Body mass index-related cesarean section complications in sub-Saharan Africa: A systematic review and meta-analysis

Kwaku Asah-Opoku; Iris Pijtak; Mercy Nuamah; Nelson Damale; Kitty Bloemenkamp; Joyce Browne; Marcus J Rijken

doi:10.1002/ijgo.13923

Body mass index-related cesarean section complications in sub-Saharan Africa: A systematic review and meta-analysis

Kwaku Asah-Opoku
, Iris Pijtak
, Mercy Nuamah
, Nelson Damale
, Kitty Bloemenkamp
, Joyce Browne
, Marcus J Rijken

Research output: Contribution to journal › Review article › peer-review

Abstract

BACKGROUND: Obesity and cesarean section (CS) rates are rising in sub-Saharan Africa (SSA), where risks for complications that adversely affect maternal health, such as infections, are high.

OBJECTIVE: To conduct a systematic review and meta-analysis to report on the incidence and types of body mass index (BMI, calculated as weight in kilograms divided by the square of height in meters)-related complications following CS in SSA.

SEARCH STRATEGY: A systematic search was conducted in PubMed/MEDLINE, EMBASE, and Global Health Library up to August 2020 using (MeSH) terms related to CS, BMI, and SSA.

SELECTION CRITERIA: Quantitative studies that evaluated BMI-related complications of CS in English.

DATA COLLECTION AND ANALYSIS: Data were extracted using a standardized form. The risk of bias was assessed using the Newcastle-Ottawa Scale. The incidence of BMI-related complications at 95% confidence interval was calculated and a meta-analysis conducted.

MAIN RESULTS: Of 84 articles screened, five were included. Complications associated with a higher BMI were: wound infection, hemorrhage, post-dural puncture headache, and prolonged surgery time in comparison with patients with a normal BMI. Women with a high BMI (>25.0) have a two-fold increased risk for post-cesarean wound infection compared with women with a normal BMI (20.0-24.9) (odds ratio 1.91, 95% confidence interval 1.11-3.52).

CONCLUSION: Overweight and obesity were associated with CS complications in SSA, but limited research is available.

Original language	English
Pages (from-to)	514-521
Number of pages	8
Journal	International Journal of Gynaecology and Obstetrics
Volume	157
Issue number	3
Early online date	27 Sept 2021
DOIs	https://doi.org/10.1002/ijgo.13923
Publication status	Published - Jun 2022

Keywords

BMI
cesarean section
complications
sub-Saharan Africa

Access to Document

10.1002/ijgo.13923

Cite this

@article{a6e061987096459080f4737cd440d487,

title = "Body mass index-related cesarean section complications in sub-Saharan Africa: A systematic review and meta-analysis",

abstract = "BACKGROUND: Obesity and cesarean section (CS) rates are rising in sub-Saharan Africa (SSA), where risks for complications that adversely affect maternal health, such as infections, are high.OBJECTIVE: To conduct a systematic review and meta-analysis to report on the incidence and types of body mass index (BMI, calculated as weight in kilograms divided by the square of height in meters)-related complications following CS in SSA.SEARCH STRATEGY: A systematic search was conducted in PubMed/MEDLINE, EMBASE, and Global Health Library up to August 2020 using (MeSH) terms related to CS, BMI, and SSA.SELECTION CRITERIA: Quantitative studies that evaluated BMI-related complications of CS in English.DATA COLLECTION AND ANALYSIS: Data were extracted using a standardized form. The risk of bias was assessed using the Newcastle-Ottawa Scale. The incidence of BMI-related complications at 95\% confidence interval was calculated and a meta-analysis conducted.MAIN RESULTS: Of 84 articles screened, five were included. Complications associated with a higher BMI were: wound infection, hemorrhage, post-dural puncture headache, and prolonged surgery time in comparison with patients with a normal BMI. Women with a high BMI (>25.0) have a two-fold increased risk for post-cesarean wound infection compared with women with a normal BMI (20.0-24.9) (odds ratio 1.91, 95\% confidence interval 1.11-3.52).CONCLUSION: Overweight and obesity were associated with CS complications in SSA, but limited research is available.",

keywords = "BMI, cesarean section, complications, sub-Saharan Africa",

author = "Kwaku Asah-Opoku and Iris Pijtak and Mercy Nuamah and Nelson Damale and Kitty Bloemenkamp and Joyce Browne and Rijken, \{Marcus J\}",

note = "Funding Information: The authors are grateful to the library staff of the University of Ghana Medical School, College of Health Sciences, Accra, Ghana and University Medical Centre, Utrecht, Netherlands for their assistance in the retrieval of relevant articles. Publisher Copyright: {\textcopyright} 2021 International Federation of Gynecology and Obstetrics.",

year = "2022",

month = jun,

doi = "10.1002/ijgo.13923",

language = "English",

volume = "157",

pages = "514--521",

journal = "International Journal of Gynaecology and Obstetrics",

issn = "0020-7292",

publisher = "John Wiley \& Sons Inc.",

number = "3",

}

TY - JOUR

T1 - Body mass index-related cesarean section complications in sub-Saharan Africa

