Maternal overweight and obesity and the risk of caesarean birth in Malawi.

Abstract:

BACKGROUND:Overweight and obese women are at risk of pregnancy and delivery complications. This study investigates the trend and association between maternal overweight and obesity on caesarean births in Malawi. METHODS:We utilised cross-sectional population-based Demographic Health Surveys (DHSs) data collected from mothers aged 18-49 years in 2004/05, 2010, and 2015/16 in Malawi. The outcome measure was caesarian birth within 5 years preceding the surveys. The main independent variable was maternal Body Mass Index (BMI) measured as weight in kilograms by height in meters squared (kg/m2) and categorized according to the World Health Organization (WHO) guidelines. Generalized estimating equations (GEE) regression models were constructed to analyze total samples of 6795, 4474 and 4363 in 2004/05, 2010 and 2015/16 respectively. RESULTS:There was an observed increase in the trend of caesarean births as well as maternal overweight and obesity from 2004 to 2015. The results of the multivariate analyses showed that maternal overweight (adjusted odds ratio [aOR] = 1.35; 95% Confidence Interval [CI] 1.01-1.83) in 2015/16 and (aOR = 1.36; 95% CI: 1.10-1.65) from 2004 to 2015 were risk factors for caesarean births in Malawi. In addition, being obese (aOR = 2.15; 95% CI: 1.12-4.11) in 2004/05, (aOR = 1.66; 95% CI: 1.08-2.55) in 2010, (aOR = 2.18; 95% CI: 1.48-3.21) in 2015/16, and (aOR = 2.16; 95% CI: 1.65-2.84) from 2004 to 2015) increased the risk of caesarean births. In addition, women who had one parity, and lived in the northern region were significantly more likely to have undergone caesarean birth. CONCLUSIONS:In order to reduce non-elective cesarean birth in Malawi, specific public health programs should be focus on reducing overweight and obesity among women of reproductive age. More focus attention may be given to women with one parity, particularly in the urban and the northern region of Malawi.

journal_name

Reprod Health

journal_title

Reproductive health

authors

Nkoka O,Ntenda PAM,Senghore T,Bass P

doi

10.1186/s12978-019-0700-2

subject

Has Abstract

pub_date

2019-04-03 00:00:00

pages

40

issue

1

issn

1742-4755

pii

10.1186/s12978-019-0700-2

journal_volume

16

pub_type

杂志文章
  • Do efforts to standardize, assess and improve the quality of health service provision to adolescents by government-run health services in low and middle income countries, lead to improvements in service-quality and service-utilization by adolescents?

    abstract:BACKGROUND:Researchers and implementers working in adolescent health, and adolescents themselves question whether government-run health services in conservative and resource-constrained settings can be made adolescent friendly. This paper aims to find out what selected low and middle income country (LMIC) governments h...

    journal_title:Reproductive health

    pub_type: 杂志文章

    doi:10.1186/s12978-015-0111-y

    authors: Chandra-Mouli V,Chatterjee S,Bose K

    更新日期:2016-02-06 00:00:00

  • "In the hospital, there will be nobody to pamper me": a qualitative assessment on barriers to facility-based delivery in post-Ebola Sierra Leone.

    abstract:BACKGROUND:Sierra Leone has one of the highest maternal mortality rates in the world. Encouraging the use of skilled birth attendance in health facilities is an important step in the endeavor to increase the number of safe deliveries. However, public trust in health facilities has been greatly damaged during the Ebola ...

    journal_title:Reproductive health

    pub_type: 杂志文章

    doi:10.1186/s12978-018-0601-9

    authors: Theuring S,Koroma AP,Harms G

    更新日期:2018-09-15 00:00:00

  • Building Irish families through surrogacy: medical and judicial issues for the advanced reproductive technologies.

    abstract::Surrogacy involves one woman (surrogate mother) carrying a child for another person/s (commissioning person/couple), based on a mutual agreement requiring the child to be handed over to the commissioning person/couple following birth. Reasons for seeking surrogacy include situations where a woman has non-functional or...

    journal_title:Reproductive health

    pub_type: 社论

    doi:10.1186/1742-4755-5-9

    authors: Sills ES,Healy CM

    更新日期:2008-11-04 00:00:00

  • Impact of a parent-child sexual communication campaign: results from a controlled efficacy trial of parents.

    abstract:BACKGROUND:Prior research supports the notion that parents have the ability to influence their children's decisions regarding sexual behavior. Yet parent-based approaches to curbing teen pregnancy and STDs have been relatively unexplored. The Parents Speak Up National Campaign (PSUNC) is a multimedia campaign that atte...

