Browsing by Author "Luboga, Samuel Abilemech"
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Item Association between Maternal Pelvis Height and Intrapartum Foetal Head Moulding in Ugandan Mothers with Spontaneous Vertex Deliveries(Obstetrics and gynecology international, 2016) Munabi, Ian G.; Luboga, Samuel Abilemech; Luboobi, Livingstone; Mirembe, FlorenceIn 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.Item Influence of Maternal Pelvis Height and Other Anthropometric Measurements on the Duration of Normal Childbirth in Ugandan Mothers(Anatomy Journal of Africa, 2017) Munabi, Ian G.; Luboga, Samuel Abilemech; Byamugisha, Josaphat; Luboobi, Livingstone; Mirembe, FlorenceIn low resource settings, maternal anthropometry may complicate time based monitoring of childbirth. We set out to determine the effect of maternal anthropometry and foetal birth weight on the duration of childbirth. Birth related secondary data from 987 mothers with pregnancies of ≥ 37 weeks, singleton baby and a normal childbirth were obtained. This data was analysed for regression coefficients and Interclass correlations coefficients (ICCs). The mean duration of childbirth was 7.63hours. Each centimetre increase in maternal pelvis height led to a 0.56hours increase for the first stage (P<0.01), 0.05hours reduction for second stage (P<0.01), and 0.46hours increase in total duration of childbirth (p<0.01). For each centimeter increase in maternal height there was a 0.04hours reduction in the first stage (P=0.01) and a 0.005hours increase in second stage (P=0.03). The ICCs with respect to geographical site were 0.40 for stage 1, 0.27 for stage 2 and 0.21 for stage 3. Additional modeling with tribe of mother did not change the ICCs. Maternal pelvis height and maternal height were found to have a significant effect on the duration of the different stages of normal childbirth. Additional study is needed into the public health value of the above measurements in relation to childbirth in these settings.