E-ISSN 1658-7820
 

Original Article

Online Publishing Date:
25 / 11 / 2019

 


Pregnancy outcomes at high-altitude regions in Saudi Arabia; a retrospective study

Emad Marzouq Alsufyani, Ali Khairrallah Alzahrani, Homam Talal Alsharif, Jamal Allam, Ragab Alsayed Abdullah Eitah, Mutaz Hussain Althobaiti, Shabab Saad Althobaiti, Abdullah Muhammed Hafiz, Fawzya Aref.


Abstract
Background: High altitude associated with chronic hypoxia affects 140 million individuals in the world living at 8,000 feet or higher. This study was aimed at determining the outcomes of pregnancy at high-altitude regions compared to the regions at the sea level. Methodology: A retrospective study was conducted in King Abdulaziz Special Hospital in Taif region and Maternity and Children's Hospital at Jeddah between 2012 and 2015. A total of 658 pregnant women and their newborns were enrolled; 329 pregnant women and their newborns living at high-altitude area (from Taif city) and 329 living at sea level area (Jeddah city). Data were analyzed using Statistical Package for the Social Sciences version 16.0. Chi-Square tests were performed to compare the different categorical parameters. Results: Gestational Diabetes Mellitus was found significantly increased (p = 0.006) in pregnant women residing at high altitude (3.01%) compared to those at sea level (0.3%). Mode of delivery was significantly different (p < 0.001) between high altitude and sea level, as 81.76% reported spontaneous vaginal delivery (SVD), 15.2% lower segment caesarean section (LSCS), 0.30% breech presentation (BP), and 2.74% vacuum extraction (VE) at high altitude compared to 60.49% SVD, 38.91% LSCS, 0.61% BP, and 0% VE, respectively, at sea-level residents. Gestational age was significantly higher (p < 0.001) in high altitude (38.14 ± 2.47 weeks) compared to sea level (37.46 ± 29 weeks). Term birth was significantly higher (p = 0.002) in high altitude, as 13.98% at high altitude showed preterm birth compared to 23.1% at sea level. Apgar Score 1 was significantly less frequently reported (p < 0.05) at high altitude residents (7.7 ± 1.4) compared to the sea level (9.47 ± 1.72) residents. Conclusion: The study findings concluded that babies born to sea level residents was healthier compared to those residing at high altitudes. Therefore, more health care is warranted during the delivery of high-altitude residents.

Key words: High altitude, pregnancy outcomes, Saudi population.


 
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How to Cite this Article
Pubmed Style

Alsufyani EM, Alzahrani AK, Alsharif HT, Allam J, Eitah RAA, Althobaiti MH, Althobaiti SS, Hafiz AM, Aref F. Pregnancy outcomes at high-altitude regions in Saudi Arabia; a retrospective study. IJMDC. 2019; 3(12): 1002-1006. doi:10.24911/IJMDC.51-1562552108


Web Style

Alsufyani EM, Alzahrani AK, Alsharif HT, Allam J, Eitah RAA, Althobaiti MH, Althobaiti SS, Hafiz AM, Aref F. Pregnancy outcomes at high-altitude regions in Saudi Arabia; a retrospective study. https://www.ijmdc.com/?mno=55856 [Access: March 27, 2024]. doi:10.24911/IJMDC.51-1562552108


AMA (American Medical Association) Style

Alsufyani EM, Alzahrani AK, Alsharif HT, Allam J, Eitah RAA, Althobaiti MH, Althobaiti SS, Hafiz AM, Aref F. Pregnancy outcomes at high-altitude regions in Saudi Arabia; a retrospective study. IJMDC. 2019; 3(12): 1002-1006. doi:10.24911/IJMDC.51-1562552108



Vancouver/ICMJE Style

Alsufyani EM, Alzahrani AK, Alsharif HT, Allam J, Eitah RAA, Althobaiti MH, Althobaiti SS, Hafiz AM, Aref F. Pregnancy outcomes at high-altitude regions in Saudi Arabia; a retrospective study. IJMDC. (2019), [cited March 27, 2024]; 3(12): 1002-1006. doi:10.24911/IJMDC.51-1562552108



Harvard Style

Alsufyani, E. M., Alzahrani, . A. K., Alsharif, . H. T., Allam, . J., Eitah, . R. A. A., Althobaiti, . M. H., Althobaiti, . S. S., Hafiz, . A. M. & Aref, . F. (2019) Pregnancy outcomes at high-altitude regions in Saudi Arabia; a retrospective study. IJMDC, 3 (12), 1002-1006. doi:10.24911/IJMDC.51-1562552108



Turabian Style

Alsufyani, Emad Marzouq, Ali Khairrallah Alzahrani, Homam Talal Alsharif, Jamal Allam, Ragab Alsayed Abdullah Eitah, Mutaz Hussain Althobaiti, Shabab Saad Althobaiti, Abdullah Muhammed Hafiz, and Fawzya Aref. 2019. Pregnancy outcomes at high-altitude regions in Saudi Arabia; a retrospective study. International Journal of Medicine in Developing Countries, 3 (12), 1002-1006. doi:10.24911/IJMDC.51-1562552108



Chicago Style

Alsufyani, Emad Marzouq, Ali Khairrallah Alzahrani, Homam Talal Alsharif, Jamal Allam, Ragab Alsayed Abdullah Eitah, Mutaz Hussain Althobaiti, Shabab Saad Althobaiti, Abdullah Muhammed Hafiz, and Fawzya Aref. "Pregnancy outcomes at high-altitude regions in Saudi Arabia; a retrospective study." International Journal of Medicine in Developing Countries 3 (2019), 1002-1006. doi:10.24911/IJMDC.51-1562552108



MLA (The Modern Language Association) Style

Alsufyani, Emad Marzouq, Ali Khairrallah Alzahrani, Homam Talal Alsharif, Jamal Allam, Ragab Alsayed Abdullah Eitah, Mutaz Hussain Althobaiti, Shabab Saad Althobaiti, Abdullah Muhammed Hafiz, and Fawzya Aref. "Pregnancy outcomes at high-altitude regions in Saudi Arabia; a retrospective study." International Journal of Medicine in Developing Countries 3.12 (2019), 1002-1006. Print. doi:10.24911/IJMDC.51-1562552108



APA (American Psychological Association) Style

Alsufyani, E. M., Alzahrani, . A. K., Alsharif, . H. T., Allam, . J., Eitah, . R. A. A., Althobaiti, . M. H., Althobaiti, . S. S., Hafiz, . A. M. & Aref, . F. (2019) Pregnancy outcomes at high-altitude regions in Saudi Arabia; a retrospective study. International Journal of Medicine in Developing Countries, 3 (12), 1002-1006. doi:10.24911/IJMDC.51-1562552108





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