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Cresswell, J.A.; Campbell, O.M.; De Silva, M.J.; Slaymaker, E.; Filippi, V. (2016)
Publisher: Wiley
Languages: English
Types: Article
Subjects:
Identifiers:doi:10.1111/tmi.12713
OBJECTIVES: To quantify maternal obesity as a risk factor for Caesarean delivery in sub-Saharan Africa.
METHODS: Multivariable logistic regression analysis using 31 nationally representative cross-sectional data sets from the Demographic and Health Surveys (DHS).
RESULTS: Maternal obesity was a risk factor for Caesarean delivery in sub-Saharan Africa; a clear dose-response relationship (where the magnitude of the association increased with increasing BMI) was observable. Compared to women of optimal weight, overweight women (BMI 25-29 kg/m(2) ) were significantly more likely to deliver by Caesarean (OR: 1.54; 95% CI: 1.33, 1.78), as were obese women (30-34.9 kg/m(2) (OR: 2.39; 95%CI: 1.96-2.90); 35-39.9 kg/m(2) (OR: 2.47 95%CI: 1.78-3.43)) and morbidly obese women (BMI ≥40 kg/m(2) OR: 3.85; 95% CI: 2.46-6.00).
CONCLUSIONS: BMI is projected to rise substantially in sub-Saharan Africa over the next few decades and demand for Caesarean sections already exceeds available capacity. Overweight women should be advised to lose weight prior to pregnancy. Furthermore, culturally appropriate prevention strategies to discourage further population-level rises in BMI need to be designed and implemented.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • 1. Ezzati M, Vander Hoorn S, Lawes CM et al. Rethinking the “diseases of affluence” paradigm: global patterns of nutritional risks in relation to economic development. PLoS Med 2005: 2: e133.
    • 2. World Bank. GNI per capita, PPP (current international $).2012 [7 Sep 2012].
    • 3. Popkin BM, Gordon-Larsen P. The nutrition transition: worldwide obesity dynamics and their determinants. Int J Obes Relat Metab Disord 2004: 28(Suppl 3): S2-S9.
    • 4. Doak CM, Adair LS, Bentley M, Monteiro C, Popkin BM. The dual burden household and the nutrition transition paradox. Int J Obes (Lond) 2005: 29: 129-136.
    • 5. Popkin BM. Global changes in diet and activity patterns as drivers of the nutrition transition. Nestle Nutr Workshop Ser Pediatr Program 2009: 63: 1-10; discussion - 4, 259-68.
    • 6. Cresswell JA, Campbell OM, De Silva MJ, Filippi V. Effect of maternal obesity on neonatal death in sub-Saharan Africa: multivariable analysis of 27 national datasets. Lancet 2012: 380: 1325-1330.
    • 7. Onubi OJ, Marais D, Aucott L, Okonofua F, Poobalan AS. Maternal obesity in Africa: a systematic review and metaanalysis. J Public Health (Oxf) 2015. [Epub ahead of print], doi:10.1093/pubmed/fdv138.
    • 8. Chu SY, Kim SY, Schmid CH et al. Maternal obesity and risk of cesarean delivery: a meta-analysis. Obes Rev 2007: 8: 385-394.
    • 9. Poobalan AS, Aucott LS, Gurung T, Smith WCS, Bhattacharya S. Obesity as an independent risk factor for elective and emergency caesarean delivery in nulliparous women - systematic review and meta-analysis of cohort studies. Obes Rev 2009: 10: 28-35.
    • 10. Cedergren MI. Non-elective caesarean delivery due to ineffective uterine contractility or due to obstructed labour in relation to maternal body mass index. Eur J Obstet Gynecol Reprod Biol 2009: 145: 163-166.
    • 11. Zhang J, Bricker L, Wray S, Quenby S. Poor uterine contractility in obese women. BJOG 2007: 114: 343-348.
    • 12. Kalk P, Guthmann F, Krause K et al. Impact of maternal body mass index on neonatal outcome. Eur J Med Res 2009: 14: 216-222.
    • 13. Jensen H, Agger AO, Rasmussen KL. The influence of prepregnancy body mass index on labor complications. Acta Obstet Gynecol Scand 1999: 78: 799-802.
    • 14. O'Brien TE, Ray JG, Chan WS. Maternal body mass index and the risk of preeclampsia: a systematic overview. Epidemiology 2003: 14: 368-374.
    • 15. Torloni MR, Betran AP, Horta BL et al. Prepregnancy BMI and the risk of gestational diabetes: a systematic review of the literature with meta-analysis. Obes Rev 2009: 10: 194- 203.