    journal_title:Reproductive health

    pub_type: 杂志文章

    doi:10.1186/1742-4755-7-17

    authors: Davis KC,Blitstein JL,Evans WD,Kamyab K

    更新日期:2010-07-21 00:00:00

  • Sexual and reproductive health of Syrian refugee women in Turkey: a scoping review within the framework of the MISP objectives.

    abstract:BACKGROUND:Turkey hosts the world's largest community of Syrians displaced by the conflict. The Minimum Initial Service Package (MISP) is a coordinated set of priority reproductive health services. There is not any scoping review assessing the RH situation of Syrian refugees in Turkey within the framework of the MISP o...

    journal_title:Reproductive health

    pub_type: 杂志文章,评审

    doi:10.1186/s12978-020-00948-1

    authors: Çöl M,Bilgili Aykut N,Usturalı Mut AN,Koçak C,Uzun SU,Akın A,Say L,Kobeissi L

    更新日期:2020-06-22 00:00:00

  • Adherence to Swedish national pregnancy dating guidelines and management of discrepancies between pregnancy dating methods: a survey study.

    abstract:BACKGROUND:Swedish national guidelines for pregnancy dating were published in 2010. Follow-up is needed to assess adherence and to identify whether any clinical topics are not covered in the guidelines. METHODS:All units in Sweden that performed ultrasound-based pregnancy dating were asked to complete a web-based ques...

    journal_title:Reproductive health

    pub_type: 杂志文章

    doi:10.1186/s12978-019-0760-3

    authors: Kullinger M,Granfors M,Kieler H,Skalkidou A

    更新日期:2019-07-04 00:00:00

  • Influence of a husband's healthcare decision making role on a woman's intention to use contraceptives among Mozambican women.

    abstract:BACKGROUND:Previous studies in developing countries suggest that a husband plays an influential role in a woman's contraceptive use. The influence of a husband/partner's healthcare decision making power on a woman's intention to use contraceptives in Mozambique has not been studied. The present study examined this rela...

    journal_title:Reproductive health

    pub_type: 杂志文章

    doi:10.1186/s12978-015-0010-2

    authors: Mboane R,Bhatta MP

    更新日期:2015-04-23 00:00:00

  • Feasibility of an altruistic sperm donation program in Canada: results from a population-based model.

    abstract:BACKGROUND:Stringent donor-screening criteria and legislation prohibiting payment for donor gametes have contributed to the radical decline of donor insemination (DI) using sperm provided by Canadian men. Thus, many individuals rely on imported sperm. This paper examines the feasibility of an altruistic sperm donation ...

    journal_title:Reproductive health

    pub_type: 杂志文章

    doi:10.1186/s12978-016-0275-0

    authors: O'Reilly D,Bowen JM,Perampaladas K,Qureshi R,Xie F,Hughes E

    更新日期:2017-01-14 00:00:00

  • Women's autonomy, education and contraception use in Pakistan: a national study.

    abstract:BACKGROUND:It has been proposed that the autonomy of women is one of the mechanisms of how education influences contraceptive use in developing countries. We tested this hypothesis in a national sample of women in Pakistan. METHODS:We used the 2000 Pakistan Reproductive Health and Family Planning Survey, which intervi...

    journal_title:Reproductive health

    pub_type: 杂志文章

    doi:10.1186/1742-4755-2-8

    authors: Saleem S,Bobak M

    更新日期:2005-10-21 00:00:00

  • Inequalities in the coverage of place of delivery and skilled birth attendance: analyses of cross-sectional surveys in 80 low and middle-income countries.

    abstract:BACKGROUND:Having a health worker with midwifery skills present at delivery is one of the key interventions to reduce maternal and newborn mortality. We sought to estimate the frequencies of (a) skilled birth attendant coverage, (b) institutional delivery, and (c) the combination of place of delivery and type of attend...

    journal_title:Reproductive health

    pub_type: 杂志文章

    doi:10.1186/s12978-016-0192-2

    authors: Joseph G,da Silva IC,Wehrmeister FC,Barros AJ,Victora CG

    更新日期:2016-06-17 00:00:00

  • The power of peers: an effectiveness evaluation of a cluster-controlled trial of group antenatal care in rural Nepal.

