Effect of maternal height on the risk of caesarean section in singleton births: evidence from a large-scale survey in India

ObjectiveThis study examines the association of maternal height with caesarean section (CS) in India. It is hypothesised that maternal height has no significant effect on the risk of undergoing caesarean section.DesignA cross-sectional study based on a nationally representative large-scale survey data (National Family Health Survey-4), conducted in 2015–2016.Setting and participantsAnalysis is based on 125 936 women age 15–49 years, having singleton live births. Logistic regression has been performed to determine the contribution of maternal height to the ORs of CS birth, adjusting for other exposures. Restricted cubic spline was used as a smooth function to model the non-linear relationship between height and CS. Height data were decomposed using the restricted cubic spline with five knots located at the 5th, 27.5th, 50th, 72.5th and 95th, percentiles.Primary and secondary outcome measuresThe main outcome variable of interest in the study is CS. Maternal height is the key explanatory variable. Other explanatory variables are age, parity, sex of child, birth weight, wealth index, place of residence, place of child delivery and household health insurance status.ResultsThe results reveal that the odds of undergoing CS significantly decrease with increase in maternal heights. Mothers with a height of 120 cm (adjusted OR (AOR): 5.08; 95% CI 3.83 to 6.74) were five times more likely, while mothers with height of 180 cm were 23% less likely (AOR: 0.77; 95% CI 0.62 to 0.95) to undergo CS as compared with mothers with height of 150 cm.ConclusionsShorter maternal height is linked to a higher risk of CS. Our findings could be used to argue for policies that target stunting in infant girls and avoid unnecessary CS, as there is potential effect on growth during adolescence and early adulthood, with the goal to increase their adult heights, thereby lowering their risk of CS and adverse delivery outcomes.

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Frequency of television viewing and association with overweight and obesity among women of the reproductive age group in Myanmar: results from a nationwide cross-sectional survey

BMJ Open ◽

10.1136/bmjopen-2018-024680 ◽

2019 ◽

Vol 9 (3) ◽

pp. e024680 ◽

Cited By ~ 7

Author(s):

Rajat Das Gupta ◽

Ibrahim Hossain Sajal ◽

Mehedi Hasan ◽

Ipsita Sutradhar ◽

Mohammad Rifat Haider ◽

...

Keyword(s):

Rural Women ◽

Television Viewing ◽

Wealth Index ◽

Educational Status ◽

Cross Sectional Study ◽

Overweight And Obesity ◽

Reproductive Age ◽

Secondary Outcome ◽

Cross Sectional Survey ◽

Cross Sectional

ObjectivesThis study aimed to discern the association between the frequency of television viewing and overweight and obesity among reproductive age women of Myanmar.DesignThis was a cross-sectional study.SettingThis study used Myanmar Demographic and Health Survey (2015–2016) data.ParticipantsTotal of 12 021 women both aged 15–49 years and also not pregnant or did not deliver a child within the 2 months prior to the survey were included.Primary and secondary outcome measuresThe primary outcome was overweight (23.0 kg/m2to <27.5 kg/m2) and obesity (≥27.5 kg/m2), which was measured using the Asian body mass index cut-off. Ordered logistic regression analysis was conducted to find the association between the explanatory and outcome variables. The potential confounders controlled in the multivariable analyses were age, place of residence, region of residence, highest educational status, current employment status, wealth index, parity and number of household members.ResultsThe prevalence of overweight was 26.5% and obesity was 12.2% among the study participants. The odds of being overweight and obese were 20% higher (adjusted OR (AOR) 1.16, 95% CI 1.02 to 1.32; p=0.023) among those who watched television at least once a week compared with those who did not watch television at all. Rural women who watched television at least once a week were 1.2 times more likely to be obese (AOR 1.16, 95% CI 1.01 to 1.34; p=0.040) compared with those who did not watch television at all.ConclusionsFrequent television watching was associated with obesity among rural women of reproductive age in Myanmar.

