Cephalopelvic disproportion as primary diagnosis for cesarean section: Role of neonatal birthweight in relation to maternal height at a Hospital in Merida, Mexico
Objective To analyze the association between newborn and maternal characteristics and the risk for cesarean section (CS) due to cephalopelvic disproportion (CPD) and non‐CPD causes compared to vaginal deliveries (VD) in a sample of infants and mothers from Merida, Yucatan, Mexico. Methods The final...
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| Veröffentlicht in: | American journal of human biology 2021-03, Vol.33 (2), p.e23463-n/a, Article 23463 |
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| container_title | American journal of human biology |
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| creator | Mendez‐Dominguez, Nina Vazquez‐Vazquez, Gumersindo Gaspar Laviada‐Molina, Hugo Antonio Jesus Inurreta‐Diaz, Martin Fajardo‐Ruiz, Lizbeth Sabrina Azcorra, Hugo |
| description | Objective
To analyze the association between newborn and maternal characteristics and the risk for cesarean section (CS) due to cephalopelvic disproportion (CPD) and non‐CPD causes compared to vaginal deliveries (VD) in a sample of infants and mothers from Merida, Yucatan, Mexico.
Methods
The final sample consisted of 3453 single, live, and term infants born between January 2016 and May 2017 at the Maternal‐Infant Hospital in Merida and their mothers (aged ≥19 years). The mode of delivery was established as the dependent variables: (a) VD, (b) CS due to CPD, and (c) non‐CPD CS. Independent variables were maternal height and weight, the number of previous VD, newborn weight, and neonatal birthweight (BW) index/maternal height index. A multinomial regression model was used to analyze the association between newborn and maternal characteristics and outcome variable.
Results
By mode of delivery, 2124 (62%) births corresponded to VD, 1042 (30%) to non‐CPDCS, and 287 (8%) to CS due to CPD. Mothers who had CS due to CPD weighed more at the end of their pregnancy and were shorter. Maternal age and weight increased the risk for having CS due to CPD compared to VD and maternal height, and the number of previous VD reduces the risk for experiencing CS due to CPD compared to vaginal births. The relative risk ratio for higher neonatal BW/maternal height index was significant for CS due to CPD and non‐CPD CS.
Conclusion
According to our results from a public hospital in Merida, Mexico, CPD is a result of the interrelation of maternal and fetal size, rather than an independent result of maternal height or BW. |
| doi_str_mv | 10.1002/ajhb.23463 |
| format | Article |
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To analyze the association between newborn and maternal characteristics and the risk for cesarean section (CS) due to cephalopelvic disproportion (CPD) and non‐CPD causes compared to vaginal deliveries (VD) in a sample of infants and mothers from Merida, Yucatan, Mexico.
Methods
The final sample consisted of 3453 single, live, and term infants born between January 2016 and May 2017 at the Maternal‐Infant Hospital in Merida and their mothers (aged ≥19 years). The mode of delivery was established as the dependent variables: (a) VD, (b) CS due to CPD, and (c) non‐CPD CS. Independent variables were maternal height and weight, the number of previous VD, newborn weight, and neonatal birthweight (BW) index/maternal height index. A multinomial regression model was used to analyze the association between newborn and maternal characteristics and outcome variable.
Results
By mode of delivery, 2124 (62%) births corresponded to VD, 1042 (30%) to non‐CPDCS, and 287 (8%) to CS due to CPD. Mothers who had CS due to CPD weighed more at the end of their pregnancy and were shorter. Maternal age and weight increased the risk for having CS due to CPD compared to VD and maternal height, and the number of previous VD reduces the risk for experiencing CS due to CPD compared to vaginal births. The relative risk ratio for higher neonatal BW/maternal height index was significant for CS due to CPD and non‐CPD CS.
