ArticleBMC pregnancy and childbirth2009
Impact of change in maternal age composition on the incidence of Caesarean section and low birth weight: analysis of delivery records at a tertiary hospital in Tanzania, 1999-2005.
Article in BMC pregnancy and childbirth, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Complications in adolescent pregnancy: systematic review of the literature.Einstein (Sao Paulo, Brazil)Pooled it
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- Maternal autonomy and high-risk pregnancy in Bangladesh: the mediating influences of childbearing practices and antenatal care.BMC pregnancy and childbirth · 2020Article
- State of the Art Management of Mechanical Heart Valves During Pregnancy.Current treatment options in cardiovascular medicine · 2018Review
- EADSG Guidelines: Insulin Therapy in Diabetes.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2018Article
- Predictors of low birth weight and 24-hour perinatal outcomes at Muhimbili National Hospital in Dar es Salaam, Tanzania: a five-year retrospective analysis of obstetric records.The Pan African medical journal · 2018Article
- Pelvic floor disorders in postpartum adolescents in the Western Amazon: a cross-sectional study.International journal of women's health · 2018Article
- Epidemiological analysis of maternal deaths in Hunan province in China between 2009 and 2014.PloS one · 2018Article
- Article
- Do Infant Birth Outcomes Vary Among Mothers With and Without Health Insurance Coverage in Sub-Saharan Africa? Findings from the National Health Insurance and Cash and Carry Eras in Ghana, West Africa.International journal of MCH and AIDS · 2014Review
- Does the use of modern family planning promote healthy timing and spacing of pregnancy in Dar es Salaam?Reproductive health · 2013Article
- Caesarean section among referred and self-referred birthing women: a cohort study from a tertiary hospital, northeastern Tanzania.BMC pregnancy and childbirth · 2011Article
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Abstract
backgroundPrevious studies on change in maternal age composition in Tanzania do not indicate its impact on adverse pregnancy outcomes. We sought to establish temporal changes in maternal age composition and their impact on annual Caesarean section (CS) and low birth weight deliveries (LBWT) at Muhimbili National Hospital in Tanzania.
methodsWe conducted data analysis of 91,699 singleton deliveries that took place in the hospital between 1999 and 2005. The data were extracted from the obstetric data base. Annual proportions of individual age groups were calculated and their trends over the years studied. Multiple logistic analyses were conducted to ascertain trends in the risks of CS and LBWT. The impact of age composition changes on CS and LBWT was estimated by calculating annual numbers of these outcomes with and without the major changes in age composition, all others remaining equal. In all statistics, a p value < 0.05 was considered significant.
resultsThe proportion of teenage mothers (12-19 years) progressively decreased over time while that of 30-34 years age group increased. From 1999, the risk of Caesarean delivery increased steadily to a maximum in 2005 [adjusted OR = 1.7; 95%CI (1.6-1.8)] whereas that of LBWT declined to a minimum in 2005 (adjusted OR = 0.76; 95% CI (0.71-0.82). The current major changes in age trend were responsible for shifts in the number of CS of up to206 cases per year. Likewise, the shift in LBWT was up to 158 cases per year, but the 30-34 years age group had no impact on this.
conclusionThe population of mothers giving birth at MNH is progressively becoming older with substantial impact on the incidence of CS and LBWT. Further research is needed to estimate the health cost implications of this change.
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