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Associated Factors of Caesarean Section in Ethiopia Using 2016 Demographic Health Survey Data; Community Based Cross Sectional Study

10.21203/rs.2.13771/v1 ◽

2019 ◽

Author(s):

Abebaw Gedef Azene ◽

Abiba Mihret Aragaw ◽

Mihretie Gedefaw

Keyword(s):

Caesarean Section ◽

Associated Factors ◽

Maternal Education ◽

Multiple Pregnancy ◽

Wealth Index ◽

Household Wealth ◽

Cross Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Health Survey Data

Abstract Objective:The rate of caesarean section is increasing in Ethiopia, recently. Identifying associated demographic health factors was the aim of this study.Results:More educated mothers were more delivering by C-section compared with those illiterate. Those mother having higher body mass index were more likely to deliver with caesarean section (p = 0.0001). C-section was increased when mothers go to elder (p = 0.0001). Maternal education, birth order, preceding birth interval, multiple pregnancy, maternal age and interaction effect BMI with household wealth index statistically significantly associated factors to increase the rate of C-section. Residence and region were community level factors to increase caesarean section.Therefore; community awareness creation towards C-section with its side effect is essential in Ethiopia.

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Post-operative Experience following Caesarean Section in a Nigerian Obstetric Population

Annals of Basic and Medical Sciences ◽

10.51658/abms.202121.4 ◽

2021 ◽

Vol 2 (1) ◽

pp. 60-65

Author(s):

Jamila A Garba ◽

Abubakar A Panti ◽

Ahmed Yakubu ◽

Eze A Ukwu ◽

Ahmed T Burodo ◽

...

Keyword(s):

Pain Relief ◽

Caesarean Section ◽

Outcome Measures ◽

Elective Caesarean Section ◽

Cross Sectional Study ◽

Emergency Caesarean Section ◽

Secondary Outcome ◽

Cross Sectional ◽

Patient’S Satisfaction ◽

Emergency Caesarean

Background: Caesarean section is the most significant obstetrics operative intervention globally. Good postoperative experience after caesarean section is important because there is need for the mother to recover from surgery and take care of her baby. The aim of this study was to assess the experience of women that had caesarean section in the first 24 hours postoperatively. Materials/methods: This was a cross-sectional study conducted among women that had elective and emergency caesarean section. They were followed up to 24 hours post-operative. The primary outcome measures were pain score and satisfaction. Secondary outcome measures were time of mobilization, time of commencement of oral feeds and time of initiation of breastfeeding. Data analysis was carried out using Statistical Package for Social Sciences version 22. Results: The median pain scores among those that had emergency and elective caesarean section ranged between 2 and 3 at all points of pain assessment. The satisfaction was good among 66.1% that had emergency caesarean section and 71.2% among those that had elective caesarean section. However, the difference was not statistically significant (χ2 = 0.546, p = 0.761). More than 90% of the participants that had either emergency or elective caesarean section did not ambulate within the first 24 hours after caesarean section and there was no association between the time of ambulation and the type of caesarean section (χ2 = 0.005, p = 0.941). Conclusion: The participants had adequate pain relief and majority were satisfied with the pain relief. However, the optimum satisfaction was not achieved. The participants did not ambulate early and did not initiate breast-feeding early. Recommendation: Further research is recommended to assess other factors that affect patient's satisfaction and ambulation so as to improve on patient's postoperative care.

