Frequency of types of parturition and their relationship with maternal characteristics: a cross-sectional analysis
DOI:
https://doi.org/10.18203/2320-6012.ijrms20202242Keywords:
Association, Cross-Sectional Analysis, Mothers, ParturitionAbstract
Background: The pathways that are involved for the duration of pregnancy and type of parturition are extremely complex, involving maternal as well as fetal systems. The objective of this study was to determine the frequency of types of parturition and their relationship with maternal characteristics among pregnant female patients.
Methods: A cross-sectional survey using a non-probability convenient sampling technique was conducted among 195 healthy pregnant females at Obstetrics and Gynaecological Department of Hamdard Hospital, Karachi, from 1st March 2019 to 31st August 2019. After taking written informed consent from the participants, the relevant data were gathered with the help of a structured questionnaire designed specifically for the study. Statistical package for social sciences was used for data entry while the chi-square test was applied for inferential analysis. The duration of the study was six months. Data were entered and analyzed using Statistical Package for Social Sciences version 20.0. Descriptive analysis was performed by generating means and standard deviations for continuous variables while frequencies and percentages for categorical variables. A Chi-square test was applied to perform the inferential analysis while the significance level was set at 0.05.
Results: A total of 195 pregnant females were included in the study, whose mean age was 29.29±5.22 years. The study results showed that BMI before pregnancy (p=0.021), rest is taken during pregnancy (p=0.034) and gravida status (p=0.047) were all significantly associated with the type of parturition among the study participants, but spacing in pregnancies and parity were not.
Conclusions: Maternal characteristics were found to be significantly associated with the type of parturition among pregnant females. For gynecologists the maternal characteristics identified in this study may serve as a useful indicator of the type of parturition expected in their patients.
References
Ravanos K, Dagklis T, Petousis S, Margioula-Siarkou C, Prapas Y, Prapas N. Factors implicated in the initiation of human parturition in term and preterm labor: a review. Gynecolog Endocrinol. 2015 Sep 2;31(9):679-83.
Menon R, Bonney EA, Condon J, Mesiano S, Taylor RN. Novel concepts on pregnancy clocks and alarms: redundancy and synergy in human parturition. Human Reproduct Update. 2016 Sep 1;22(5):535-60.
Vinayagam D, Thilaganathan B, Stirrup O, Mantovani E, Khalil A. Maternal hemodynamics in normal pregnancy: reference ranges and role of maternal characteristics. Ultrasound Obstetr Gynecol. 2018 May;51(5):665-71.
Vinturache A, Moledina N, McDonald S, Slater D, Tough S. Pre-pregnancy Body Mass Index (BMI) and delivery outcomes in a Canadian population. BMC Pregn Childbir. 2014 Dec 1;14(1):422-32.
Pantham P, Aye IL, Powell TL. Inflammation in maternal obesity and gestational diabetes mellitus. Placenta. 2015 Jul 1;36(7):709-15.
Poston L, Caleyachetty R, Cnattingius S, Corvalán C, Uauy R, Herring S, et al. Preconceptional and maternal obesity: epidemiology and health consequences. Lancet Diabetes Endocrinol. 2016 Dec 1;4(12):1025-36.
Costa-Ramón AM, Rodríguez-González A, Serra-Burriel M, Campillo-Artero C. It's about time: Cesarean sections and neonatal health. J Health Econom. 2018 May 1;59:46-59.
Burcher P, Cheyney MJ, Li KN, Hushmendy S, Kiley KC. Cesarean birth regret and dissatisfaction: A qualitative approach. Birth. 2016 Dec;43(4):346-52.
Xu H, Ding Y, Ma Y, Xin X, Zhang D. Cesarean section and risk of postpartum depression: a meta-analysis. J Psychosomat Res. 2017 Jun 1;97:118-26.
Harrison MS, Pasha O, Saleem S, Ali S, Chomba E, Carlo WA, et al. A prospective study of maternal, fetal and neonatal outcomes in the setting of cesarean section in low‐and middle‐income countries. Acta Obstetr Gynecol Scandinav. 2017 Apr;96(4):410-20.
Smith CJ, Ryckman KK. Epigenetic and developmental influences on the risk of obesity, diabetes, and metabolic syndrome. Diabetes, Metab Syndr Obesity: Targets Ther. 2015;8:295-302.
Gaillard R. Maternal obesity during pregnancy and cardiovascular development and disease in the offspring. Eur J Epidemiol. 2015 Nov 1;30(11):1141-52.
