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Maternal omentin-1 level, quality of life and marital satisfaction in relation to mode of delivery: a prospective cohort study.

ABSTRACT: BACKGROUND:The purpose of this study was to evaluate the maternal omentin-1 level, quality of life and marital satisfaction of women with cesarean and vaginal delivery. METHODS:This prospective cohort study was conducted on 45 women with elective cesarean delivery and 45 women with vaginal delivery who referred to a public hospital in Tehran, Iran. Maternal omentin-1 level was measured by ELISA kits within 24?h after delivery. The maternal quality of life and marital satisfaction in the third trimester of pregnancy and at 12?weeks postpartum were measured using WHOQOL-BREF and the Kansas marital satisfaction questionnaires, respectively. For making between-groups and within-groups comparison, independent samples t-test, paired samples t-test and chi-square test were applied accordingly. RESULTS:The level of maternal omentin-1 was reported to be higher in vaginal delivery group compared to the cesarean group (p?=?0.02). No significant difference was found in the quality of life between the two groups in the third trimester of pregnancy and at 12?weeks postpartum period. However, women in both groups had lower scores in physical dimension at 12?weeks postpartum compared to the third trimester of their pregnancy [mean ± SD in vaginal group?=?59.28?±?15.5 vs. 64.44?±?15.05, p?=?0.003 and mean ± SD in cesarean group?=?60.07?±?14.84 vs. 66.50?±?11.32, p?

SUBMITTER: Parvanehvar S

PROVIDER: S-EPMC7053092 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature

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Maternal omentin-1 level, quality of life and marital satisfaction in relation to mode of delivery: a prospective cohort study.

Parvanehvar Simin S Tehranian Najmeh N Kazemnejad Anoshirvan A Mozdarani Hossein H

BMC pregnancy and childbirth 20200302 1

<h4>Background</h4>The purpose of this study was to evaluate the maternal omentin-1 level, quality of life and marital satisfaction of women with cesarean and vaginal delivery.<h4>Methods</h4>This prospective cohort study was conducted on 45 women with elective cesarean delivery and 45 women with vaginal delivery who referred to a public hospital in Tehran, Iran. Maternal omentin-1 level was measured by ELISA kits within 24 h after delivery. The maternal quality of life and marital satisfaction ...[more]

PMID: 32122310

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Project description:Few studies have prospectively investigated whether early-life exposures are associated with pre-adolescent eating attitudes.The objective of this study is to prospectively investigate associations of parental smoking, alcohol use, marital status, measures of maternal satisfaction, self-reported parental body mass index (BMI) and clinically measured childhood BMI, assessed between birth and 6.5 years, with problematic eating attitudes at 11.5 years.Observational cohort analysis nested within the Promotion of Breastfeeding Intervention Trial, a cluster-randomised trial conducted in 31 maternity hospitals and affiliated polyclinics in Belarus. Our primary outcome was a Children's Eating Attitudes Test (ChEAT) score ?22.5 (85th percentile), an indicator of problematic eating attitudes. We employed multivariable mixed logistic regression models, which allow inference at the individual level. We also performed instrumental variable (IV) analysis using parents' BMIs as instruments for the child's BMI, to assess whether associations could be explained by residual confounding or reverse causation.Of the 17?046 infants enrolled between 1996 and 1997 across Belarus, 13?751 (80.7%) completed the ChEAT test at 11.5 years.In fully adjusted models, overweight children at age 6.5 years had a 2.14-fold (95% confidence interval (CI): 1.82, 2.52) increased odds of having ChEAT scores ?85th percentile at age 11.5 years, and those who were obese had a 3.89-fold (95% CI: 2.95, 5.14) increased odds compared with normal-weight children. Children of mothers or fathers who were themselves overweight or obese were more likely to score ?85th percentile (P for trend ?0.001). IV analysis was consistent with a child's BMI causally affecting future eating attitudes. There was little evidence that parental smoking, alcohol use, or marital status or maternal satisfaction were associated with eating attitudes.In our large, prospective cohort in Belarus, both parental and childhood overweight and obesity at 6.5 years were associated with pre-adolescent problematic eating attitudes 5 years later.

Project description:Allergy is one of the most common diseases among young children yet all factors that affect development of allergy remain unclear. In a small cohort of 65 children living in the same rural area of south-west Sweden, we have previously found that maternal factors, including prenatal diet, affect childhood allergy risk, suggesting that in utero conditions may be important for allergy development. Here, we studied if metabolites in the umbilical cord blood of newborns may be related to development of childhood allergy, accounting for key perinatal factors such as mode of delivery, birth order and sex. Available umbilical cord blood plasma samples from 44 of the participants were analysed using gas chromatography-mass spectrometry metabolomics; allergy was diagnosed by specialised paediatricians at ages 18 months, 3 years and 8 years and included eczema, asthma, food allergy and allergic rhinoconjunctivitis. Nineteen cord blood metabolites were related to future allergy diagnosis though there was no clear pattern of up- or downregulation of metabolic pathways. In contrast, perinatal factors birth order, sex and mode of delivery affected several energy and biosynthetic pathways, including glutamate and aspartic acid-histidine metabolism (p = 0.004) and the tricarboxylic acid cycle (p = 0.006) for birth order; branched chain amino acid metabolism (p = 0.0009) and vitamin B6 metabolism (p = 0.01) for sex; and glyoxylate and dicarboxylic acid metabolism (p = 0.005) for mode of delivery. Maternal diet was also related to some of the metabolites associated with allergy. In conclusion, the cord blood metabolome includes individual metabolites that reflect lifestyle, microbial and other factors that may be associated with future allergy diagnosis, and also reflects temporally close events/factors. Larger studies are required to confirm these associations, and perinatal factors such as birth order or siblings must be considered in future cord-blood metabolome studies.

Dataset Information

Maternal omentin-1 level, quality of life and marital satisfaction in relation to mode of delivery: a prospective cohort study.

Publications

Maternal omentin-1 level, quality of life and marital satisfaction in relation to mode of delivery: a prospective cohort study.

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