Relationship between maternal pelvis height and other anthropometric measurements in a multisite cohort of Ugandan mothers

  • Ian Guyton Munabi
  • Josaphat Byamugisha
  • Livingstone Luboobi
  • Samuel Abilemech Luboga
  • Florence Mirembe

Abstract

Introduction: In sub Saharan Africa, childbirth remains a challenge that creates the need for additional screening tools. Maternal pelvis height, which is currently in use by automotive engineers has previously been shown to have significant associations with various childbirth related outcomes and events. This study set out to determine the associations between maternal: Age, height, weight and number of pregnancies with maternal pelvis height in Ugandan mothers. Methods: This was a secondary analysis of maternal birth records from nine Ugandan hospitals, of mothers with singleton pregnancies. Data was analyzed using multilevel regression with respect to maternal pelvis height and additional analysis for tribe and site of childbirth intraclass correlations (ICCs). Results: The mean maternal pelvis height was 7.30cm for the 2068 records. Maternal pelvis height was associated with: a 0.01cm reduction per centimeter of maternal height (P=0.02), 0.01cm increase per kg of maternal weight (P<0.01), 0.04cm increase for each additional pregnancy (P=0.03) and 0.03cm increase with respect to tribe of mother (P=0.27), for a constant of 7.97cm (P<0.01). The ICC for tribe was 0.20 (SE=0.08) and 0.37 (SE=0.11) for site. Conclusion: Maternal pelvis height was associated with maternal height, maternal weight and number of pregnancies. The site of childbirth had a moderate effect on the above associations with maternal pelvis height. More study on the public health screening value of these measurements in these settings is required.

Pan African Medical Journal 2016; 24

Author Biographies

Ian Guyton Munabi
Department of Human Anatomy, School of Biomedical Sciences, Makerere University College of Health Sciences, New Mulago Hospital Complex, Kampala Uganda
Josaphat Byamugisha
Department of Obstetrics and Gynecology, School of Medicine, Makerere University College of Health Sciences, New Mulago Hospital Complex, Kampala Uganda
Livingstone Luboobi
Department of Mathematics, Makerere University College of Natural Sciences, Makerere University, Kampala,
Uganda
Samuel Abilemech Luboga
Department of Human Anatomy, School of Biomedical Sciences, Makerere University College of Health Sciences, New Mulago Hospital Complex, Kampala Uganda
Florence Mirembe
Department of Obstetrics and Gynecology, School of Medicine, Makerere University College of Health Sciences, New Mulago Hospital Complex, Kampala Uganda
Published
2016-09-26
Section
Articles

Journal Identifiers


eISSN: 1937-8688