Conclusion
According to our results from a public hospital in Merida, Mexico, CPD is a result of the interrelation of maternal and fetal size, rather than an independent result of maternal height or BW.</description><identifier>ISSN: 1042-0533</identifier><identifier>EISSN: 1520-6300</identifier><identifier>DOI: 10.1002/ajhb.23463</identifier><identifier>PMID: 32662158</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Anthropology ; Biology ; Birth weight ; Cesarean section ; Dependent variables ; Fetuses ; Independent variables ; Infants ; Life Sciences & Biomedicine ; Life Sciences & Biomedicine - Other Topics ; Neonates ; Newborn babies ; Physical growth ; Regression analysis ; Regression models ; Risk ; Science & Technology ; Vagina ; Weight</subject><ispartof>American journal of human biology, 2021-03, Vol.33 (2), p.e23463-n/a, Article 23463</ispartof><rights>2020 Wiley Periodicals LLC.</rights><rights>2021 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>6</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000631653000005</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c3573-4891bac178e437f374bee6ceaee4a213cee80a0896adbc8ef30601fa60d6c0813</citedby><cites>FETCH-LOGICAL-c3573-4891bac178e437f374bee6ceaee4a213cee80a0896adbc8ef30601fa60d6c0813</cites><orcidid>0000-0002-3381-9341 ; 0000-0002-0230-0731</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fajhb.23463$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fajhb.23463$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27928,27929,45578,45579</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32662158$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mendez‐Dominguez, Nina</creatorcontrib><creatorcontrib>Vazquez‐Vazquez, Gumersindo Gaspar</creatorcontrib><creatorcontrib>Laviada‐Molina, Hugo Antonio</creatorcontrib><creatorcontrib>Jesus Inurreta‐Diaz, Martin</creatorcontrib><creatorcontrib>Fajardo‐Ruiz, Lizbeth Sabrina</creatorcontrib><creatorcontrib>Azcorra, Hugo</creatorcontrib><title>Cephalopelvic disproportion as primary diagnosis for cesarean section: Role of neonatal birthweight in relation to maternal height at a Hospital in Merida, Mexico</title><title>American journal of human biology</title><addtitle>AM J HUM BIOL</addtitle><addtitle>Am J Hum Biol</addtitle><description>Objective
To analyze the association between newborn and maternal characteristics and the risk for cesarean section (CS) due to cephalopelvic disproportion (CPD) and non‐CPD causes compared to vaginal deliveries (VD) in a sample of infants and mothers from Merida, Yucatan, Mexico.
Methods
The final sample consisted of 3453 single, live, and term infants born between January 2016 and May 2017 at the Maternal‐Infant Hospital in Merida and their mothers (aged ≥19 years). The mode of delivery was established as the dependent variables: (a) VD, (b) CS due to CPD, and (c) non‐CPD CS. Independent variables were maternal height and weight, the number of previous VD, newborn weight, and neonatal birthweight (BW) index/maternal height index. A multinomial regression model was used to analyze the association between newborn and maternal characteristics and outcome variable.
Results
By mode of delivery, 2124 (62%) births corresponded to VD, 1042 (30%) to non‐CPDCS, and 287 (8%) to CS due to CPD. Mothers who had CS due to CPD weighed more at the end of their pregnancy and were shorter. Maternal age and weight increased the risk for having CS due to CPD compared to VD and maternal height, and the number of previous VD reduces the risk for experiencing CS due to CPD compared to vaginal births. The relative risk ratio for higher neonatal BW/maternal height index was significant for CS due to CPD and non‐CPD CS.