T2 - A systematic review and meta-analysis

AU - Asah-Opoku, Kwaku

AU - Pijtak, Iris

AU - Nuamah, Mercy

AU - Damale, Nelson

AU - Bloemenkamp, Kitty

AU - Browne, Joyce

AU - Rijken, Marcus J

N1 - Funding Information: The authors are grateful to the library staff of the University of Ghana Medical School, College of Health Sciences, Accra, Ghana and University Medical Centre, Utrecht, Netherlands for their assistance in the retrieval of relevant articles. Publisher Copyright: © 2021 International Federation of Gynecology and Obstetrics.

PY - 2022/6

Y1 - 2022/6

N2 - BACKGROUND: Obesity and cesarean section (CS) rates are rising in sub-Saharan Africa (SSA), where risks for complications that adversely affect maternal health, such as infections, are high.OBJECTIVE: To conduct a systematic review and meta-analysis to report on the incidence and types of body mass index (BMI, calculated as weight in kilograms divided by the square of height in meters)-related complications following CS in SSA.SEARCH STRATEGY: A systematic search was conducted in PubMed/MEDLINE, EMBASE, and Global Health Library up to August 2020 using (MeSH) terms related to CS, BMI, and SSA.SELECTION CRITERIA: Quantitative studies that evaluated BMI-related complications of CS in English.DATA COLLECTION AND ANALYSIS: Data were extracted using a standardized form. The risk of bias was assessed using the Newcastle-Ottawa Scale. The incidence of BMI-related complications at 95% confidence interval was calculated and a meta-analysis conducted.MAIN RESULTS: Of 84 articles screened, five were included. Complications associated with a higher BMI were: wound infection, hemorrhage, post-dural puncture headache, and prolonged surgery time in comparison with patients with a normal BMI. Women with a high BMI (>25.0) have a two-fold increased risk for post-cesarean wound infection compared with women with a normal BMI (20.0-24.9) (odds ratio 1.91, 95% confidence interval 1.11-3.52).CONCLUSION: Overweight and obesity were associated with CS complications in SSA, but limited research is available.

AB - BACKGROUND: Obesity and cesarean section (CS) rates are rising in sub-Saharan Africa (SSA), where risks for complications that adversely affect maternal health, such as infections, are high.OBJECTIVE: To conduct a systematic review and meta-analysis to report on the incidence and types of body mass index (BMI, calculated as weight in kilograms divided by the square of height in meters)-related complications following CS in SSA.SEARCH STRATEGY: A systematic search was conducted in PubMed/MEDLINE, EMBASE, and Global Health Library up to August 2020 using (MeSH) terms related to CS, BMI, and SSA.SELECTION CRITERIA: Quantitative studies that evaluated BMI-related complications of CS in English.DATA COLLECTION AND ANALYSIS: Data were extracted using a standardized form. The risk of bias was assessed using the Newcastle-Ottawa Scale. The incidence of BMI-related complications at 95% confidence interval was calculated and a meta-analysis conducted.MAIN RESULTS: Of 84 articles screened, five were included. Complications associated with a higher BMI were: wound infection, hemorrhage, post-dural puncture headache, and prolonged surgery time in comparison with patients with a normal BMI. Women with a high BMI (>25.0) have a two-fold increased risk for post-cesarean wound infection compared with women with a normal BMI (20.0-24.9) (odds ratio 1.91, 95% confidence interval 1.11-3.52).CONCLUSION: Overweight and obesity were associated with CS complications in SSA, but limited research is available.

KW - BMI

KW - cesarean section

KW - complications

KW - sub-Saharan Africa

UR - https://www.scopus.com/pages/publications/85115689552

U2 - 10.1002/ijgo.13923

DO - 10.1002/ijgo.13923

M3 - Review article

C2 - 34498263

SN - 0020-7292

VL - 157

SP - 514

EP - 521

JO - International Journal of Gynaecology and Obstetrics

JF - International Journal of Gynaecology and Obstetrics

IS - 3

ER -

Body mass index-related cesarean section complications in sub-Saharan Africa: A systematic review and meta-analysis

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this