{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:14:55Z","timestamp":1747149295048,"version":"3.40.5"},"reference-count":40,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,9,27]],"date-time":"2021-09-27T00:00:00Z","timestamp":1632700800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Obesity and cesarean section (CS) rates are rising in sub\u2010Saharan Africa (SSA), where risks for complications that adversely affect maternal health, such as infections, are high.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To conduct a systematic review and meta\u2010analysis 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)\u2010related complications following CS in SSA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Search strategy<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Selection criteria<\/jats:title><jats:p>Quantitative studies that evaluated BMI\u2010related complications of CS in English.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data collection and analysis<\/jats:title><jats:p>Data were extracted using a standardized form. The risk of bias was assessed using the Newcastle\u2010Ottawa Scale. The incidence of BMI\u2010related complications at 95% confidence interval was calculated and a meta\u2010analysis conducted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main results<\/jats:title><jats:p>Of 84 articles screened, five were included. Complications associated with a higher BMI were: wound infection, hemorrhage, post\u2010dural puncture headache, and prolonged surgery time in comparison with patients with a normal BMI. Women with a high BMI (&gt;25.0) have a two\u2010fold increased risk for post\u2010cesarean wound infection compared with women with a normal BMI (20.0\u201324.9) (odds ratio 1.91, 95% confidence interval 1.11\u20133.52).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Overweight and obesity were associated with CS complications in SSA, but limited research is available.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13923","type":"journal-article","created":{"date-parts":[[2021,9,9]],"date-time":"2021-09-09T08:44:14Z","timestamp":1631177054000},"page":"514-521","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Body mass index\u2010related cesarean section complications in sub\u2010Saharan Africa: A systematic review and meta\u2010analysis"],"prefix":"10.1002","volume":"157","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4770-8837","authenticated-orcid":false,"given":"Kwaku","family":"Asah\u2010Opoku","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Ghana Medical School  Accra Ghana"},{"name":"Department of Obstetrics and Gyecology Korle\u2010Bu Teaching Hospital  Accra Ghana"},{"name":"Division Woman and Baby Department of Obstetrics University Medical Centre Utrecht Utrecht University  Utrecht Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iris","family":"Pijtak","sequence":"additional","affiliation":[{"name":"Division Woman and Baby Department of Obstetrics University Medical Centre Utrecht Utrecht University  Utrecht Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mercy","family":"Nuamah","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Ghana Medical School  Accra Ghana"},{"name":"Department of Obstetrics and Gyecology Korle\u2010Bu Teaching Hospital  Accra Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nelson","family":"Damale","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Ghana Medical School  Accra Ghana"},{"name":"Department of Obstetrics and Gyecology Korle\u2010Bu Teaching Hospital  Accra Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kitty","family":"Bloemenkamp","sequence":"additional","affiliation":[{"name":"Division Woman and Baby Department of Obstetrics University Medical Centre Utrecht Utrecht University  Utrecht Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joyce","family":"Browne","sequence":"additional","affiliation":[{"name":"Julius Global Health Julius Centre for Health Sciences and Primary Care University Medical Centre Utrecht Utrecht University  Utrecht Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcus J.","family":"Rijken","sequence":"additional","affiliation":[{"name":"Division Woman and Baby Department of Obstetrics University Medical Centre Utrecht Utrecht University  Utrecht Netherlands"},{"name":"Julius Global Health Julius Centre for Health Sciences and Primary Care University Medical Centre Utrecht Utrecht University  Utrecht Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,9,27]]},"reference":[{"volume-title":"Global Health Observatory (GHO) data \u2013 Obesity and overweight","year":"2017","author":"World Health Organization","key":"e_1_2_9_2_1"},{"key":"e_1_2_9_3_1","unstructured":"Organization WH Factsheet \u2010 Obesity and overweight.http:\/\/www.who.int\/mediacentre\/factsheets\/fs311\/en\/. 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