ArticlePloS one2018
Maternal height and risk of caesarean section in singleton births in Sweden-A population-based study using data from the Swedish Pregnancy Register 2011 to 2016.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.
- Global trends in prevalence of maternal overweight and obesity: A systematic review and meta-analysis of routinely collected data retrospective cohorts.International journal of population data science · 2024Pooled it
- Article
- Analysis of influencing factors and establishment of prediction model for successful vaginal delivery after cesarean section.Frontiers in global women's health · 2025Review
- Pre-pregnancy body mass index and caesarean section in Andean women in Peru: a prospective cohort study.BMC pregnancy and childbirth · 2024Article
- Maternal Height Is an Independent Risk of Adverse Outcomes in Women with Gestational Diabetes Mellitus.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2024Article
- Association between maternal stature and household-level double burden of malnutrition: findings from a comprehensive analysis of Ethiopian Demographic and Health Survey.Journal of health, population, and nutrition · 2023Article
- Role of fetal head-circumference-to-maternal-height ratio in predicting Cesarean section for labor dystocia: prospective multicenter study.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2023Article
- Article
- Neonatal head circumference by gestation reflects adaptation to maternal body size: comparison of different standards.Scientific reports · 2022Article
- The Value of Fetal Head Station as a Delivery Mode Predictor in Primiparous Women at Term before the Onset of Labor.Journal of clinical medicine · 2022Article
- Effect of maternal height on the risk of caesarean section in singleton births: evidence from a large-scale survey in India.BMJ open · 2022Article
- Squatting, pelvic morphology and a reconsideration of childbirth difficulties.Evolution, medicine, and public health · 2022Article
- Prediction of odds for emergency cesarean section: A secondary analysis of the CHILD term birth cohort study.PloS one · 2022Article
- Article
- Association of Household Food Insecurity with Nutritional Status and Mental Health of Pregnant Women in Rural Bangladesh.Nutrients · 2021Article
- Three machine learning algorithms and their utility in exploring risk factors associated with primary cesarean section in low-risk women: A methods paper.Research in nursing & health · 2021Article
- Rationale of indications for caesarean delivery and associated factors among primigravidae in Tanzania.Journal of Taibah University Medical Sciences · 2021Article
- Impact of maternal nationality on caesarean section rate variation in a high-income country.Qatar medical journal · 2021Article
- The association between longer durations of the latent phase of labor and subsequent perinatal processes and outcomes among midwifery patients.Birth (Berkeley, Calif.) · 2020Article
- Maternal height associated with cesarean section. A cross-sectional study using the 2014-2015 national maternal-child health survey in Guatemala.International journal for equity in health · 2020Article
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Caesarean section (CS) has short and long term adverse health consequences, and should therefore only be undertaken when necessary. Risk factors such as maternal age, maternal body mass index (BMI) and fetal weight have been extensively investigated in relation to CS, but the significance of maternal height has been less explored in Sweden. The aim was to investigate the significance of maternal height on risk of CS in a representative, population-based sample from Sweden, also taking into account confounders. Data on singleton births in the Swedish Pregnancy Register 2011 to 2016 were collected, including women with heights of 140 cm and above, constituting a sample of 581,844 women. Data were analysed with epidemiological and biostatistical methods. Mean height was 166.1 cm. Women born outside Sweden were significantly shorter than women born in Sweden (162.8 cm vs. 167.1 cm, p<0.001). There was a decreasing risk of CS with increasing maternal height. This effect remained after adjustment for other risk factors for CS such as maternal age, BMI, gestational age, parity, high birth weight and country of birth. Frequency of CS was higher among women born outside Sweden compared with Swedish-born women (17.3% vs. 16.0%), however, in a multiple regression model country of birth outside Sweden diminished as a risk factor for CS. Maternal height of 178-179 cm was associated with the lowest risk of CS (OR = 0.76, CI95% 0.71-0.81), whereas height below 160 cm explained 7% of CS cases. BMI and maternal age are established factors involved in clinical assessments related to birth, and maternal height should increasingly enjoy a similar status in these considerations. Moreover, when healthcare professionals are counselling pregnant women, taller stature should be more emphasized as a positive indicator for successful vaginal birth to increase pregnant women's confidence in giving birth vaginally, with possible positive impacts for lowering CS rates.
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