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Retropalatal Cross-Sectional Area Is Predictive of Obstructive Sleep Apnea in Patients With Syndromic Craniosynostosis

The Cleft Palate-Craniofacial Journal ◽

10.1177/1055665619882571 ◽

2019 ◽

Vol 57 (5) ◽

pp. 560-565 ◽

Cited By ~ 1

Author(s):

Cory M. Resnick ◽

Jason K. Middleton ◽

Carly E. Calabrese ◽

Karan Ganjawalla ◽

Bonnie L. Padwa

Keyword(s):

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Upper Airway ◽

Cross Sectional Area ◽

Secondary Outcome ◽

Outcome Variable ◽

Sectional Area ◽

Cross Sectional ◽

Syndromic Craniosynostosis ◽

Obstructive Sleep

Objective: There is a high rate of obstructive sleep apnea (OSA) in patients with syndromic craniosynostosis (SCS). Little is known about the airway anatomy in this population. The purpose of this study is to characterize the 3 dimensional (3D) upper airway in patients with SCS with and without OSA. Design: This is a retrospective study of patients with SCS treated at Boston Children’s Hospital from 2000 to 2015. Patients were divided into OSA and no-OSA groups based on polysomnography. Predictor variables included age, sex, body mass index (BMI), and 3D upper airway measurements. The primary outcome variable was the presence or absence of OSA. Secondary outcome variables were apnea–hypopnea index and oxygen saturation nadir. Descriptive and bivariate statistics were computed, and significance was set as P < .05. Results: There were 24 patients: 16 in the OSA group and 8 in the no-OSA group. The 2 groups did not differ significantly by age, BMI, or syndromic diagnosis. The presence of OSA was associated with a smaller minimum retropalatal cross-sectional area (minRPCSA; P < .001). In a logistic regression model controlling for age, sex, and upper airway length, minRPCSA was the primary predictor of OSA ( P ≤ .002). Receiver operating characteristic analysis determined minRPCSA = 55.3 mm2 to be the optimal diagnostic threshold for OSA, with sensitivity = 100% and specificity = 87.5% ( P < .001). Conclusion: A minRPCSA ≤55.3 mm2 is predictive of the presence of OSA in patients with SCS.

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Determinants of BCG vaccination coverage in Ethiopia: a cross-sectional survey

BMJ Open ◽

10.1136/bmjopen-2018-023634 ◽

2019 ◽

Vol 9 (2) ◽

pp. e023634 ◽

Cited By ~ 3

Author(s):

Asmamaw Ketemaw Tsehay ◽

Getasew Tadesse Worku ◽

Yihun Mulugeta Alemu

Keyword(s):

Vaccination Coverage ◽

Rural Areas ◽

Urban Areas ◽

Wealth Index ◽

Outcome Variable ◽

Antenatal Visit ◽

Sampling Frame ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Bcg Vaccination

ObjectiveThe objective of this study is to assess the determinants of BCG vaccination in Ethiopia from 2016 Ethiopia Demographic and Health Survey (EDHS).SettingSince Ethiopia has nine regional states and two administrative cities, sample was taken from all the divisions. The population-based sample was intended to provide estimates of key indicators for the country.ParticipantThe sampling frame used for the 2016 EDHS is the Ethiopia Population and Housing Census. From 15 683 women recorded in EDHS dataset, women with no child (n=10 379) were excluded from the study. Therefore, the total sample size for this study was 5304 women. The outcome variable was BCG immunisation status of children.ResultOut of the study participants (n=5304), the majority were in between 20 and 34 years of age (73.8%). The median age of the respondents was 28.4 (SD=±6.5) years old. Prevalence of BCG vaccination was 63.6% (n=3373) and BCG vaccination coverage in urban residents was higher (88%) than rural residents (57.3%). Mothers’ age between 20 up to 34 (Adjusted odds ratio (AOR)=1.48; 95% CI: 1.13 to 1.93) and between 35 up to 49 (AOR=1.83; 95% CI: 1.35 to 2.46) were more likely to vaccinate their child’s than those mothers’ age less than 20. Mothers settled in urban areas were two times more likely to vaccinate their child’s than those living in rural areas (AOR=1.94; 95% CI: 1.45 to 2.60). Mothers with greater antenatal visits show higher BCG vaccination, Antenatal Care (ANC) 4 and above (AOR=3.48; 95% CI: 2.91 to 4.15). BCG vaccination is higher for mothers delivered at non-governmental organisation health facility than home (AOR=2.9; 95% CI: 1.69 to 4.96). Maternal occupation and wealth index also had a significant association with BCG vaccination.ConclusionBCG vaccination coverage, in this study, was lower and determinant factors for BCG vaccination were residence, mother’s age, place of delivery, mother’s antenatal visit, wealth index and mother’s occupation.

