Epidemiology of Gallstone Disease among Pregnant women in Egypt: Multicenter Study
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2015, Vol 6, Issue 2
Abstract
Introduction: The frequency of gallstone disease among pregnant women attending for antenatal care in Egypt progressively increased during the last few decades. This study aimed to investigate the possible risk factors of gallstone disease among pregnant women attending two obstetrics and gynecology centers in Egypt (Ain Shams Obstetrics and Gynecology University Hospital, Cairo, Egypt and Obstetrics and Gynecology department at Mansoura University Hospital). Methods: A Case control study was conducted, cases were (170) pregnant women with diagnosed gallstone disease and controls were age matched pregnant women without gallbladder disease (170). Both cases and controls were subjected to interview questionnaire. Nutrient intakes were calculated. Body mass index (BMI) was calculated. Ultrasound examination was performed. Blood samples were analyzed for lipid profile. Results: Socio-demographic risk factors were illiteracy (OR=14.3), insufficient income (OR=10.6), non working (OR=3) and low social score (OR=3). Reproductive risk factors were previous hormonal contraception (OR=7.9), family history of gall stones (OR=4.2) and parity ≥4 (OR=3.8). The risk of gall bladder stone disease increased by increase in BMI (OR=12.8 for BMI ≥ 30 kg/ m2). The highest risky nutritional behaviors respectively were; the preference of fried meals (OR=41.3), taking more than two food servings rich in animal fat per day (OR=38.9), the habit of eating eastern sweets ≥twice weekly (OR=18.7), food intake between meals (OR=14) and night eating (OR=8.7). The highest risky physical activity score was light physical activity (OR=4.1). Conclusion: Multiple risk factors were found among pregnant women with gallbladder disease. Most of them are modifiable.
Authors and Affiliations
Saad Motawea, Hatem Shalaby, Ashraf Ghanem, Ghada El-Khawaga
Keywords
Related Articles
- EP ID EP347276
- DOI 10.9734/BJMMR/2015/14633
- Views 65
- Downloads 0
Gestational Diabetes Mellitus: Risk Factors and Perinatal Outcomes in Abha, Saudi Arabia
Objective: This study aimed to assess the risk factors associated with gestational diabetes mellitus (GDM) and evaluate its maternal-neonatal outcomes in pregnancies among Saudi women. Materials and Methods: A one-year r...
Study of the Relationship between Metabolic Syndrome Score and Angiographic Severity of Coronary Artery Disease According to the Presence of Diabetes
Background: The relationship between metabolic syndrome score and coronary artery disease severity is unclear in the presence of diabetes. Hypothesis: The hypothesis of this study is to assess whether there is a relation...
Possible Benefits of the Whole Body Vibration in the Treatment of Complications in Stroke Patients
Aims: A stroke is a neurological disorder and muscle weakness is the most prominent impairment. Whole-body vibration (WBV) is a possible modality of exercise that is useful for improving physical capacity, bone mass, bal...
Pheochromocytoma Crisis Triggered by Extra-Corporal Membrane Oxygenation Explantation
Context: We report a 59 year old Chinese woman in pheochromocytoma multisystem crisis and was initially stabilised with ECMO; subsequently she manifested rapid cyclical fluctuation of blood pressure precipitated by expla...
Papillary Thyroid Cancer: A Histopathological Review in Accra, Ghana
There is paucity of information on papillary thyroid cancer (PTC) in Ghana. The aim of this study was to determine the relative proportions of thyroid malignancies diagnosed in our institution that were PTC, the trend an...