    • 16. Stothard KJ, Tennant PW, Bell R, Rankin J. Maternal overweight and obesity and the risk of congenital anomalies: a systematic review and meta-analysis. JAMA 2009: 301: 636-650.
    • 17. Tennant PW, Rankin J, Bell R. Maternal body mass index and the risk of fetal and infant death: a cohort study from the North of England. Hum Reprod 2011: 26: 1501-1511.
    • 18. Dumont A, de Bernis L, Bouvier-Colle MH, Breart G. Caesarean section rate for maternal indication in sub-Saharan Africa: a systematic review. Lancet 2001: 358: 1328-1333.
    • 19. Cavallaro FL, Cresswell JA, Franca GV, Victora CG, Barros AJ, Ronsmans C. Trends in caesarean delivery by country and wealth quintile: cross-sectional surveys in southern Asia and sub-Saharan Africa. Bull World Health Organ 2013: 91: 914-922D.
    • 20. Ronsmans C, Holtz S, Stanton C. Socioeconomic differentials in caesarean rates in developing countries: a retrospective analysis. Lancet 2006: 368: 1516-1523.
    • 21. Lindert J, Breitbach R, Sieben G, Tiemasse SA, Coulibaly A, Wacker J. Perinatal health in rural Burkina Faso. Int J Gynaecol Obstet 2012: 117: 295-297.
    • 22. Djrolo F, Megnigbeto Obey A, De Souza J, Takpara I, Santos P, Alihonou E. [Influence of maternal weight on pregnancy outcome in Cotonou (Benin)]. J Gynecol Obstet Biol Reprod (Paris). 2002;31:243-247.
    • 23. Ezeanochie MC, Ande AB, Olagbuji BN. Maternal obesity in early pregnancy and subsequent pregnancy outcome in a Nigerian population. Afr J Reprod Health 2011: 15: 55-59.
    • 24. Adesina K, Aderibigbe S, Fawole A, Ijaiya M, Olarinoye A. Pregnancy outcome of the obese in Ilorin. Obstet Med 2011: 4: 160-163.
    • 25. Rayis DA, Abbaker AO, Salih Y, Adam I. Obesity and pregnancy outcome in Khartoum, Sudan. Int J Gynaecol Obstet 2011: 113: 160-161.
    • 26. Basu JK, Jeketera CM, Basu D. Obesity and its outcomes among pregnant South African women. Int J Gynaecol Obstet 2010: 110: 101-104.
    • 27. Pullum TW. An assessment of the quality of data on health and nutrition in the DHS surveys, 1993-2003. Macro International Inc.: Calverton, Maryland, 2008.
    • 28. Ehrenberg HM, Mercer BM, Catalano PM. The influence of obesity and diabetes on the prevalence of macrosomia. Am J Obstet Gynecol 2004: 191: 964-968.
    • 29. WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 2004: 363: 157-163.
    • 30. Stevens J, Cai J, Jones DW. The effect of decision rules on the choice of a body mass index cutoff for obesity: examples from African American and white women. Am J Clin Nutr 2002: 75: 986-992.
    • 31. Stanton CK, Dubourg D, De Brouwere V, Pujades M, Ronsmans C. Reliability of data on caesarean sections in developing countries. Bull World Health Organ 2005: 83: 449-455.
    • 32. Holtz SA, Stanton CK. Assessing the quality of cesarean birth data in the Demographic and Health Surveys. Stud Fam Plann 2007: 38: 47-54.
    • 33. Kelly T, Yang W, Chen CS, Reynolds K, He J. Global burden of obesity in 2005 and projections to 2030. Int J Obes (Lond) 2008: 32: 1431-1437.
    • 34. Centre for Maternal and Child Enquiries, Royal College of Obstetricians and Gynaecologists. CMACE/RCOG Joint Guidelines. Management of Women with Obesity in Pregnancy. 2010 March 2010. Report No.
    • 35. Hanson MA, Bardsley A, De-Regil LM et al. The International Federation of Gynecology and Obstetrics (FIGO) recommendations on adolescent, preconception, and maternal nutrition: “Think Nutrition First”. Int J Gynaecol Obstet 2015: 131(Suppl 4): S213-S253.
    • 36. Scott A, Ejikeme CS, Clottey EN, Thomas JG. Obesity in sub-Saharan Africa: development of an ecological theoretical framework. Health Promot Int 2013: 28: 4-16.
    • 37. Chigbu C, Aja L. Obesity in pregnancy in southeast Nigeria. Ann Med Health Sci Res 2011: 1: 135-140.
    • 38. National Department of Health Republic of South Africa. Guidelines for maternity care in South Africa: a manual for clinics, community health centres and district hospitals (4th edn). 2015.
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