    abstract:BACKGROUND:Reducing the maternal mortality ratio to less than 70 per 100,000 live births globally is one of the Sustainable Development Goals. Approximately 830 women die from pregnancy- or childbirth-related complications every day. Almost 99% of these deaths occur in developing countries. Increasing antenatal care qu...

    journal_title:Reproductive health

    pub_type: 杂志文章

    doi:10.1186/s12978-019-0820-8

    authors: Thapa P,Bangura AH,Nirola I,Citrin D,Belbase B,Bogati B,Nirmala BK,Khadka S,Kunwar L,Halliday S,Choudhury N,Ozonoff A,Tenpa J,Schwarz R,Adhikari M,Kalaunee SP,Rising S,Maru D,Maru S

    更新日期:2019-10-22 00:00:00

  • Evidence-based policy responses to strengthen health, community and legislative systems that care for women in Australia with female genital mutilation / cutting.

    abstract:BACKGROUND:The physical and psychological impact of female genital mutilation / cutting (FGM/C) can be substantial, long term, and irreversible. Parts of the health sector in Australia have developed guidelines in the management of FGM/C, but large gaps exist in community and professional knowledge of the consequences ...

    journal_title:Reproductive health

    pub_type: 杂志文章,评审

    doi:10.1186/s12978-017-0324-3

    authors: Varol N,Hall JJ,Black K,Turkmani S,Dawson A

    更新日期:2017-05-18 00:00:00

  • Diuretics vs. placebo for postpartum blood pressure control in preeclampsia (DIUPRE): a randomized clinical trial.

    abstract:BACKGROUND:Hypertension affects about 10% of pregnancies and is responsible for both maternal and neonatal devastating complications such as eclampsia, HELLP syndrome, prematurity and maternal and neonatal death. The resolution of the disease occurs in the first twelve weeks postpartum. The behavior of blood pressure a...

    journal_title:Reproductive health

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12978-015-0057-0

    authors: Cursino T,Katz L,Coutinho I,Amorim M

    更新日期:2015-08-05 00:00:00

  • Factors associated with intimacy and sexuality among young women with multiple sclerosis.

    abstract:BACKGROUND:Patients with multiple sclerosis (MS) especially those with younger age experience an alteration in physiological and emotional lifestyle that can affect intimacy and sexuality. The aim of this study was to determine demographic and disease related determinants of intimacy and sexuality in young women with M...

    journal_title:Reproductive health

    pub_type: 杂志文章

    doi:10.1186/s12978-020-00960-5

    authors: Mohammadi K,Rahnama P,Rafei Z,Ebrahimi-Aveh SM,Montazeri A

    更新日期:2020-07-10 00:00:00

  • Reproductive health services utilization and its associated factors among adolescents in Debre Berhan town, Central Ethiopia: a community-based cross-sectional study.

    abstract:BACKGROUND:Utilization of reproductive health services is an important component in preventing adolescents from different sexual and reproductive health problems. As a result, the extent of their service utilization should be determined before implementing any kind of interventions. Therefore, this study was aimed at a...

    journal_title:Reproductive health

    pub_type: 杂志文章

    doi:10.1186/s12978-018-0659-4

    authors: Tlaye KG,Belete MA,Demelew TM,Getu MA,Astawesegn FH

    更新日期:2018-12-27 00:00:00

  • Electromagnetic radiation at 900 MHz induces sperm apoptosis through bcl-2, bax and caspase-3 signaling pathways in rats.

    abstract:BACKGROUND:The decreased reproductive capacity of men is an important factor contributing to infertility. Accumulating evidence has shown that Electromagnetic radiation potentially has negative effects on human health. However, whether radio frequency electromagnetic radiation (RF-EMR) affects the human reproductive sy...

    journal_title:Reproductive health

    pub_type: 杂志文章

    doi:10.1186/s12978-015-0062-3

    authors: Liu Q,Si T,Xu X,Liang F,Wang L,Pan S

    更新日期:2015-08-04 00:00:00

  • Non-pharmacological labor pain management and associated factor among skilled birth attendants in Amhara Regional State health institutions, Northwest Ethiopia.

    abstract:BACKGROUND:Healthcare providers have a responsibility to provide pain management support to women during labor. Labor pain management in low and middle income countries primarily relies on non-pharmacological methods, as there is little access to pharmacologic pain management. This study aimed to determine the utilizat...

    journal_title:Reproductive health

    pub_type: 杂志文章

    doi:10.1186/s12978-020-01043-1

    authors: Getu AA,Getie SA,Gela GB,Maseresha EA,Feleke BE,Muna AM

    更新日期:2020-11-23 00:00:00

  • A cross-sectional mixed-methods study of sexual and reproductive health knowledge, experiences and access to services among refugee adolescent girls in the Nakivale refugee settlement, Uganda.

