scholarly journals Risk Factors of Delivery by Caesarean Section in Cameroon (2003-2004): A Regional Hospital Report

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
P. M. Tebeu ◽  
E. Mboudou ◽  
G. Halle ◽  
E. Kongnyuy ◽  
E. Nkwabong ◽  
...  
Keyword(s):  
Risk Factors ◽  
Caesarean Section ◽  
Maternal Age ◽  
Retrospective Case ◽  
Maternal Characteristic ◽  
Mother And Child Health ◽  
Mother And Child ◽  
Reproductive Life ◽  
Child Health Programs ◽  
The Relationship

We conducted this retrospective case-control study to identify possible risk factors of delivery through caesarean section in the Far North Region of Cameroon. Data was collected retrospectively from delivery room registers at the Provincial Hospital, Maroua, Cameroon from 01/01/2003 to 31/12/2004. The overall 125 eligible caesarean deliveries were compared with 244 women who delivered vaginally during the study period. The odds ratio as well as the 95% confidence interval was used to measure the relationship between maternal characteristic and risk of delivery by caesarean section. We found that the marital status is similar in the two study populations. Risk factors associated with cesarean section were: maternal age less than 17 years (OR 3.55, 95%CI: 1.46–8.64), maternal age over 39 years (OR 3.55, 95% CI: 1.17–10.75), nulliparity (OR 2.72, 95% CI: 1.59–4.66), grand multiparty (OR 3.43, 95% CI: 1.79–6.57), and macrosomia (OR 4.82, 95% CI: 1.49–16.44). There was a weak association with absent or poor. Caesarean delivery is associated with extreme ages of reproductive life, macrosomia, nulliparous and grand multiparous status. We strongly recommend that these factors be taken into consideration to strengthen the mother and child health programs in Cameroon and countries with similar socioeconomic profiles.

scholarly journals Improving maternal nutrition for better pregnancy outcomes

2015 ◽  
Vol 74 (4) ◽  
pp. 454-459 ◽  
Author(s):  
N. M. Nnam
Keyword(s):  
Pregnant Women ◽  
Nutrition Education ◽  
Maternal Nutrition ◽  
Vital Role ◽  
Health Clinics ◽  
Mother And Child Health ◽  
Mother And Child ◽  
Uterine Growth ◽  
Reproductive Life ◽  
Intra Uterine Growth Retardation

Much has been learned during the past several decades about the role of maternal nutrition in the outcome of pregnancy. While the bulk of the data is derived from animal models, human observations are gradually accumulating. There is need to improve maternal nutrition because of the high neonatal mortality rate especially in developing countries. The author used a conceptual framework which took both primary and secondary factors into account when interpreting study findings. Nutrition plays a vital role in reducing some of the health risks associated with pregnancy such as risk of fetal and infant mortality, intra-uterine growth retardation, low birth weight and premature births, decreased birth defects, cretinism, poor brain development and risk of infection. Adequate nutrition is essential for a woman throughout her life cycle to ensure proper development and prepare the reproductive life of the woman. Pregnant women require varied diets and increased nutrient intake to cope with the extra needs during pregnancy. Use of dietary supplements and fortified foods should be encouraged for pregnant women to ensure adequate supply of nutrients for both mother and foetus. The author concludes that nutrition education should be a core component of Mother and Child Health Clinics and every opportunity should be utilised to give nutrition education on appropriate diets for pregnant women.

scholarly journals Prevalence and risk factor analysis for post-partum depression in women: a cross-sectional study at tertiary care centre

2019 ◽  
Vol 9 (1) ◽  
pp. 266
Author(s):  
Kanchan Rani ◽  
Nupur Nandi ◽  
Seema Singh Parmar ◽  
Priyanka Rathore
Keyword(s):  
Risk Factors ◽  
Child Health ◽  
Postpartum Depression ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Mother And Child Health ◽  
Mother And Child ◽  
And Child Health

Background: Postpartum depression (PPD) is non-psychotic depressive episode that occurs between postpartum to fourteen months of childhood. It has adverse effect on mother and child health. Aim of this study was to analyze prevalence and risk factors for postpartum depression at tertiary care centre.Methods: This cross-sectional study was done in obstetrics and gynaecology department where 175 women between 10 days to 1 year of delivery were assessed using Edinberg postpartum depression scale. A score of 10 or more were taken as sign of postpartum depression. Various socio-demographic and obstetrics variables were assessed using SPSS (Statistical Package for the Social Sciences).Results: Prevalence of PPD was found in 11.4% patients. Common risk factors associated were intrauterine death (IUD) or early neonatal death, postpartum complications and lack of family support.Conclusions: Postpartum is common among postnatal women and is associated with various factors which can be modified. So early detection of associated risk factors is needed for early intervention and prevents its impact on mother and child health. 

scholarly journals Risk Factors for Neonatal Sepsis: A Retrospective Case-Control Study among Neonates Who Were Delivered by Caesarean Section at the Trauma and Specialist Hospital, Winneba, Ghana

