Association between Maternal Pelvis Height and Intrapartum Foetal Head Moulding in Ugandan Mothers with Spontaneous Vertex Deliveries
Introduction. In Sub-Saharan Africa, excessive foetal head moulding is commonly associated with cephalopelvic disproportion and obstructed labour. This study set out to determine the associations of maternal pelvis height and maternal height with intrapartum foetal head moulding. Methods. This was a...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Obstetrics and Gynecology International |
| Online Access: | http://dx.doi.org/10.1155/2016/3815295 |
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| author | Ian G. Munabi Samuel Abilemech Luboga Livingstone Luboobi Florence Mirembe |
| author_facet | Ian G. Munabi Samuel Abilemech Luboga Livingstone Luboobi Florence Mirembe |
| author_sort | Ian G. Munabi |
| collection | DOAJ |
| description | Introduction. In Sub-Saharan Africa, excessive foetal head moulding is commonly associated with cephalopelvic disproportion and obstructed labour. This study set out to determine the associations of maternal pelvis height and maternal height with intrapartum foetal head moulding. Methods. This was a multisite secondary analysis of maternal birth records of mothers with singleton pregnancies ending in a spontaneous vertex delivery. A summary of the details of the pregnancy and delivery records were reviewed and analysed using multilevel logistic regression respect to foetal head moulding. The alpha level was set at P<0.05. Results. 412 records were obtained, of which 108/385 (28%) observed foetal head moulding. There was a significant reduction in risk of foetal head moulding with increasing maternal height (Adj. IRR 0.97, P=0.05), maternal pelvis height (Adj. IRR 0.88, P<0.01), and raptured membranes (Adj. IRR 0.10, P<0.01). There was a significant increased risk of foetal head moulding with increasing birth weight (Adj. IRR 1.90, P<0.01) and duration of monitored active labour (Adj. IRR 1.21, P<0.01) in the final model. Conclusion. This study showed that increasing maternal height and maternal pelvis height were associated with a significant reduction in intrapartum foetal head moulding. |
| format | Article |
| id | doaj-art-5c1f1ac299784dcfa49a1a20c5b062c6 |
| institution | Kabale University |
| issn | 1687-9589 1687-9597 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Obstetrics and Gynecology International |
| spelling | doaj-art-5c1f1ac299784dcfa49a1a20c5b062c62025-02-03T05:59:30ZengWileyObstetrics and Gynecology International1687-95891687-95972016-01-01201610.1155/2016/38152953815295Association between Maternal Pelvis Height and Intrapartum Foetal Head Moulding in Ugandan Mothers with Spontaneous Vertex DeliveriesIan G. Munabi0Samuel Abilemech Luboga1Livingstone Luboobi2Florence Mirembe3Department of Human Anatomy, School of Biomedical Sciences, Makerere University College of Health Sciences, New Mulago Hospital Complex, Kampala, UgandaDepartment of Human Anatomy, School of Biomedical Sciences, Makerere University College of Health Sciences, New Mulago Hospital Complex, Kampala, UgandaDepartment of Mathematics, Makerere University College of Natural Sciences, Makerere University, Kampala, UgandaDepartment of Obstetrics and Gynaecology, School of Medicine, Makerere University College of Health Sciences, New Mulago Hospital Complex, Kampala, UgandaIntroduction. In Sub-Saharan Africa, excessive foetal head moulding is commonly associated with cephalopelvic disproportion and obstructed labour. This study set out to determine the associations of maternal pelvis height and maternal height with intrapartum foetal head moulding. Methods. This was a multisite secondary analysis of maternal birth records of mothers with singleton pregnancies ending in a spontaneous vertex delivery. A summary of the details of the pregnancy and delivery records were reviewed and analysed using multilevel logistic regression respect to foetal head moulding. The alpha level was set at P<0.05. Results. 412 records were obtained, of which 108/385 (28%) observed foetal head moulding. There was a significant reduction in risk of foetal head moulding with increasing maternal height (Adj. IRR 0.97, P=0.05), maternal pelvis height (Adj. IRR 0.88, P<0.01), and raptured membranes (Adj. IRR 0.10, P<0.01). There was a significant increased risk of foetal head moulding with increasing birth weight (Adj. IRR 1.90, P<0.01) and duration of monitored active labour (Adj. IRR 1.21, P<0.01) in the final model. Conclusion. This study showed that increasing maternal height and maternal pelvis height were associated with a significant reduction in intrapartum foetal head moulding.http://dx.doi.org/10.1155/2016/3815295 |
| spellingShingle | Ian G. Munabi Samuel Abilemech Luboga Livingstone Luboobi Florence Mirembe Association between Maternal Pelvis Height and Intrapartum Foetal Head Moulding in Ugandan Mothers with Spontaneous Vertex Deliveries Obstetrics and Gynecology International |
| title | Association between Maternal Pelvis Height and Intrapartum Foetal Head Moulding in Ugandan Mothers with Spontaneous Vertex Deliveries |
| title_full | Association between Maternal Pelvis Height and Intrapartum Foetal Head Moulding in Ugandan Mothers with Spontaneous Vertex Deliveries |
| title_fullStr | Association between Maternal Pelvis Height and Intrapartum Foetal Head Moulding in Ugandan Mothers with Spontaneous Vertex Deliveries |
| title_full_unstemmed | Association between Maternal Pelvis Height and Intrapartum Foetal Head Moulding in Ugandan Mothers with Spontaneous Vertex Deliveries |
| title_short | Association between Maternal Pelvis Height and Intrapartum Foetal Head Moulding in Ugandan Mothers with Spontaneous Vertex Deliveries |
| title_sort | association between maternal pelvis height and intrapartum foetal head moulding in ugandan mothers with spontaneous vertex deliveries |
| url | http://dx.doi.org/10.1155/2016/3815295 |
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