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The silent epidemic of obesity in The Gambia: evidence from a nationwide, population-based, cross-sectional health examination survey

BMJ Open ◽

10.1136/bmjopen-2019-033882 ◽

2020 ◽

Vol 10 (6) ◽

pp. e033882 ◽

Cited By ~ 1

Author(s):

Bai Cham ◽

Shaun Scholes ◽

Linda Ng Fat ◽

Omar Badjie ◽

Nora Ellen Groce ◽

...

Keyword(s):

Higher Education ◽

Abdominal Obesity ◽

The Gambia ◽

Older Age ◽

Secondary Outcome ◽

Outcome Variable ◽

Health Examination ◽

Obesity Prevalence ◽

Urban Residence ◽

Cross Sectional

ObjectivesNon-communicable diseases account for 70% of global deaths; 80% occur in low-income and middle-income countries. The rapid increase of obesity in sub-Saharan Africa is a concern. We assessed generalised and abdominal obesity and their associated risk factors among adults in The Gambia.DesignNationwide cross-sectional health examination survey using the WHO STEPwise survey methods.SettingThe Gambia.ParticipantsThis study uses secondary analysis of a 2010 nationally representative random sample of adults aged 25–64 years (78% response rate). The target sample size was 5280, and 4111 responded. Analysis was restricted to non-pregnant participants with valid weight and height measurements (n=3533).Primary and secondary outcome measuresThe primary outcome variable was generalised obesity, using WHO body mass index (BMI) thresholds. Analyses used non-response weighting and adjusted for the complex survey design. We conducted multinomial logistic regression analysis to identify factors associated with BMI categories. The secondary outcome variable was abdominal obesity, defined as high waist circumference (using the International Diabetes Federation thresholds for Europeans).ResultsTwo-fifths of adults were overweight/obese, with a higher obesity prevalence in women (17%, 95% CI 14.7 to 19.7; men 8%, 95% CI 6.0 to 11.0). 10% of men and 8% of women were underweight. Urban residence (adjusted relative risk ratio 5.8, 95% CI 2.4 to 14.5), higher education (2.3, 1.2 to 4.5), older age, ethnicity, and low fruit and vegetable intake (2.8, 1.1 to 6.8) were strongly associated with obesity among men. Urban residence (4.7, 2.7 to 8.2), higher education (2.6, 1.1 to 6.4), older age and ethnicity were associated with obesity in women.ConclusionThere is a high burden of overweight/obesity in The Gambia. While obesity rates in rural areas were lower than in urban areas, obesity prevalence was higher among rural residents in this study compared with previous findings. Preventive strategies should be directed at raising awareness, discouraging harmful beliefs on weight, and promoting healthy diets and physical activity.

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Bereaved relatives’ views about participating in cancer research

Palliative Medicine ◽

10.1177/0269216311405091 ◽

2011 ◽

Vol 26 (4) ◽

pp. 379-383 ◽

Cited By ~ 30

Author(s):

Jonathan Koffman ◽

Irene J Higginson ◽

Sue Hall ◽

Julia Riley ◽

Paul McCrone ◽

...

