Maternal obesity and rate of cesarean delivery in Djibouti
| Autor: | Rachel R Ratsimanresy, Rachid Ali Hadji, Thai-Son Ts N'guyen, Fouad F Dada, Anne-Frédérique Minsart, Hirut H Dimtsu |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
medicine.medical_specialty Logistic regression Body Mass Index Cohort Studies Pregnancy medicine Prevalence Humans Obesity Gynecology Obstetrics business.industry Cesarean Section Absolute risk reduction Obstetrics and Gynecology General Medicine Odds ratio medicine.disease Pregnancy Complications Logistic Models Djibouti Female Live birth business Body mass index Cohort study |
| Zdroj: | International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. 127(2) |
| ISSN: | 1879-3479 |
| Popis: | Objective To calculate the prevalence of maternal obesity and to determine the relation between obesity and cesarean delivery in an urban hospital in Djibouti. Methods In an observational cohort study, all women who had a live birth or stillbirth between October 2012 and November 2013 were considered for inclusion. Body mass index (BMI, calculated as weight in kilograms divided by the square of height in meters) was calculated throughout pregnancy, and women with a BMI of at least 30.0 were deemed to be obese. Multivariate logistic regression analyses were used to evaluate the relation between cesarean and obesity. Results Overall, 100 (24.8%) of 404 women were obese before 14 weeks of pregnancy, as were 112 (25.2%) of 445 before 22 weeks, and 200 (43.2%) of 463 at delivery. Obesity before 22 weeks was associated with a 127% excess risk of cesarean delivery (adjusted odds ratio 2.27; 95% CI 1.07–4.82; P = 0.032). Similar trends were found when the analyses were limited to the subgroup of women without a previous cesarean delivery or primiparae. Conclusion Prevalence of maternal obesity is high in Djibouti City and is related to an excess risk of cesarean delivery, even after controlling for a range of medical and socioeconomic variables. |
| Databáze: | OpenAIRE |
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