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

2018 ◽  
Vol 07 (01) ◽  
Author(s):  
Damitew Solomon ◽  
Anteneh Dirar ◽  
Fikreselassie Getachew
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Seyedeh Razieh Fazeli Daryasari ◽  
Najmeh Tehranian ◽  
Anoshirvan Kazemnejad ◽  
Fatemeh Razavinia ◽  
Fatemeh Tork Tatari ◽  
...  

Abstract Background The rate of cesarean section is increasing worldwide. Adiponectin is a hormone related to anti-inflammatory and anti-atherogenic effects; and it′s concentrations may change in response to inflammatory situations including surgical intervention. The aim of the current study was to investigate serum adiponectin levels in maternal and umbilical cord blood according to different modes of delivery and their relationship with anthropometric measurements and fetal sex. Methods The study population initially comprised 90 healthy pregnant women referred to the teaching hospital. Eventually, 40 participants in the vaginal delivery group and 35 subjects in the cesarean delivery group were recruited in to the study. Umbilical cord blood and maternal serum samples were analyzed according to the standard protocol from the manufacturer. The collected data were analyzed using SPSS-16 software. P-value < 0.05 was considered as the significance level for all tests. Results Our results indicated a significant association between maternal adiponectin and the mode of delivery, with adiponectin levels significantly higher in vaginal delivery compared to cesarean section (P < 0.001). However, no difference was found in umbilical cord blood adiponectin between the two groups (P = 0.51). A significant positive correlation was found between maternal serum adiponectin in the first day after birth and umbilical cord blood adiponectin in the vaginal delivery group (P = 0.007). Nevertheless, this correlation was not statistically significant in the cesarean delivery group (P = 0.62). There was also no significant correlation between fetal sex and anthropometric measurements with maternal adiponectin (P = 0.44) and umbilical cord blood adiponectin (P = 0.86). Conclusions The result of the current study revealed that maternal adiponectin concentration was significantly higher in vaginal delivery compared to cesarean section, which might be due to the increased levels of maternal adiponectin release during labor.


2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Chalachew Bekele Shiferaw ◽  
Walelegn Worku Yallew ◽  
Gizachew Tadele Tiruneh

Low birth weight is a global public health problem for mortality and morbidity in any age group. The objective of this study is to investigate the effect of maternal anthropometric measurements on birth weight. A cross-sectional study was conducted from Nov 25, 2012, to Feb 25, 2013, in maternity public hospitals in Addis Ababa city, Ethiopia. The effect is investigated using correlation, linear regression, independent sample T-test, one-way ANOVA, and finally multivariate linear regression analysis. A total of 605 women and their newborns took part in this study and prevalence of low birth weight is 8.3%. On adjusted multivariate linear regression analysis, maternal anthropometric measurements did not have an effect on birth weight. Since maternal mid-upper arm circumference ≤ 20 cm and body mass index ≤18.5kg/m2 are almost nil in this study, generalization is difficult to general population where undernourished women are common in the rural Ethiopia and similar study is recommended in those areas. Antenatal care visits, gestational age, and female sex of newborn had statistically significant effect in determining the risk of low birth weight. Women who were living with large family members had a heavier newborn than counterparts. This might be due to the fact that pregnant women have better care and social support in Ethiopian context, so advising pregnant women to live with family members should be considered to enhance social support during pregnancy in Ethiopia. Maternal anthropometric measurements have no significant effect in determining birth weight in the city and we recommend similar studies where undernourished women are common.


