Association of maternal height with delivery outcome: A prospective anthropometric study at the Federal Teaching Hospital, Abakaliki, Southeast Nigeria

International Journal of Medicine and Health Development Pub Date : 2023-07-01 DOI:10.4103/ijmh.IJMH_79_22

A. Onyebuchi, J. Mamah

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Abstract

Background: Height is easy to measure and may serve as a triaging and referral tool in the rural communities of the West African subregion where a significant proportion of deliveries are undertaken by unskilled birth attendants with devastating maternal and perinatal outcomes. Objective: The objective of this study was to determine the association between maternal height and the route of delivery. Materials and Methods: This was a cross-sectional study undertaken at the Federal Teaching Hospital Abakaliki, Ebonyi State, Nigeria. A total of 180 consenting randomly selected pregnant participants who met the inclusion criteria and had presented in spontaneous labor at the maternity unit were selected for the study. Each participant′s sociodemographic data, height, mode of delivery, and neonatal birth weight were obtained using a semistructured proforma. Data analysis was done using the Statistical Package for Social Sciences (IBM-SPSS) version 22, Atlanta, Georgia. Results: The mean age of the study participants was 30.4 ± 4.2 years and the mean height was 164.5 ± 6.1 cm. Approximately 82% of the women had vaginal delivery. Majority (96.6%) of the participants were booked and more than 75% have had previous vaginal delivery. There was no significant association between the maternal height and mode of delivery (P = 0.95). However, there was a significant association between neonatal birthweight and route of delivery (P < 0.001). Conclusion: There is no significant association between maternal height and route of delivery in Abakiliki, Nigeria. Although height has traditionally been used in participant counseling regarding potential route of delivery, this study shows that height may not serve as an evidence-based tool in screening or predicting the route of delivery in the Abakaliki metropolis. Further larger studies are advocated to corroborate or refute this observation

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产妇身高与分娩结果的关系:尼日利亚东南部Abakaliki联邦教学医院的前瞻性人体测量学研究

背景:身高易于测量，可作为西非分区域农村社区的分诊和转诊工具，在这些地区，很大一部分分娩是由不熟练的接生员进行的，造成严重的孕产妇和围产期后果。目的:本研究的目的是确定产妇身高与分娩方式之间的关系。材料和方法:这是在尼日利亚埃邦伊州Abakaliki联邦教学医院进行的一项横断面研究。随机选择180名符合纳入标准并在产房自然分娩的孕妇参与研究。每个参与者的社会人口统计数据、身高、分娩方式和新生儿出生体重采用半结构化形式获得。数据分析使用社会科学统计软件包(IBM-SPSS)版本22，亚特兰大，乔治亚州。结果:研究对象平均年龄30.4±4.2岁，平均身高164.5±6.1 cm。大约82%的女性是阴道分娩。大多数(96.6%)的参与者已经预约，超过75%的人以前有过阴道分娩。产妇身高与分娩方式无显著相关性(P = 0.95)。然而，新生儿出生体重与分娩方式之间存在显著相关性(P < 0.001)。结论:尼日利亚阿巴基利基地区产妇身高与分娩方式无显著相关性。虽然身高传统上被用于参与者关于潜在分娩途径的咨询，但本研究表明，身高可能不能作为Abakaliki大都市筛查或预测分娩途径的循证工具。人们提倡进行更大规模的研究来证实或反驳这一观察结果

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International Journal of Medicine and Health Development

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