Leis JA, Heron J, Stuart EA, Mendelson T. Associations between maternal mental health and child emotional and behavioral problems: does prenatal mental health matter?. J Abnormal Child Psychol. 2014 Jan 1;42(1):161-71.
Mylonas I, Friese K. Indications for and risks of elective cesarean section. Deutsch Ärztebl Int. 2015 Jul;112(29-30):489-95.
Mourtakos SP, Tambalis KD, Panagiotakos DB, Antonogeorgos G, Arnaoutis G, Karteroliotis K, et al. Maternal lifestyle characteristics during pregnancy, and the risk of obesity in the offspring: a study of 5,125 children. BMC Pregn Childb. 2015 Dec 1;15(1):66-74.
Babbar S, Williams KB, Maulik D. Complementary and alternative medicine use in modern obstetrics: a survey of the central association of obstetricians & gynecologists members. J Evid Based Complement Alt Medi. 2017 Jul;22(3):429-35.
Feresu SA, Wang Y, Dickinson S. Relationship between maternal obesity and prenatal, metabolic syndrome, obstetrical and perinatal complications of pregnancy in Indiana, 2008–2010. BMC Pregn Childb. 2015 Dec 1;15(1):266-76.
Scifres CM, Catov JM, Simhan HN. The impact of maternal obesity and gestational weight gain on early and mid‐pregnancy lipid profiles. Obesity. 2014 Mar;22(3):932-8.
Al-Kubaisy W, Al-Rubaey M, Al-Naggar RA, Karim B, Noor NA. Maternal obesity and its relation with the cesarean section: A hospital based cross sectional study in Iraq. BMC Pregn Childb. 2014 Dec 1;14(1):235-40.
Nakimuli A, Chazara O, Byamugisha J, Elliott AM, Kaleebu P, Mirembe F, et al. Pregnancy, parturition and preeclampsia in women of African ancestry. Am J Obstetr Gynecol. 2014 Jun 1;210(6):510-20.
Carluccio A, Gloria A, Veronesi MC, De Amicis I, Noto F, Contri A. Factors affecting pregnancy length and phases of parturition in Martina Franca jennies. Theriogenology. 2015 Sep 1;84(4):650-5.
Kabakian-Khasholian T, Portela A. Companion of choice at birth: factors affecting implementation. BMC Pregn Childb. 2017 Dec;17(1):265-78.
Laopaiboon M, Lumbiganon P, Intarut N, Mori R, Ganchimeg T, Vogel JP, et al. Survey on Maternal Newborn Health Research Network. Advanced maternal age and pregnancy outcomes: a multicountry assessment. BJOG: An Int J Obstetr Gynaecol. 2014 Mar;121:49-56.
Tunçalp Ӧ, Were WM, MacLennan C, Oladapo OT, Gülmezoglu AM, Bahl R, et al. Quality of care for pregnant women and newborns-the WHO vision. BJOG: Int J Obstetr Gynaecol. 2015 Jul 1;122(8):1045-9.
Koblinsky M, Moyer CA, Calvert C, Campbell J, Campbell OM, Feigl AB, et al. Quality maternity care for every woman, everywhere: a call to action. Lancet. 2016 Nov 5;388(10057):2307-20.
Dulfe PA, Lima D, Alves V. Presence of a companion of the woman’s choice in the process of parturition: repercussions on obstetric care. Cogitare Enferm. 2016 Oct;21(4):1-8.
Pavlicev M, Norwitz ER. Human parturition: nothing more than a delayed menstruation. Reproducti Sci. 2018 Feb;25(2):166-73.
Barbara G, Pifarotti P, Facchin F, Cortinovis I, Dridi D, Ronchetti C, et al. Impact of mode of delivery on female postpartum sexual functioning: spontaneous vaginal delivery and operative vaginal delivery vs cesarean section. J Sexual Medi. 2016 Mar 1;13(3):393-401.
Zakerihamidi M, Roudsari RL, Khoei EM. Vaginal delivery vs. cesarean section: A focused ethnographic study of women’s perceptions in The North of Iran. Int J Comm Based Nurs Midwif. 2015 Jan;3(1):39-50
Attanasio LB, Kozhimannil KB, Kjerulff KH. Women's preference for vaginal birth after a first delivery by cesarean. Birth. 2019 Mar;46(1):51-60.