Keyword(s):

Cancer Patients ◽

Large Scale ◽

Cross Sectional Study ◽

Postal Questionnaire ◽

Next Of Kin ◽

Cross Sectional ◽

Face To Face ◽

Therapeutic Value ◽

Large Scale Survey ◽

New Evidence

Background: Bereaved relatives are considered to be a vulnerable group and there is debate as to whether it is ethical to engage them in research at a time that can be difficult for them. Aim: We conducted a cross-sectional study using cognitive interviewing with the aim of exploring the acceptability of a mortality follow-back survey among bereaved relatives of recently deceased cancer patients to inform the development of a large-scale survey about end-of-life care. Results: Thirty-three next-of-kin of recently deceased cancer patients were invited to participate in a face-to-face interview, or to complete a postal questionnaire. At the end, they were asked about their views of engaging in the study. Nine bereaved relatives participated in a face-to-face interview and 11 completed the postal questionnaire. Eleven relatives reported it was helpful to take part in the study; of these, six did not consider it distressing, and five stated whilst it had been distressing it had been helpful. Thoughts about bringing back memories, altruism and therapeutic value emerged. Conclusions: We have new evidence that although engaging in follow-back surveys can evoke distress, many participants report it to be a positive experience. We therefore believe that this approach is acceptable when conducted sensitively.

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Timing of first antenatal care contact, its associated factors and state-level analysis in Nigeria: a cross-sectional assessment of compliance with the WHO guidelines

BMJ Open ◽

10.1136/bmjopen-2020-047835 ◽

2021 ◽

Vol 11 (9) ◽

pp. e047835

Author(s):

Adeniyi Francis Fagbamigbe ◽

Olugbenga Olaseinde ◽

Omon Stellamaris Fagbamigbe

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Associated Factors ◽

Healthcare Utilisation ◽

First Trimester ◽

Household Wealth ◽

Secondary Outcome ◽

Outcome Variable ◽

Who Guidelines ◽

Cross Sectional

ObjectivesTo assess the compliance of WHO guidelines on the timeliness of antenatal care (ANC) initiation in Nigeria and its associated factors and to provide subcountry analysis of disparities in the timing of the first ANC in Nigeria.DesignCross-sectional.SettingNationally representative data of most recent pregnancies between 2013 and 2018 in Nigeria.ParticipantsWomen with pregnancies within 5 years before the study.Primary and secondary outcome measuresThe outcome variable was the trimesters of the first ANC contact. Data were analysed using descriptive statistics, bivariable and multivariable multinomial logistic regression at 5% significance level.ResultsOf all the 21 785 respondents, 75% had at least one ANC contact during their most recent pregnancies within the five years preceding the data collection. Among which 24% and 63% started in the first and second trimester, respectively. The proportion who started ANC in the first trimester was highest in Benue (44.5%), Lagos (41.4%) and Nasarawa (39.3%) and lowest in Zamfara (7.6%), Kano (7.4%) and Sokoto (4.8%). Respondents aged 40–49 years were 65% (adjusted relative risk ratio (aRRR: 1.65, 95 % CI: 1.10 to 2.45) more likely to initiate ANC during the first trimester of pregnancy relative to those aged 15–19 years. Although insignificant, women who participate in their healthcare utilisation were 4% (aRRR: 1.04, 95 % CI: 0.90 to 1.20) times more likely to have early initiation of ANC. Other significant factors were respondents’ and spousal educational attainment, household wealth quintiles, region of residence, ethnicity, religion and birth order.ConclusionsOnly a quarter of pregnant women, initiated ANC contact during the first trimester with wider disparities across the states in Nigeria and across the background characteristics of the pregnant women. There are needs to enhance women’s autonomy in healthcare utilisation. Concerted efforts on awareness creation and empowerment for women by all stakeholders in maternal and child healthcare are antidotes for early ANC contact initiation.