2018 ◽  
Author(s):  
Eyasu Mesfin Kassa

ABSTRACTBackground: Intrapartum fetal heart rate monitoring with intermittent auscultation using fetoscope is still the method in use in Ethiopia and other developing countries. The purpose of this study was to evaluate the prevalence of NRFHR using intermittent auscultation and related operative intervention rates, perinatal out comes and factors associated.Methodology: This is a cross-sectional study. Data was collected using pre-tested questionnaire June-September, 2005 at 3 teaching hospitals in Addis Ababa, Ethiopia. All laboring women with alive fetus at admission to the labor ward and developed NRFHR while followed with intermittent auscultation were included. Result: There were 257 deliveries with NRFHR out of a total of 1379 deliveries during the study period. Prevalence of NRFHR in labor was 18.6% (257/1379). Bradycardia was the commonest FHR abnormality (65%). Cesarean section was the mode of delivery in 43% of cases with NRFHR and cesarean section rate for NRFHR was 7.5%. The positive predictive value of intermittent auscultation for low 1st and 5th minutes APGAR scores were 38.9% &amp; 13.2% respectively. Low apgar score (LAS) rate was higher in those with no ANC follow-up (37.5% Vs 8.9%), address outside Addis Ababa (27.5% Vs 10.6%), referred in labor from other hospitals Vs health centers (23.8% Vs 8.9%), thickly meconium stained liquor Vs clear liquor (38.1% Vs 3.0%) and decision-delivery interval in cesarean section of &gt;30 mins (18.6% Vs 3.8% ).Conclusions &amp; recommendations: The prevalence of NRFHR and cesarean delivery rate for NRFHR are high compared to previous similar studies done locally and in other countries. The quality of intrapartum fetal monitoring needs to be improved and other supplementary tests or monitoring techniques, like selective use of EFM should be considered.


Author(s):  
Jennifer S. Coelho ◽  
Rachelle Pullmer ◽  
MacKenzie Robertson ◽  
Sheila Marshall ◽  
Pei-Yoong Lam

2011 ◽  
Vol 71 (08) ◽  
Author(s):  
P Zerche ◽  
J Schneider ◽  
A Reeler ◽  
A Stang ◽  
C Thomssen ◽  
...  
Keyword(s):  

2014 ◽  
Vol 9 (S 01) ◽  
Author(s):  
O D'Orlando ◽  
R Puff ◽  
A Henniger ◽  
S Krause ◽  
F Haupt ◽  
...  

2006 ◽  
Vol 66 (S 01) ◽  
Author(s):  
D Schlembach ◽  
V Bjelic-Radisic ◽  
G Pristauz-Telsnigg ◽  
J Haas ◽  
A Guliani ◽  
...  

1970 ◽  
Vol 25 (1) ◽  
pp. 9-13
Author(s):  
S Jahan ◽  
TR Das ◽  
KB Biswas

Background and Aims: Cord blood leptin may reflect the leptinemic status of a newborn at birth more accurately than the leptin values of blood collected from other sites. The present study was undertaken to determine the relationship of cord serum leptin concentration at birth with neonatal and maternal anthropometric parameters. Materials and Methods: Blood was taken from the umbilical cord of the babies at delivery. Maternal anthropometric measurements were recorded at admission for delivery. Neonatal anthropometric measurements were recorded within 48 hours after delivery. Linear regression analysis was used to explore the relationship between cord serum leptin concentration and anthropometric parameters of the baby and the mother. Both Serum leptin and serum C-peptide levels were measured by chemiluminescence-based ELISA method. Results: The leptin concentration (ng/ml, mean±SD) in cord blood was 39.13±14.44. Cord leptin levels correlated with birth weight (r=0.673, p<0.0001), ponderal index (r=0.732, p<0.0001) but it did not correlate with maternal body mass index, gestational age (r=0.135, p=0.349) at delivery or cord serum C-peptide concentration (r=-0.049, p=0.735) or placental weight (r=0.203, p=0.157). Conclusion: There are associations between cord leptin concentration at delivery and birth weight, ponderal index (PI) of the babies but not body mass index (BMI) of the mothers. High leptin levels of the baby could represent an important feedback modulator of substrate supply and subsequently for adipose tissue status during late gestation. (J Bangladesh Coll Phys Surg 2007; 25 : 9-13)


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