Determinants and adverse perinatal outcomes of low birth weight newborns delivered in Hawassa University Comprehensive Specialized Hospital, Ethiopia: a cohort study

被引:25
作者
Desta, Melaku [1 ]
Tadese, Mesfin [2 ]
Kassie, Bekalu [1 ]
Gedefaw, Mihrete [3 ]
机构
[1] Debre Markos Univ, Dept Midwifery, Coll Med & Hlth Sci, POB 226, Debre Markos, Ethiopia
[2] Debre Berhan Univ, Dept Midwifery, Coll Med & Hlth Sci, Debre Berhan, Amhara Region, Ethiopia
[3] Debre Markos Univ, Dept Nursing, Coll Med & Hlth Sci, Debre Markos, Ethiopia
关键词
Determinants; Ethiopia; Hawassa; Low birth weight; Perinatal outcome;
D O I
10.1186/s13104-019-4155-x
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
Objective: Globally an estimated 15% to 20% of all births are low birth weight, representing more than 20 million births a year. Low birth weights are at a greater risk of both short and long-term sequels. Therefore, this study was conducted to assess determinants and perinatal outcomes of low birth weight newborns delivered in Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia. Results: A total of 420 mothers were included in the study with a response rate of 97%. The mean birth weights of the neonate were 3360 (+/- 870 SD) grams and the incidence of low birth weight was found to be 16.6% (95% CI 13.46-18.38). Previous abortion [RR = 1.87 (2.53, 12.5)], hypertensive disorder [RR = 4.59 (4.93, 42.7)], having < 4 antenatal visits [RR = 3.45 (2.35, 13.8)] and prematurity [RR = 18.2 (6.24, 34.5)] was increased the risk of low birth weight. Low birth weight neonates were associated with a low Apgar score [RR = 18.2 (6.24, 34.5)] and early neonatal death [RR = 18.2 (6.24, 34.5)]. For this, identifying populations at the greatest risk of previous abortion, hypertensive disorders of pregnancy and prematurity were the major priorities aimed at reducing low birth weight. Incorporate mental health in the prenatal visit, improving the care for a high-risk pregnant woman was also recommended.
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页数:7
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共 54 条
[1]  
Global Nutrition Targets 2025: Low Birth Weight Policy Brief, (2014)
[2]  
Wardlaw T.M., Low Birthweight: Country, Regional and Global Estimates, (2004)
[3]  
Organization W.H., Towards the Development of A Strategy for Promoting Optimal Fetal Growth, (2004)
[4]  
Villar J., Papageorghiou A.T., Knight H.E., Gravett M.G., Iams J., Waller S.A., Et al., The preterm birth syndrome: A prototype phenotypic classification, Am J Obstet Gynecol, 206, 2, pp. 119-123, (2012)
[5]  
Shah P.S., Zao J., Induced termination of pregnancy and low birthweight and preterm birth: A systematic review and meta-analyses, BJOG Int J Obstet Gynaecol, 116, 11, pp. 1425-1442, (2009)
[6]  
Kramer M.S., Determinants of low birth weight: Methodological assessment and meta-analysis, Bull World Health Organ, 65, 5, (1987)
[7]  
Badshah S., Mason L., McKelvie K., Payne R., Lisboa P.J., Risk factors for low birthweight in the public-hospitals at Peshawar, NWFP-Pakistan, BMC Public Health., 8, 1, (2008)
[8]  
Zerbeto A.B., Cortelo F.M., Elio F.B., Association between gestational age and birth weight on the language development of Brazilian children: A systematic review, Jornal de Pediatria (Versão em Português)., 91, 4, pp. 326-332, (2015)
[9]  
Undernourishment in the Womb Can Lead to Diminished Potential and Predispose Infants to Early Death, (2016)
[10]  
You D., Hug L., Ejdemyr S., Idele P., Hogan D., Mathers C., Et al., Global, regional, and national levels and trends in under-5 mortality between 1990 and 2015, with scenario-based projections to 2030: A systematic analysis by the un Inter-agency Group for Child Mortality Estimation, Lancet, 386, 10, pp. 2275-2286, (2015)