Fetal Sex and Maternal Stature vs. Spontaneous Vaginal Birth: Considering Sex Specific State-of-the-Art Anthropometric Investigations at Term Pregnancy
نویسندگان
1 Department of Anatomy, Faculty of Basic Medical Sciences, College of Medical Sciences, Alex Ekwueme Federal University Ndufu Alike, Ebonyi State, Nigeria
2 Department of Anatomy, Faculty of Basic Medical Sciences, College of Medical Sciences, Alex Ekwueme Federal University Ndufu Alike, Ebonyi State, Nigeria
3 Department of Anatomy, Faculty of Basic Medical Sciences, College of Medical Sciences, Alex Ekwueme Federal University Ndufu Alike, Ebonyi State, Nigeria
4 Department of Obstetrics and Gynaecology, AEFUTHA, Ebonyi State, Nigeria
5 Department of Paediatrics, Alex Ekwueme Federal University Teaching Hospital, Abakaliki (AEFUTHA) Ebonyi State, Nigeria
6 Department of Anatomy, Faculty of Basic Medical Sciences, College of Medical Sciences, Alex Ekwueme Federal University Ndufu Alike, Ebonyi State, Nigeria
7 Department of Anatomy, Faculty of Basic Medical Sciences, College of Medical Sciences, Alex Ekwueme Federal University Ndufu Alike, Ebonyi State, Nigeria
8 Department of Paediatrics, Alex Ekwueme Federal University Teaching Hospital, Abakaliki (AEFUTHA) Ebonyi State, Nigeria
9 Provost, College of Medical Sciences, Alex Ekwueme Federal University, Ndufu Alike, Ebonyi State, Nigeria
doi
10.30699/jogcr.9.2.174چکیده
Background & Objective: We considered maternal and birth anthropometric features and fetal sex in developing a labor protocol.Materials & Methods: A prospective study of 400 mothers, having healthy pregnancies and their newborn singletons in gynecology ward of Alex Ekwueme Federal University Teaching Hospital, Abakaliki. The study adopted a convenient sampling technique to select the volunteers from 1st July to December 2020. Birth and maternal anthropometries; BMI, height, weight, birth head girth (BHG), waist girth (WG), hip girth (HG) and delivery outcomes: birth mode and duration of 1st and 2nd phases of labor, and Apgar score at 1 minute of birth were measured, using Institute of Medicine guidelines.Results: Maternal age, weight, and HG, and WG at term pregnancy and fetal sex could determine birth mode and weight (P<0.05). The associations for duration of 1st phase of labor and maternal and birth anthropometries were inconsistent. Fetal sex, birth mode and features and maternal anthropometries; body fat, age, BMI and HG were associated with duration of 2nd phase of labor and Apgar score.Conclusion: Maternal anthropometries predispose birth features, and advance age of mothers, relatively large WHR and fetal macrosomia at term pregnancy could increase duration of 2nd phase of labor and risk of a male birth, developing abnormal Apgar score. The strong association between anthropometric variables of a mother and her baby suggests that anthropometric investigations could enhance the choice of birth mode and minimize vaginal birth complications. The study emphasized on the need of a sex specific state-of-the art anthropometric investigations at term pregnancy.
