scholarly journals ASSOCIATION OF PRE-PREGNANCY AND PREGNANCY BODY MASS INDEX WITH LABOR DURATION

Author(s):  
Angelika Szemraj ◽  
Agnieszka Opala-Berdzik

Introduction Excessive body mass index may have adverse effects on the health of women in their perinatal period. Regular physical activity contributes to body mass control. Aim To determine the association of pre-pregnancy and pregnancy BMIs with labor duration in primi- and multiparas. Also, to determine the proportions of pre-pregnancy BMI > 25 in women after cesarean sections and vaginal deliveries. Material and methods Data of 54 women on a postpartum day 3 to 5 (29 primiparas: 17 after vaginal and 12 after cesarean deliveries; 25 multiparas: 15 after vaginal and 10 after cesarean deliveries). Demographic data collected from the patient’s history included body height, pre-pregnancy and pre-labor body mass, mode of delivery, duration of labor and its second stage, number of deliveries. Pre-pregnancy and pre-labor BMIs were calculated. Results In primiparas, there was a moderate positive correlation between pre-pregnancy and pre-labor BMIs and the labor duration (r = 0.56, p = 0.02; r = 0.65, p = 0.005, respectively). Multiparas did not exhibit a significant correlation between the BMIs and the labor duration (p > 0.05). Neither of the subgroups showed a significant correlation between pre-pregnancy and prelabor BMIs and the duration of the second stage of labor (p > 0.05). Among women after vaginal deliveries, 15.6% had pre-pregnancy BMI > 25; the respective proportion was 22.7% in women after cesarean sections. Conclusions Primiparas with greater pre-pregnancy and pre-labor BMIs were more likely to have a longer labor. The proportion of pre-pregnancy BMI > 25 was higher for cesarean compared to vaginal deliveries. Physical activity should be promoted in women planning pregnancy to help control BMI. Keywords: mirror foot, resection of foot radius, deformation classification

Author(s):  
Corinna Koebnick ◽  
Margo A Sidell ◽  
Darios Getahun ◽  
Sara Y Tartof ◽  
Emily Rozema ◽  
...  

Abstract Background Intrapartum antibiotic prophylaxis (IAP) reduce a newborn’s risk of group B streptococcal infection (GBS) but may lead to an increased childhood body mass index (BMI). Methods Retrospective cohort study of infants (n=223,431) born 2007-2015 in an integrated healthcare system. For vaginal delivery, we compared children exposed to GBS-IAP and to any other type or duration of intrapartum antibiotics to no antibiotic exposure. For Cesarean delivery, we compared children exposed to GBS-IAP to those exposed to all other intrapartum antibiotics, including surgical prophylaxis. BMI over 5 years was compared using non-linear multivariate models with B-spline functions, stratified by delivery mode and adjusted for demographics, maternal factors, breastfeeding and childhood antibiotic exposure. Results In vaginal deliveries, GBS-IAP was associated with higher BMI from 0.5 to 5.0 years of age compared to no antibiotics (P<0.0001 for all time points, Δ BMI at age 5 years 0.12 kg/m 2, 95% CI 0.07 to 0.16 kg/m 2). Other antibiotics were associated with higher BMI from 0.3 to 5.0 years of age. In Cesarean deliveries, GBS-IAP was associated with increased BMI from 0.7 years to 5.0 years of age (P<0.05 for 0.7-0.8 years, P<0.0001 for all other time points) compared to other antibiotics (Δ BMI at age 5 years 0.24 kg/m 2, 95% CI 0.14 to 0.34 kg/m 2). Breastfeeding did not modify these associations. Conclusion GBS-IAP was associated with a small but sustained increase in BMI starting at very early age. This association highlights the need to better understand the effects of perinatal antibiotic exposure on childhood health.


2007 ◽  
Vol 4 (3) ◽  
pp. 294-304 ◽  
Author(s):  
Ann Swartz ◽  
Scott Strath ◽  
Sarah Parker ◽  
Nora Miller ◽  
Linda Cieslik

Background:The purpose of this study was to examine the extent to which physical activity (PA) is related to obesity in older adults when accounting for race/ethnicity.Methods:Cross-sectional data were collected on 214 older adults (72.3 ± 8.9 y; body mass index [BMI] 28.9 ± 6.0; 151 females; 96 non-White). Measures of body height and mass were collected; BMI was calculated. PA was assessed via an electronic pedometer worn for seven consecutive days.Results:“White” subjects accumulated 5036 ± 286 steps/d. “Non-White” subjects accumulated significantly fewer steps/d (3671 ± 253 steps/d; z = −3.45, P = 0.001). Race/ethnicity, income, age, gender, and steps/d accounted for 27.4% (P < 0.001) of the variance in BMI, with steps/d accounting for 21.2% (P < 0.001). The most influential factor in this model was PA level (β = −0.510), followed by age (β = −0.220), and finally gender being the least influential, but still a significant factor (β = 0.168).Conclusion:Although race/ethnicity and income have been associated with obesity levels, this study shows that older adults who accumulate more ambulatory activity tend to have healthier levels of BMI irrespective of race/ethnicity or income.