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Peter Adatara ◽  
Agani Afaya ◽  
Solomon Mohammed Salia ◽  
Richard Adongo Afaya ◽  
Anthony K. Kuug ◽  
...  
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Caesarean Section ◽  
Neonatal Sepsis ◽  
Case Control Study ◽  
Case Control ◽  
Multivariate Logistic Regression ◽  
Retrospective Case ◽  
Chi Square Analysis ◽  
Control Study

The third Sustainable Development Goal (SDG) for child health, which targets ending preventable deaths of neonates and children under five years of age by 2030, may not be met without substantial reduction of neonatal sepsis-specific mortality in developing countries. This study aimed at assessing the prevalence and risk factors for neonatal sepsis among neonates who were delivered via caesarean section. A retrospective case-control study was conducted among neonates who were delivered via caesarean section at the Trauma and Specialist Hospital, Winneba, Ghana. Data collection lasted for 4 weeks. The extracted data were double-entered using Epidata software version 3.1 to address discrepancies of data entry. Descriptive statistics such as frequencies and percentages of neonatal characteristics were generated from the data. Both univariate and multivariate logistic regression were used to determine associations between neonatal sepsis and neonatal characteristics with odds ratios, 95% confidence intervals, and p values calculated using variables that showed significant association (p<0.05) in the chi-square analysis for the multivariate logistic regression. A total of 383 neonates were recruited; 67 (17.5%) had sepsis (cases). The neonatal risk factors associated with sepsis were birth weight (χ2=6.64, p=0.036), neonatal age (χ2=38.31, p<0.001), meconium passed (χ2=12.95, p<0.001), reason for CS (χ2=24.27, p<0.001), and the duration of stay on admission (χ2=36.69, p<0.001). Neonatal sepsis poses a serious threat to the survival of the newborn as the current study uncovered 6.0% deaths among sepsis cases. The findings of this study highlight the need for routine assessment of neonates in order to identify risk factors for neonatal sepsis and to curb the disease burden on neonatal mortality.

scholarly journals Mediating role of poverty in the association between environmental factors and cognitive performance in preschoolers

2020 ◽  
Vol 12 (2) ◽  
pp. 24-38
Author(s):  
Carolina Fracchia ◽  
María Soledad Segretin ◽  
María Julia Hermida ◽  
Lucía Prats ◽  
Sebastián J. Lipina
Keyword(s):  
Risk Factors ◽  
Environmental Factors ◽  
Cognitive Performance ◽  
Inhibitory Control ◽  
Maternal Age ◽  
Executive Attention ◽  
Mediating Role ◽  
Fluid Reasoning ◽  
The Relationship

TThe association between environmental factors and cognitive performance during childhood could be mediated by poverty (i.e., households with Unsatisfied or Satisfied Basic Needs). This study explored such mediating roles in preschoolers from different socioeconomic backgrounds. Tasks to assess executive attention, working memory, inhibitory control, planning, and fluid reasoning were administered to 250 children aged 4 and 5 years. The results suggested that poverty mediated the effects of family composition, child health, health risk factors, children and adults at home, maternal age, and literacy activities on the performance of executive attention, fluid reasoning, and inhibitory control. These results contribute to our understanding of the relationship between environmental factors and cognitive development through the identification of the mediating role of poverty.

scholarly journals Assessing the relationship between adverse pregnancy outcomes and area-level deprivation in Wales 2014–2019: a national population-based cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e052330
Author(s):  
Heather Brown ◽  
Amrita Jesurasa ◽  
Clare Bambra ◽  
Judith Rankin ◽  
Amy McNaughton ◽  
...  
Keyword(s):  
Risk Factors ◽  
Caesarean Section ◽  
Pregnancy Outcomes ◽  
Emergency Caesarean Section ◽  
Adverse Pregnancy Outcomes ◽  
Perineal Tear ◽  
Cross Sectional ◽  
Individual Level ◽  
Adverse Pregnancy ◽  
The Relationship

ObjectivesThe aim of this study was to assess the relationship between deciles of area-level deprivation and seven adverse pregnancy outcomes in Wales.DesignCross-sectional analysis.Setting64 699 live births in Wales from 31 March 2014 to 16 September 2019.Primary outcome variableWe examined each of the following seven adverse pregnancy outcomes: (1) small for gestational age (SGA); (2) large for gestational age; (3) preterm birth; (4) third-degree or fourth-degree perineal tear; (5) major postpartum haemorrhage (MPPH); (6) a lower Apgar score at 5 min and (7) emergency caesarean section.ResultsThere was no significant association between increasing aggregate measures of area-level deprivation and the adverse pregnancy outcomes we studied. Women living in an area with greater access to services are more likely to have a baby that is SGA (1.27, 95% CI 1.11 to 1.49), have a greater likelihood of a perineal tear (1.74, 95% CI 1.15 to 2.61), are significantly less likely to have MPPH (0.79, 95% CI 0.64 to 0.96), have a baby with an Apgar score of 0.26 higher (95% CI 0.22 to 0.29) and are significantly less likely to have an emergency caesarean section (0.81, 95% CI 0.73 to 0.88). Women living in areas with higher employment (0.26, 95% CI 0.19 to 0.36) and better health (0.26, 95% CI 0.19 to 0.35) were less likely to experience perineal tear.ConclusionsThere was no clear social-spatial gradient in area-level deprivation and adverse pregnancy outcomes. We found a stronger association for individual-level behavioural risk factors than area-level factors. These findings support the benefits that accessible and holistic person-centred care may bring through addressing individual behavioural risk factors. There is a need for improved data completeness and further individual-level data on risk factors such as employment and income to better understand the role which may be played by population-level policies and their pathways to affecting outcomes.

