Softa Shadi M, Aldardeir Nashwa, Aloufi Faisal S, Alshihabi Saad S, Khouj Maryam, Radwan Ebtesam
Obstetrics and Gynecology, King Abdulaziz University Faculty of Medicine, Jeddah, SAU.
Obstetrics and Gynecology, Urogynecology, King Abdulaziz University Faculty of Medicine, Jeddah, SAU.
Cureus. 2022 Jul 30;14(7):e27493. doi: 10.7759/cureus.27493. eCollection 2022 Jul.
The aim of this study was to find if there is an association between maternal height and mode of delivery, as well as an association between maternal height and baby's weight as a secondary outcome.
This retrospective record review was performed at King Abdulaziz University Hospital (KAUH), Jeddah, Saudi Arabia, including patients admitted between January 2016 to December 2017. All nulligravida with singleton term pregnancies who gave birth were included in this study. Pregnant women with planned elective cesarean section (CS) and incomplete records were excluded. The maternal demographic and clinical data (age, height, weight, hypertension, gestational diabetes (GDM), body mass index (BMI), smoking status, gestational age, regional analgesia during delivery, type of delivery, postpartum hemorrhage (PPH), and episiotomy), neonatal birth weight, and Apgar score were obtained from KAUH computerized records. Our primary outcome was the mode of delivery. The secondary outcome was the classification of neonatal weight into small for gestational age (SGA), appropriate for gestational age (AGA), or large for gestational age (LGA). Maternal height was divided into seven groups. Descriptive statistics using mean and standard deviation were used for continuous variables. Frequencies and percentages were used for categorical variables. Student's t-test and chi-square tests were used to evaluate the differences between continuous and categorical variables.
A total of 1067 women were included in this study. Most were at 40 weeks of gestation age (14.9%) with a mean height of 156.4±6.2 cm. Of the total, 76.9% were spontaneous vaginal delivery without operative assistance, 15.9% were delivered via CS, and 7.2% delivered vaginally with the assistance of forceps or ventouse. The mean neonatal birth weight was 2994 ± 451 gms with most neonates (87.3%) having a birth weight between 2500 and 4000 gms. Most babies were of average weight for their gestational age at delivery. There was a significant negative association between maternal height with CS (p=0.017). Moreover, there was a correlation between maternal height and the baby's birth weight (p=0.01), and we found that for every 1 cm increase in women's height, the baby's weight increases by 12.8 gms.
Our study didn't find an association between maternal height and vaginal delivery or operative vaginal delivery. However, there was an impact of maternal height on CS delivery. Therefore, we suggest screening for short maternal height as they have an increased risk of having an emergency CS. In our secondary outcome, we found a positive association between maternal height and baby's birth weight.
本研究旨在探究母亲身高与分娩方式之间是否存在关联，以及母亲身高与婴儿体重之间的关联作为次要结果。
本回顾性记录审查在沙特阿拉伯吉达的阿卜杜勒阿齐兹国王大学医院（KAUH）进行，纳入了2016年1月至2017年12月期间入院的患者。所有单胎足月妊娠的初产妇均纳入本研究。计划择期剖宫产（CS）的孕妇和记录不完整的孕妇被排除。从KAUH的计算机记录中获取母亲的人口统计学和临床数据（年龄、身高、体重、高血压、妊娠期糖尿病（GDM）、体重指数（BMI）、吸烟状况、孕周、分娩时的区域镇痛、分娩方式、产后出血（PPH）和会阴切开术）、新生儿出生体重和阿氏评分。我们的主要结果是分娩方式。次要结果是将新生儿体重分类为小于胎龄儿（SGA）、适于胎龄儿（AGA）或大于胎龄儿（LGA）。母亲身高分为七组。连续变量采用均值和标准差进行描述性统计。分类变量采用频率和百分比。采用学生t检验和卡方检验评估连续变量和分类变量之间的差异。
本研究共纳入1067名女性。大多数为孕40周（14.9%），平均身高156.4±6.2厘米。其中，76.9%为无手术辅助的自然阴道分娩，15.9%为剖宫产分娩，7.2%为在产钳或胎头吸引器辅助下阴道分娩。新生儿平均出生体重为2994±451克，大多数新生儿（87.3%）出生体重在2500至4000克之间。大多数婴儿在分娩时体重与其孕周相符。母亲身高与剖宫产之间存在显著负相关（p=0.017）。此外，母亲身高与婴儿出生体重之间存在相关性（p=0.01），我们发现女性身高每增加1厘米，婴儿体重增加12.8克。
我们的研究未发现母亲身高与阴道分娩或手术助产阴道分娩之间存在关联。然而，母亲身高对剖宫产分娩有影响。因此，我们建议对母亲身高较矮者进行筛查，因为她们进行急诊剖宫产的风险增加。在我们的次要结果中，我们发现母亲身高与婴儿出生体重之间存在正相关。