Conclusion
According to our results from a public hospital in Merida, Mexico, CPD is a result of the interrelation of maternal and fetal size, rather than an independent result of maternal height or BW.</description><subject>Anthropology</subject><subject>Biology</subject><subject>Birth weight</subject><subject>Cesarean section</subject><subject>Dependent variables</subject><subject>Fetuses</subject><subject>Independent variables</subject><subject>Infants</subject><subject>Life Sciences & Biomedicine</subject><subject>Life Sciences & Biomedicine - Other Topics</subject><subject>Neonates</subject><subject>Newborn babies</subject><subject>Physical growth</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Risk</subject><subject>Science & Technology</subject><subject>Vagina</subject><subject>Weight</subject><issn>1042-0533</issn><issn>1520-6300</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>GIZIO</sourceid><sourceid>HGBXW</sourceid><recordid>eNqNkd2K1TAQgIso7o_e-AAS8EbUrpOkzUm9W4t6lBVB9LpM0-k2h56mJq27-zo-qen2uBdeiCGQwHwzzMyXJE84nHEA8Rp3XX0mZKbkveSY5wJSJQHuxz9kIoVcyqPkJIQdABQK9MPkSAqlBM_1cfKrpLHD3o3U_7SGNTaM3o3OT9YNDAMbvd2jv4kBvBxcsIG1zjNDAT3hwAKZhXzDvrqemGvZQG7ACXtWWz91V2Qvu4nZgXnq8bbm5NgeJ_JDZLo1jPGyrQujXRIj_Jm8bfBVfK-tcY-SBy32gR4f3tPk-_t338ptevHlw8fy_CI1Mt_INNMFr9HwjaZMblq5yWoiZQiJMhRcGiINCLpQ2NRGUytBAW9RQaMMaC5Pk-dr3biBHzOFqdrbYKjvMQ41h0pkQmoQhVzQZ3-hOzcvI0Uqh0JIAUUWqRcrZbwLwVNbHbZZcagWc9Virro1F-Gnh5JzvafmDv2jKgIvV-CKatcGY2kwdIdFt0pylUfx8eSR1v9Pl3Hxi5zSzcMUU_kh1fZ084-eq_NP27dr978BNn_Gkw</recordid><startdate>202103</startdate><enddate>202103</enddate><creator>Mendez‐Dominguez, Nina</creator><creator>Vazquez‐Vazquez, Gumersindo Gaspar</creator><creator>Laviada‐Molina, Hugo Antonio</creator><creator>Jesus Inurreta‐Diaz, Martin</creator><creator>Fajardo‐Ruiz, Lizbeth Sabrina</creator><creator>Azcorra, Hugo</creator><general>John Wiley & Sons, Inc</general><general>Wiley</general><general>Wiley Subscription Services, Inc</general><scope>17B</scope><scope>BLEPL</scope><scope>DTL</scope><scope>DVR</scope><scope>EGQ</scope><scope>GIZIO</scope><scope>HGBXW</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7SN</scope><scope>7ST</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>7TS</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>SOI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3381-9341</orcidid><orcidid>https://orcid.org/0000-0002-0230-0731</orcidid></search><sort><creationdate>202103</creationdate><title>Cephalopelvic disproportion as primary diagnosis for cesarean section: Role of neonatal birthweight in relation to maternal height at a Hospital in Merida, Mexico</title><author>Mendez‐Dominguez, Nina ; Vazquez‐Vazquez, Gumersindo Gaspar ; Laviada‐Molina, Hugo Antonio ; Jesus Inurreta‐Diaz, Martin ; Fajardo‐Ruiz, Lizbeth Sabrina ; Azcorra, Hugo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3573-4891bac178e437f374bee6ceaee4a213cee80a0896adbc8ef30601fa60d6c0813</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Anthropology</topic><topic>Biology</topic><topic>Birth weight</topic><topic>Cesarean section</topic><topic>Dependent variables</topic><topic>Fetuses</topic><topic>Independent variables</topic><topic>Infants</topic><topic>Life Sciences & Biomedicine</topic><topic>Life Sciences & Biomedicine - Other Topics</topic><topic>Neonates</topic><topic>Newborn babies</topic><topic>Physical growth</topic><topic>Regression analysis</topic><topic>Regression models</topic><topic>Risk</topic><topic>Science & Technology</topic><topic>Vagina</topic><topic>Weight</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mendez‐Dominguez, Nina</creatorcontrib><creatorcontrib>Vazquez‐Vazquez, Gumersindo Gaspar</creatorcontrib><creatorcontrib>Laviada‐Molina, Hugo Antonio</creatorcontrib><creatorcontrib>Jesus Inurreta‐Diaz, Martin</creatorcontrib><creatorcontrib>Fajardo‐Ruiz, Lizbeth