146cm height (‐1 SD) relative to another of 160cm (+1 SD) has a 2.5 times higher risk of intrapartum caesarean delivery. An increase in newborn head circumference and weight (from ‐1 SD to +1 SD) are each independently associated with an increase in risk of intrapartum caesarean delivery (2.0 times and 1.5 times, respectively). An increase in birthweight from 2,450 g to 2,550 g is associated with a decrease in risk of perinatal distress of 34/1000 cases and an increase in risk of intrapartum caesarean delivery of 8/1000 cases. Conclusions Increases in fetal growth comparable to those attributable to improved nutrition during pregnancy are associated with a larger decrease in risk of perinatal distress relative to the increase in risk of intrapartum caesarean delivery for the mother. Greater maternal stature is associated with lower risk of intrapartum caesarean delivery.

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Predicting trends in operative delivery for cephalopelvic disproportion in Africa

Cited by 16 publications

References 1 publication

Nutritional Status of Adolescent Girls from Rural Communities of Tigray, Northern Ethiopia

Nutritional Status of Adolescent Girls from Rural Communities of Tigray, Northern Ethiopia

Anthropometry in Tarahumara Indian women of reproductive age in northern Mexico: Is overweight becoming a problem?

Maternal height and newborn size relative to risk of intrapartum caesarean delivery and perinatal distress

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