    abstract:BACKGROUND:Humanitarian crises and migration make girls and women more vulnerable to poor sexual and reproductive health (SRH) outcomes. Nevertheless, there is still a dearth of information on SRH outcomes and access to SRH services among refugee girls and young women in Africa. We conducted a mixed-methods study to as...

    journal_title:Reproductive health

    pub_type: 杂志文章

    doi:10.1186/s12978-019-0698-5

    authors: Ivanova O,Rai M,Mlahagwa W,Tumuhairwe J,Bakuli A,Nyakato VN,Kemigisha E

    更新日期:2019-03-19 00:00:00

  • Inconsistent fertility motivations and contraceptive use behaviors among women in Honduras.

    abstract:BACKGROUND:Recent studies have demonstrated that it is common for women to report inconsistent fertility motivations and family planning behaviors. This study examines these inconsistencies among urban Honduran women interviewed at two points in time and presents reasons for inconsistent fertility motivations and contr...

    journal_title:Reproductive health

    pub_type: 杂志文章

    doi:10.1186/1742-4755-6-19

    authors: Speizer IS,Irani L,Barden-O'Fallon J,Levy J

    更新日期:2009-11-19 00:00:00

  • Self-reported postpartum morbidity: prevalence and determinants among women in Marrakesh, Morocco.

    abstract:BACKGROUND:Maternal mortality is a public health problem particularly in developing countries. This is mainly related to maternal morbidity, especially during the post-partum period (Haemorrhage, infections…). In Morocco, little is known about maternal morbidity within the population. The aim of this study is to determ...

    journal_title:Reproductive health

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12978-015-0066-z

    authors: Elkhoudri N,Amor H,Baali A

    更新日期:2015-08-25 00:00:00

  • Adverse maternal and perinatal outcomes in adolescent pregnancies: The Global Network's Maternal Newborn Health Registry study.

    abstract:BACKGROUND:Adolescent girls between 15 and 19 years give birth to around 16 million babies each year, around 11% of births worldwide. We sought to determine whether adolescent mothers are at higher risk of maternal and perinatal adverse outcomes compared with mothers aged 20-24 years in a prospective, population-based ...

    journal_title:Reproductive health

    pub_type: 杂志文章,多中心研究

    doi:10.1186/1742-4755-12-S2-S8

    authors: Althabe F,Moore JL,Gibbons L,Berrueta M,Goudar SS,Chomba E,Derman RJ,Patel A,Saleem S,Pasha O,Esamai F,Garces A,Liechty EA,Hambidge K,Krebs NF,Hibberd PL,Goldenberg RL,Koso-Thomas M,Carlo WA,Cafferata ML,Buekens P

    更新日期:2015-01-01 00:00:00

  • Mapping the knowledge and understanding of menarche, menstrual hygiene and menstrual health among adolescent girls in low- and middle-income countries.

    abstract:BACKGROUND:Menstruation is a natural physiological process that requires proper management. Unlike other normal bodily processes, menstruation is linked with religious and cultural meanings that can affect the perceptions of young girls as well as the ways in which the adults in the communities around them respond to t...

    journal_title:Reproductive health

    pub_type: 杂志文章,评审

    doi:10.1186/s12978-017-0293-6

    authors: Chandra-Mouli V,Patel SV

    更新日期:2017-03-01 00:00:00

  • Urinary phthalate metabolites in relation to serum anti-Müllerian hormone and inhibin B levels among women from a fertility center: a retrospective analysis.

    abstract:BACKGROUND:Phthalates, a class of endocrine disruptors, have been demonstrated to accelerate loss of ovarian follicle pool via disrupting folliculogenesis, and lead to diminished ovarian reserve. However, human data are limited. Here, we aimed to examine whether urinary phthalate metabolites are correlated with markers...

    journal_title:Reproductive health

    pub_type: 杂志文章

    doi:10.1186/s12978-018-0469-8

    authors: Du YY,Guo N,Wang YX,Hua X,Deng TR,Teng XM,Yao YC,Li YF

    更新日期:2018-02-23 00:00:00

  • Food insecurity and nutritional status of preconception women in a rural population of North Karnataka, India.

    abstract:BACKGROUND:As per the World Health Organization, the nutritional status of women of reproductive age is important, as effects of undernutrition are propagated to future generations. More than one-third of Indian women in the reproductive age group are in a state of chronic nutritional deficiency during the preconceptio...