Sabrina</creatorcontrib><creatorcontrib>Azcorra, Hugo</creatorcontrib><collection>Web of Knowledge</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Social Sciences Citation Index</collection><collection>Web of Science Primary (SCIE, SSCI & AHCI)</collection><collection>Web of Science - Social Sciences Citation Index – 2021</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Ecology Abstracts</collection><collection>Environment Abstracts</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Physical Education Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Environment Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of human biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mendez‐Dominguez, Nina</au><au>Vazquez‐Vazquez, Gumersindo Gaspar</au><au>Laviada‐Molina, Hugo Antonio</au><au>Jesus Inurreta‐Diaz, Martin</au><au>Fajardo‐Ruiz, Lizbeth Sabrina</au><au>Azcorra, Hugo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cephalopelvic disproportion as primary diagnosis for cesarean section: Role of neonatal birthweight in relation to maternal height at a Hospital in Merida, Mexico</atitle><jtitle>American journal of human biology</jtitle><stitle>AM J HUM BIOL</stitle><addtitle>Am J Hum Biol</addtitle><date>2021-03</date><risdate>2021</risdate><volume>33</volume><issue>2</issue><spage>e23463</spage><epage>n/a</epage><pages>e23463-n/a</pages><artnum>23463</artnum><issn>1042-0533</issn><eissn>1520-6300</eissn><abstract>Objective
To analyze the association between newborn and maternal characteristics and the risk for cesarean section (CS) due to cephalopelvic disproportion (CPD) and non‐CPD causes compared to vaginal deliveries (VD) in a sample of infants and mothers from Merida, Yucatan, Mexico.
Methods
The final sample consisted of 3453 single, live, and term infants born between January 2016 and May 2017 at the Maternal‐Infant Hospital in Merida and their mothers (aged ≥19 years). The mode of delivery was established as the dependent variables: (a) VD, (b) CS due to CPD, and (c) non‐CPD CS. Independent variables were maternal height and weight, the number of previous VD, newborn weight, and neonatal birthweight (BW) index/maternal height index. A multinomial regression model was used to analyze the association between newborn and maternal characteristics and outcome variable.
Results
By mode of delivery, 2124 (62%) births corresponded to VD, 1042 (30%) to non‐CPDCS, and 287 (8%) to CS due to CPD. Mothers who had CS due to CPD weighed more at the end of their pregnancy and were shorter. Maternal age and weight increased the risk for having CS due to CPD compared to VD and maternal height, and the number of previous VD reduces the risk for experiencing CS due to CPD compared to vaginal births. The relative risk ratio for higher neonatal BW/maternal height index was significant for CS due to CPD and non‐CPD CS.
Conclusion
According to our results from a public hospital in Merida, Mexico, CPD is a result of the interrelation of maternal and fetal size, rather than an independent result of maternal height or BW.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>32662158</pmid><doi>10.1002/ajhb.23463</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-3381-9341</orcidid><orcidid>https://orcid.org/0000-0002-0230-0731</orcidid></addata></record> |
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| subjects | Anthropology Biology Birth weight Cesarean section Dependent variables Fetuses Independent variables Infants Life Sciences & Biomedicine Life Sciences & Biomedicine - Other Topics Neonates Newborn babies Physical growth Regression analysis Regression models Risk Science & Technology Vagina Weight |
| title | Cephalopelvic disproportion as primary diagnosis for cesarean section: Role of neonatal birthweight in relation to maternal height at a Hospital in Merida, Mexico |
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