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Trends in alcohol consumption during pregnancy in Australia, 2001–2010

The International Journal of Alcohol and Drug Research ◽

10.7895/ijadr.v3i1.108 ◽

2014 ◽

Vol 3 (1) ◽

pp. 17-24 ◽

Cited By ~ 4

Author(s):

Sarah Callinan ◽

Jason Ferris

Keyword(s):

Alcohol Consumption ◽

Maternal Age ◽

Large Scale ◽

Household Survey ◽

Data Sets ◽

Survey Period ◽

Cross Sectional ◽

National Drug ◽

Large Scale Survey

Callinan, S., & Ferris, J. (2014). Trends in alcohol consumption during pregnancy in Australia, 2001–2010. The International Journal Of Alcohol And Drug Research, 3(1), 17-24. doi:10.7895/ijadr.v3i1.108Aim: The aim of the current study is to examine, using cross-sectional data, the role of maternal age, period (year of pregnancy) and cohort (year of birth) as predictors of alcohol consumption during pregnancy over a 10-year period.Design: Four cross-sectional surveys were examined, both separately and together.Setting: Using cross-sectional data, there does appear to be a positive relationship between maternal age and alcohol consumption during pregnancy; however, within any one survey period, it is difficult to determine if these patterns are due to period or cohort effects.Participants: The National Drug Strategy Household Survey (NDSHS) is a large-scale survey administered to more than 20,000 respondents. Across four survey periods, 3,281 women reported being pregnant in the 12 months prior to the survey.Measures: The section on pregnancy and alcohol in the NDSHS 2001, 2004, 2007 and 2010.Findings: Age was a significant positive predictor of alcohol consumption during pregnancy in 2010. However, when the four data sets were combined, period appeared to be a stronger predictor, with younger groups and cohorts decreasing consumption at a faster rate over time than older groups and cohorts.Conclusions: Although age and cohort do play a role in the likelihood of alcohol consumption among Australian women during pregnancy, period is the most important predictor, indicating that alcohol consumption among pregnant women is decreasing. Furthermore, knowledge of pregnancy results in a marked decrease in consumption, suggesting a possible focus for prevention campaigns.

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Animal-related injuries and fatalities: evidence from a large-scale population-based cross-sectional survey in rural Bangladesh

BMJ Open ◽

10.1136/bmjopen-2019-030039 ◽

2019 ◽

Vol 9 (11) ◽

pp. e030039

Author(s):

Md Al Amin Bhuiyan ◽

Priyanka Agrawal ◽

Shirin Wadhwaniya ◽

Qingfeng Li ◽

O Alonge ◽

...

Keyword(s):

Large Scale ◽

Age Groups ◽

Population Based ◽

Secondary Outcome ◽

Public Health Issue ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Rural Bangladesh ◽

Snake Bites ◽

Reported Data

ObjectiveThis study determines the magnitude and pattern of animal-related injury mortalities and morbidities in rural Bangladesh.Design and settingA cross-sectional survey was conducted in 51 Unions of 7 subdistricts of Bangladesh from June 2013 to September 2013.ParticipantsA total of approximately 1.17 million individuals across all age and gender profiles were included in the survey. The participants had to be residents of the seven subdistricts and have provided consent to participate in the study.Primary and secondary outcome measuresAnimal-related injury characteristics and demographic information was collected in the study. Frequency, proportion and 95% CIs of variables such as type of animal, type of animal attack, activity of the person prior to attack and the seasonality of the injury were reported. Data was then statistically analysed for associations between injury and sociodemographic characteristics.ResultsThe incidence rate of fatal and non-fatal animal-related injuries across all ages were 0.7 (95% CI 0.4 to 1.4) and 1635.3 (95% CI 1612.0 to 1658.0) per 100 000 populations, respectively. Non-fatal animal-related injury rates were highest among adults 18 years and older (1820.6 per 100 000 population (1777.2 to 1865.1)), and in males across all age groups. The most common animal injury was wasp/hornet/bee sting (49%), followed by cow/buffalo (25%), dog bite (9%) and snake bites (9%).ConclusionsAnimal-related injuries are an important public health issue in rural Bangladesh. The incidence of animal-related morbidities was found high in the study area. Males, school-going and productive age groups were at high risk. Immediate attention should be given to prevent these events.

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