    journal_title:Reproductive health

    pub_type: 杂志文章

    doi:10.1186/s12978-018-0535-2

    authors: Mastiholi SC,Somannavar MS,Vernekar SS,Yogesh Kumar S,Dhaded SM,Herekar VR,Lander RL,Hambidge MK,Krebs NF,Goudar SS

    更新日期:2018-06-22 00:00:00

  • Health consequences of female genital mutilation/cutting in the Gambia, evidence into action.

    abstract:BACKGROUND:Female Genital Mutilation/Cutting (FGM/C) is a harmful traditional practice with severe health complications, deeply rooted in many Sub-Saharan African countries. In The Gambia, the prevalence of FGM/C is 78.3% in women aged between 15 and 49 years. The objective of this study is to perform a first evaluatio...

    journal_title:Reproductive health

    pub_type: 杂志文章

    doi:10.1186/1742-4755-8-26

    authors: Kaplan A,Hechavarría S,Martín M,Bonhoure I

    更新日期:2011-10-03 00:00:00

  • Contraceptive discontinuation: frequency and associated factors among undergraduate women in Brazil.

    abstract:BACKGROUND:In Brazil, high contraceptive prevalence rates coexist with high rates of unintended pregnancies. Contraceptive discontinuation may explain this context, but few studies have focused on highly educated young women in countries with low unmet need for modern contraception. This paper explores frequency and as...

    journal_title:Reproductive health

    pub_type: 杂志文章

    doi:10.1186/s12978-019-0783-9

    authors: do Nascimento Chofakian CB,Moreau C,Borges ALV,Dos Santos OA

    更新日期:2019-08-29 00:00:00

  • Unintended pregnancy: magnitude and correlates in six urban sites in Senegal.

    abstract:BACKGROUND:In Senegal, unintended pregnancy has become a growing concern in public health circles. It has often been described through the press as a sensational subject with emphasis on the multiple infanticide cases as a main consequence, especially among young unmarried girls. Less scientific evidence is known on th...

    journal_title:Reproductive health

    pub_type: 杂志文章

    doi:10.1186/1742-4755-10-59

    authors: Faye CM,Speizer IS,Fotso JC,Corroon M,Koumtingue D

    更新日期:2013-11-19 00:00:00

  • A protocol to identify non-classical risk factors for preterm births: the Brazilian Ribeirão Preto and São Luís prenatal cohort (BRISA).

    abstract:BACKGROUND:Preterm birth is the main cause of morbidity and mortality during the perinatal period. Classical risk factors are held responsible for only 1/3 of preterm births and no current intervention has produced an appreciable reduction of this event. It is necessary to explore new hypotheses and mechanisms of causa...

    journal_title:Reproductive health

    pub_type: 杂志文章

    doi:10.1186/1742-4755-11-79

    authors: da Silva AA,Simões VM,Barbieri MA,Cardoso VC,Alves CM,Thomaz EB,de Sousa Queiroz RC,Cavalli RC,Batista RF,Bettiol H

    更新日期:2014-11-19 00:00:00

  • Antenatal care packages with reduced visits and perinatal mortality: a secondary analysis of the WHO antenatal care trial - Comentary: routine antenatal visits for healthy pregnant women do make a difference.

    abstract::The practice and timing of routine antenatal visits for healthy pregnant women, introduced arbitrarily and without evidence of effectiveness, have become entrenched in obstetric practice over the last century. In 2001 the large, cluster randomized WHO Antenatal Care Trial concluded that a goal-orientated package of an...

    journal_title:Reproductive health

    pub_type: 杂志文章

    doi:10.1186/1742-4755-10-20

    authors: Hofmeyr GJ,Hodnett ED

    更新日期:2013-04-12 00:00:00

  • Integrating postabortion care, menstrual regulation and family planning services in Bangladesh: a pre-post evaluation.

    abstract:BACKGROUND:In Bangladesh, abortion is restricted except to save the life of a woman, but menstrual regulation is allowed to induce menstruation and return to non-pregnancy after a missed period. MR services are typically provided through the Directorate General of Family Planning, while postabortion care services for i...

    journal_title:Reproductive health

    pub_type: 杂志文章

    doi:10.1186/s12978-017-0298-1

    authors: Biswas KK,Pearson E,Shahidullah SM,Sultana S,Chowdhury R,Andersen KL

    更新日期:2017-03-11 00:00:00