2015 ◽  
Vol 53 (199) ◽  
Author(s):  
Shyam Kumar Mahato ◽  
Nagendra Chaudhary ◽  
Susana Lama ◽  
K N Agarwal ◽  
B D Bhatia

Introduction: Hypoxemia is the major cause of neonatal morbidity and mortality. The study aims to determine the influence of birth weight, Apgar score, gestation age, body mass index and hemoglobin of mother on levels of SpO2 in healthy newborns born vaginally and through cesarean section. Methods: A hospital Based, observational study conducted in Department of Pediatrics, Universal College of Medical Sciences-Teaching Hospital, Bhairahawa, Lumbini, Nepal; on 49 vaginal and 49 cesarean deliveries with Apgar Score ≥ 6. SpO2 was estimated by pulse oximeter post-ductally between 1 to 30 minutes of birth. The observed SpO2 values were correlated with neonatal and maternal factors. Results: Vaginal and Cesarean deliveries SpO2 were comparable for birth weight, gestational age, Apgar score of neonates, body mass index and hemoglobin of the mother. Birth weight in vaginally delivered babies and Apgar score in cesarean births showed significant change in SpO2 (P<0.05). At all points of time the SpO2 values were higher in neonates, born by cesarean than those born out of spontaneous vaginal deliveries (P<0.001). Conclusions: SpO2 levels in neonates born through cesarean section were higher in comparison to thoseborn by vaginal route. Birth weight and Apgar score had correlation with SpO2 in vaginal and cesarean births, respectively.Keywords: Apgar score; birth weight; newborn; pulse oximeter; SpO2.


Physiotherapy ◽  
2013 ◽  
Vol 21 (3) ◽  
Author(s):  
Marzena Ślężyńska ◽  
Grzegorz Mięsok ◽  
Kamila Mięsok

AbstractIntroduction: The aim of the physical activity of the intellectually disabled is the strengthening of health, creating movement habits, promoting active recreation, and maintaining exercise capacity. Skillfully applied physical activity allows to mitigate the effects of pathology and create the compensations to enable the intellectually disabled people to live relatively independently. Physical activity and sport also increase their chances to integrate with their families, peers, and social environment.Materials and methods: The research targeted a group of 134 people with moderate or considerable intellectual disability (65 women and 69 men), aged 20-53 years, who participated in occupational therapy workshops in Jastrzębie Zdrój, Rybnik, and Żory. Physical fitness was assessed using the “Eurofit Special” test and balance tests. Measurements of body height and mass were also taken and then used to calculate the body mass index (BMI).Results: A salient somatic trait was the greater body mass relative to height among the persons with considerable disability, clearly illustrated by the BMI. This explained their greater heaviness in performing physical exercises. An even greater difference between participants with moderate and considerable intellectual disability was visible in physical fitness. Obviously, older persons did not achieve as good results in fitness tests as the younger ones, yet the participants were more differentiated by the level of disability than age. Most symptomatic differences to the disadvantage of the considerably disabled were observed in explosive strength, speed, abdominal muscle strength, and flexibility.Conclusions: Significant differences in fitness between the compared groups make it necessary to take into account the level of intellectual disability in the course of physical education and sport, at work, and in household duties.


2021 ◽  
pp. 019394592110370
Author(s):  
Hannah Bessette ◽  
MinKyoung Song ◽  
Karen S. Lyons ◽  
Sydnee Stoyles ◽  
Christopher S. Lee ◽  
...  

In this study, we assessed the influences of change in moderate-to-vigorous physical activity (MVPA)/sedentary time (ST) of caregivers participating in a commercial weight-loss program on their children’s change in MVPA/ST. Data from 29 caregivers and their children were collected over 8 weeks. We used multivariable linear regression to assess associations of changes in caregiver’s percent of time spent in MVPA/ST and changes in their child’s percent of time spent in MVPA/ST. For caregivers that decreased body mass index (BMI) over 8 weeks, changes in caregivers’ MVPA was strongly associated with the change in children’s MVPA (β = 2.61 [95% CI: 0.45, 4.77]) compared to caregivers who maintained/increased BMI (β = 0.24 [–2.16, 2.64]). Changes in caregivers’ ST was strongly associated with changes in children’s ST (β = 2.42 [1.02, 3.81]) compared to caregivers who maintained/increased BMI (β = 0.35 [–0.45, 1.14]). Findings reinforce encouraging caregivers to enroll in weight-loss programs for the benefit of their children as well as for themselves.


2021 ◽  
Vol 195 ◽  
pp. 110869
Author(s):  
Brenda Gamboa-Loira ◽  
Mariano E. Cebrián ◽  
Lizbeth López-Carrillo

2021 ◽  
pp. 1-15
Author(s):  
Wesley O’Brien ◽  
Sarahjane Belton ◽  
Ben Fitzpatrick ◽  
Stephen Shannon ◽  
Deirdre Brennan ◽  
...  

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