Cultural abdominal massage in pregnancy and obstetric outcomes in a sub-county hospital in Kenya.

IF 2.4 3区 医学 Q2 OBSTETRICS & GYNECOLOGY
Rukia Gang'ombe, Alfred Osoti, Zahida Qureshi, Omondi Ogutu
{"title":"Cultural abdominal massage in pregnancy and obstetric outcomes in a sub-county hospital in Kenya.","authors":"Rukia Gang'ombe, Alfred Osoti, Zahida Qureshi, Omondi Ogutu","doi":"10.1002/ijgo.70304","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To determine the association between cultural abdominal massage (CAM) in pregnancy and adverse maternal and perinatal outcomes.</p><p><strong>Methods: </strong>In this prospective cohort study, eligible term pregnant women who underwent CAM (exposed, n = 160) and those who did not undergo CAM (unexposed, n = 160) in the index pregnancy were enrolled during labor. Participants were followed up and immediate adverse maternal outcomes, including abruptio placenta, primary postpartum hemorrhage (PPH), uterine rupture, cesarean hysterectomy, admission to a high-dependency unit (HDU), and maternal death, and adverse perinatal outcomes, including intrauterine fetal demise (IUFD), stillbirth, 5-min Apgar score below 7, admission to neonatal HDU, and neonatal death, were evaluated within the first 72 h of delivery. The association between CAM and adverse maternal and perinatal outcomes was assessed using binomial logistic regression adjusted for potential confounders to obtain adjusted risk ratios (aRRs) with corresponding 95% confidence intervals (CIs). Statistical significance was two-tailed at P ≤ 0.05.</p><p><strong>Results: </strong>Compared with those who did not undergo CAM, women who underwent CAM in the index pregnancy had increased risk of primary PPH (adjusted risk ratio [ARR] 3.04, 95% CI 2.49-3.72, P < 0.001), uterine rupture (aRR 1.61, 95% CI 1.04-2.49, P = 0.031), stillbirth (aRR 1.54, 95% CI 1.09-2.16, P = 0.013) and 5-min Apgar score below 7 (aRR 2.11, 95% CI 1.78-2.51, P < 0.001). There was no association between CAM and abruptio placenta, cesarean hysterectomy, admission to HDU, or death.</p><p><strong>Conclusion: </strong>Women who underwent CAM were at increased risk of primary PPH, uterine rupture, stillbirth, and 5-min Apgar score below 7.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.4000,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Gynecology & Obstetrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/ijgo.70304","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Objective: To determine the association between cultural abdominal massage (CAM) in pregnancy and adverse maternal and perinatal outcomes.

Methods: In this prospective cohort study, eligible term pregnant women who underwent CAM (exposed, n = 160) and those who did not undergo CAM (unexposed, n = 160) in the index pregnancy were enrolled during labor. Participants were followed up and immediate adverse maternal outcomes, including abruptio placenta, primary postpartum hemorrhage (PPH), uterine rupture, cesarean hysterectomy, admission to a high-dependency unit (HDU), and maternal death, and adverse perinatal outcomes, including intrauterine fetal demise (IUFD), stillbirth, 5-min Apgar score below 7, admission to neonatal HDU, and neonatal death, were evaluated within the first 72 h of delivery. The association between CAM and adverse maternal and perinatal outcomes was assessed using binomial logistic regression adjusted for potential confounders to obtain adjusted risk ratios (aRRs) with corresponding 95% confidence intervals (CIs). Statistical significance was two-tailed at P ≤ 0.05.

Results: Compared with those who did not undergo CAM, women who underwent CAM in the index pregnancy had increased risk of primary PPH (adjusted risk ratio [ARR] 3.04, 95% CI 2.49-3.72, P < 0.001), uterine rupture (aRR 1.61, 95% CI 1.04-2.49, P = 0.031), stillbirth (aRR 1.54, 95% CI 1.09-2.16, P = 0.013) and 5-min Apgar score below 7 (aRR 2.11, 95% CI 1.78-2.51, P < 0.001). There was no association between CAM and abruptio placenta, cesarean hysterectomy, admission to HDU, or death.

Conclusion: Women who underwent CAM were at increased risk of primary PPH, uterine rupture, stillbirth, and 5-min Apgar score below 7.

文化腹部按摩在怀孕和产科结果在一个县医院在肯尼亚。
目的:探讨妊娠期腹部文化按摩(CAM)与孕产妇及围产儿不良结局的关系。方法:在这项前瞻性队列研究中,纳入了在分娩期间接受CAM(暴露,n = 160)和未接受CAM(未暴露,n = 160)的指数妊娠的合格足月孕妇。对参与者进行随访,并在分娩后72小时内评估立即不良产妇结局,包括胎盘早破、原发性产后出血(PPH)、子宫破裂、剖宫产子宫切除术、入住高依赖病房(HDU)和产妇死亡,以及围产期不良结局,包括宫内胎儿死亡(IUFD)、死产、5分钟Apgar评分低于7、入住新生儿HDU和新生儿死亡。采用二项logistic回归对潜在混杂因素进行校正,以获得校正风险比(aRRs)和相应的95%置信区间(ci),评估CAM与不良孕产妇和围产期结局之间的关联。双尾差异有统计学意义,P≤0.05。结果:与未行辅助妊娠的妇女相比,在指数妊娠期行辅助妊娠的妇女发生原发性PPH的风险增加(校正风险比[ARR] 3.04, 95% CI 2.49 ~ 3.72, P)。结论:行辅助妊娠的妇女发生原发性PPH、子宫破裂、死胎和5分钟Apgar评分低于7的风险增加。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
5.80
自引率
2.60%
发文量
493
审稿时长
3-6 weeks
期刊介绍: The International Journal of Gynecology & Obstetrics publishes articles on all aspects of basic and clinical research in the fields of obstetrics and gynecology and related subjects, with emphasis on matters of worldwide interest.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信