ArticleThe Pan African medical journal2017
Male partner involvement in efforts to eliminate mother-to-child transmission of HIV in Kisumu County, Western Kenya, 2015.
Article in The Pan African medical journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed, 18 citations in OpenAlex.
- Perioperative Management and Outcomes After Cesarean Section-A Cross-Sectional Study From Rural Rwanda.The Journal of surgical research · 2020Article
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5 authors at 4 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
introductionrates of caesarean sections (CS) have been rising globally over time. Our study sought to identify factors associated with CS among mothers delivering at Mama Lucy Kibaki Hospital in Nairobi city county, Kenya.
methodswe conducted an unmatched case-control study using a 1:2 case-to-control ratio. Cases were defined as mothers who delivered through CS at the hospital while controls were defined as mothers who delivered through vaginal birth. Semi-structured questionnaires were used to interview study participants. We calculated means and proportions of demographic and obstetric characteristics of the mothers and crude odds ratios (cOR) and 95% confidence intervals (CI) to identify factors associated with CS. We performed multivariable logistic regression to identify independent factors associated with CS.
resultswe enrolled 396 participants consisting of 132 cases and 264 controls. We identified 148 (56.1%) spontaneous vaginal births. There were 89 (67.4%) primary CS. Among the 67 (50.7%) cases that had intrapartum complications, 28 (41.8%) had arrest of labor while among the 52 (19.7%) controls that had intrapartum complications 21 (40.4%) had abnormal intra-partum bleeding. There were 85 (65.4%) emergency caesarean sections, out of which 33 (25%) were due to failure of labor to progress. Of the elective caesarean sections, 26 (19.7%) were repeat caesarean. Delivering a baby with a normal birth weight (cOR = 0.39,95% CI 0.18, 0.94) and being formally employed (cOR = 1.90 (95% CI 1.4, 3.1)) were associated with CS. Being formally employed (AOR = 1.78, p = 0.030) was independently associated with a mother undergoing CS compared to mothers who were not formally employed, while mothers whose babies had a normal birth weight, ≥ 2.5kg (AOR = 0.40, p = 0.040) were less likely to undergo CS as compared to mothers whose babies had a low birth weight.
conclusionemployment status and birth weight were associated with CS in urban Kenyan mothers.
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