scholarly journals Neonatal and Maternal Complications of Placenta Praevia and Its Risk Factors in Tikur Anbessa Specialized and Gandhi Memorial Hospitals: Unmatched Case-Control Study

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Ashete Adere ◽  
Abay Mulu ◽  
Fikremelekot Temesgen
Keyword(s):  
Risk Factors ◽  
Caesarean Section ◽  
Blood Transfusion ◽  
Maternal Age ◽  
Case Control Study ◽  
Advanced Maternal Age ◽  
Case Control ◽  
Placenta Praevia ◽  
Maternal Complications ◽  
Control Study

Background. Placenta praevia is a disorder that happens during pregnancy when the placenta is abnormally placed in the lower uterine segment, which at times covers the cervix. The incidence of placenta praevia is 3-5 per 1000 pregnancies worldwide and is still rising because of increasing caesarean section rates. Objective. To assess and identify the risk factors and maternal and neonatal complications associated with placenta praevia. Method and Materials. Target populations for this study were all women diagnosed with placenta praevia transvaginally or transabdominally either during the second and third trimesters of pregnancy or intraoperatively in Tikur Anbessa Specialized and Gandhi Memorial Hospitals. The study design was unmatched case-control study. Data was carefully extracted from medical records, reviewed, and analyzed. Unconditional logistic regression analysis was performed using adjusted odds ratios (AOR) with 95% confidence intervals. Results. Pregnancies complicated by placenta praevia were 303. Six neonatal deaths were recorded in this study. The magnitude of placenta praevia observed was 0.7%. Advanced maternal age (≥35) (AOR 6.3; 95% CI: 3.20, 12.51), multiparity (AOR 2.2; 95% CI: 1.46, 3.46), and previous history of caesarean section (AOR 2.7; 95% CI: 1.64, 4.58) had an increased odds of placenta praevia. Postpartum anemia (AOR 14.6; 95% CI: 6.48, 32.87) and blood transfusion 1-3 units (AOR 2.7; 95% CI: 1.10, 6.53) were major maternal complications associated with placenta praevia. Neonates born to women with placenta praevia were at increased risk of respiratory syndrome (AOR 4; 95% CI: 1.24, 13.85), IUGR (AOR 6.3; 95% CI: 1.79, 22.38), and preterm birth (AOR 8; 95% CI: 4.91, 12.90). Conclusion. Advanced maternal age, multiparity, and previous histories of caesarean section were significantly associated risk factors of placenta praevia. Adverse maternal outcomes associated with placenta praevia were postpartum anemia and the need for blood transfusion. Neonates born from placenta praevia women were also at risk of being born preterm, intrauterine growth restriction, and respiratory distress syndrome.

scholarly journals Elective induction versus spontaneous labor at term: prospective study of outcome and complications

2017 ◽  
Vol 6 (11) ◽  
pp. 4899
Author(s):  
Sagarika Babu ◽  
Lakshmi Manjeera M.
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Caesarean Section ◽  
Cesarean Section ◽  
Maternal Age ◽  
Bishop Score ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Increased Risk ◽  
Elective Induction

Background: This study aims at identifying the association between inductions of labor in nullipara and multipara to caesarean delivery and other associated maternal and neonatal outcomes.Methods: The study subjects were divided into two groups, elective induction group and spontaneous labor group. They were matched for maternal age, parity and gestational age. Duration of first and second stage of labor, mode of delivery, if caesarean section, indication for caesarean section and its relation to Bishop score, maternal age, birth weight was analyzed. Maternal intrapartum and post-partum complications and fetal outcome were also analyzed.Results: Out of the 400 women in the study, 200 were induced and 200 were those who went into spontaneous labor. The rate of cesarean section rate among induced group is 31% and was statistically significant. But the analysis of the same after excluding risk factors like nulliparity, Bishop score <5 and birth weight >3.5 kg it was found that the rate of cesarean section is 37.1%, but was statistically not significant when compared to the spontaneous group.There was significant decrease in the duration of second stage of labor in the induced primipara group with p value of 0.038. There was no significant difference in the maternal and neonatal complications.Conclusions: This study concludes that elective induction in carefully selected low risk population, excluding the above-mentioned risk factors does not pose any increased risk of cesarean section. Elective induction does not cause any increased risk to mother and fetus.

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