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The Association of Maternal Height With Mode of Delivery and Fetal Birth Weight at King Abdulaziz University Hospital, Jeddah, Saudi Arabia

Study Objectives: The aim of this study was to find if there is an association between maternal height and mode of delivery, as well as an association between maternal height and baby’s weight as a secondary outcome. Method: This retrospective record review was performed at King Abdulaziz University...

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Detalles Bibliográficos
Autores principales: Softa, Shadi M, Aldardeir, Nashwa, Aloufi, Faisal s, Alshihabi, Saad s, Khouj, Maryam, Radwan, Ebtesam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9424784/
https://www.ncbi.nlm.nih.gov/pubmed/36060402
http://dx.doi.org/10.7759/cureus.27493
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author Softa, Shadi M
Aldardeir, Nashwa
Aloufi, Faisal s
Alshihabi, Saad s
Khouj, Maryam
Radwan, Ebtesam
author_facet Softa, Shadi M
Aldardeir, Nashwa
Aloufi, Faisal s
Alshihabi, Saad s
Khouj, Maryam
Radwan, Ebtesam
author_sort Softa, Shadi M
collection PubMed
description Study Objectives: The aim of this study was to find if there is an association between maternal height and mode of delivery, as well as an association between maternal height and baby’s weight as a secondary outcome. Method: This retrospective record review was performed at King Abdulaziz University Hospital (KAUH), Jeddah, Saudi Arabia, including patients admitted between January 2016 to December 2017. All nulligravida with singleton term pregnancies who gave birth were included in this study. Pregnant women with planned elective cesarean section (CS) and incomplete records were excluded. The maternal demographic and clinical data (age, height, weight, hypertension, gestational diabetes (GDM), body mass index (BMI), smoking status, gestational age, regional analgesia during delivery, type of delivery, postpartum hemorrhage (PPH), and episiotomy), neonatal birth weight, and Apgar score were obtained from KAUH computerized records. Our primary outcome was the mode of delivery. The secondary outcome was the classification of neonatal weight into small for gestational age (SGA), appropriate for gestational age (AGA), or large for gestational age (LGA). Maternal height was divided into seven groups. Descriptive statistics using mean and standard deviation were used for continuous variables. Frequencies and percentages were used for categorical variables. Student's t-test and chi-square tests were used to evaluate the differences between continuous and categorical variables. Result: A total of 1067 women were included in this study. Most were at 40 weeks of gestation age (14.9%) with a mean height of 156.4±6.2 cm. Of the total, 76.9% were spontaneous vaginal delivery without operative assistance, 15.9% were delivered via CS, and 7.2% delivered vaginally with the assistance of forceps or ventouse. The mean neonatal birth weight was 2994 ± 451 gms with most neonates (87.3%) having a birth weight between 2500 and 4000 gms. Most babies were of average weight for their gestational age at delivery. There was a significant negative association between maternal height with CS (p=0.017). Moreover, there was a correlation between maternal height and the baby’s birth weight (p=0.01), and we found that for every 1 cm increase in women’s height, the baby's weight increases by 12.8 gms. Conclusion: Our study didn’t find an association between maternal height and vaginal delivery or operative vaginal delivery. However, there was an impact of maternal height on CS delivery. Therefore, we suggest screening for short maternal height as they have an increased risk of having an emergency CS. In our secondary outcome, we found a positive association between maternal height and baby's birth weight.
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spelling pubmed-94247842022-09-02 The Association of Maternal Height With Mode of Delivery and Fetal Birth Weight at King Abdulaziz University Hospital, Jeddah, Saudi Arabia Softa, Shadi M Aldardeir, Nashwa Aloufi, Faisal s Alshihabi, Saad s Khouj, Maryam Radwan, Ebtesam Cureus Family/General Practice Study Objectives: The aim of this study was to find if there is an association between maternal height and mode of delivery, as well as an association between maternal height and baby’s weight as a secondary outcome. Method: This retrospective record review was performed at King Abdulaziz University Hospital (KAUH), Jeddah, Saudi Arabia, including patients admitted between January 2016 to December 2017. All nulligravida with singleton term pregnancies who gave birth were included in this study. Pregnant women with planned elective cesarean section (CS) and incomplete records were excluded. The maternal demographic and clinical data (age, height, weight, hypertension, gestational diabetes (GDM), body mass index (BMI), smoking status, gestational age, regional analgesia during delivery, type of delivery, postpartum hemorrhage (PPH), and episiotomy), neonatal birth weight, and Apgar score were obtained from KAUH computerized records. Our primary outcome was the mode of delivery. The secondary outcome was the classification of neonatal weight into small for gestational age (SGA), appropriate for gestational age (AGA), or large for gestational age (LGA). Maternal height was divided into seven groups. Descriptive statistics using mean and standard deviation were used for continuous variables. Frequencies and percentages were used for categorical variables. Student's t-test and chi-square tests were used to evaluate the differences between continuous and categorical variables. Result: A total of 1067 women were included in this study. Most were at 40 weeks of gestation age (14.9%) with a mean height of 156.4±6.2 cm. Of the total, 76.9% were spontaneous vaginal delivery without operative assistance, 15.9% were delivered via CS, and 7.2% delivered vaginally with the assistance of forceps or ventouse. The mean neonatal birth weight was 2994 ± 451 gms with most neonates (87.3%) having a birth weight between 2500 and 4000 gms. Most babies were of average weight for their gestational age at delivery. There was a significant negative association between maternal height with CS (p=0.017). Moreover, there was a correlation between maternal height and the baby’s birth weight (p=0.01), and we found that for every 1 cm increase in women’s height, the baby's weight increases by 12.8 gms. Conclusion: Our study didn’t find an association between maternal height and vaginal delivery or operative vaginal delivery. However, there was an impact of maternal height on CS delivery. Therefore, we suggest screening for short maternal height as they have an increased risk of having an emergency CS. In our secondary outcome, we found a positive association between maternal height and baby's birth weight. Cureus 2022-07-30 /pmc/articles/PMC9424784/ /pubmed/36060402 http://dx.doi.org/10.7759/cureus.27493 Text en Copyright © 2022, Softa et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Family/General Practice
Softa, Shadi M
Aldardeir, Nashwa
Aloufi, Faisal s
Alshihabi, Saad s
Khouj, Maryam
Radwan, Ebtesam
The Association of Maternal Height With Mode of Delivery and Fetal Birth Weight at King Abdulaziz University Hospital, Jeddah, Saudi Arabia
title The Association of Maternal Height With Mode of Delivery and Fetal Birth Weight at King Abdulaziz University Hospital, Jeddah, Saudi Arabia
title_full The Association of Maternal Height With Mode of Delivery and Fetal Birth Weight at King Abdulaziz University Hospital, Jeddah, Saudi Arabia
title_fullStr The Association of Maternal Height With Mode of Delivery and Fetal Birth Weight at King Abdulaziz University Hospital, Jeddah, Saudi Arabia
title_full_unstemmed The Association of Maternal Height With Mode of Delivery and Fetal Birth Weight at King Abdulaziz University Hospital, Jeddah, Saudi Arabia
title_short The Association of Maternal Height With Mode of Delivery and Fetal Birth Weight at King Abdulaziz University Hospital, Jeddah, Saudi Arabia
title_sort association of maternal height with mode of delivery and fetal birth weight at king abdulaziz university hospital, jeddah, saudi arabia
topic Family/General Practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9424784/
https://www.ncbi.nlm.nih.gov/pubmed/36060402
http://dx.doi.org/10.7759/cureus.27493
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