scholarly journals Spatial Patterns Associating Low Birth Weight with Environmental and Behavioral Factors

2017 ◽  
Vol 6 (1) ◽  
pp. 33
Author(s):  
Donal Donal ◽  
Hartono Hartono ◽  
Mohammad Hakimi ◽  
Ova Emilia
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Spatial Analysis ◽  
Low Birth Weight ◽  
Statistical Power ◽  
Public Health Problem ◽  
World Health ◽  
Spatial Pattern Analysis ◽  
Study Results ◽  
The World

Low birth weight (LBW) is a significant public health problem in the world. It was estimated globally by the World Health Organization (WHO) that prevalence of LBW was 15% of all births. In Murung Raya district LBW cases remain high. This paper aimed to identify and discuss the relationship between environmental risk factors with LBW in Murung Raya.A spatial analysis was conducted with 150 women as the total participantswho were recruited through the incidence data in 2013-2014. The questionnaires, medical records, and geographic data were measured by Stata software, ArcGis, SatScan, and Geoda. The study results indicated there was significant correlation between health behavior and environmental variables with the strength of external neighborhood effect across LBW risk factors. More intense clustering of high values (hot spots) was found through the spatial analysis showing that most of the cases were located near the defined buffer zone. This research demonstrates that the spatial pattern analysis provided greater statistical power to detect an effect that was not apparent in the previous epidemiology studies.

scholarly journals Spatial Patterns Associating Low Birth Weight with Environmental and Behavioral Factors

2017 ◽  
Vol 6 (1) ◽  
pp. 34
Author(s):  
Donal Donal ◽  
Hartono Hartono ◽  
Mohammad Hakimi ◽  
Ova Emilia
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Spatial Analysis ◽  
Low Birth Weight ◽  
Statistical Power ◽  
Public Health Problem ◽  
World Health ◽  
Spatial Pattern Analysis ◽  
Study Results ◽  
The World

<span lang="EN-US">Low birth weight (LBW) is a significant public health problem in the world. It was estimated globally by the World Health Organization (WHO) that prevalence of LBW was 15% of all births. In Murung Raya district LBW cases remain high. This paper aimed to identify and discuss the relationship between environmental risk factors with LBW in Murung Raya.A spatial analysis was conducted with 150 women as the total participantswho were recruited through the incidence data in 2013-2014. The questionnaires, medical records, and geographic data were measured by Stata software, ArcGis, SatScan, and Geoda. The study results indicated there was significant correlation between health behavior and environmental variables with the strength of external neighborhood effect across LBW risk factors. </span><span lang="EN-US">More intense clustering of high values (hot spots) was found through the spatial analysis showing that most of the cases were located near the defined buffer zone. This research demonstrates that the spatial pattern analysis provided greater statistical power to detect an effect that was not apparent in the previous epidemiology studies.</span>

scholarly journals Use of biomarkers of sub-clinical infection, nutrition and neonatal maturity to interpret plasma retinol in Nigerian neonates

2003 ◽  
Vol 90 (2) ◽  
pp. 353-361 ◽  
Author(s):  
Delana A. Adelekan ◽  
Christine A. Northrop-Clewes ◽  
Joshua A. Owa ◽  
Adesola O. Oyedeji ◽  
Adedayo A. Owoeye ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Vitamin A ◽  
Vitamin A Deficiency ◽  
Geometric Mean ◽  
Plasma Concentrations ◽  
Surrogate Marker ◽  
Public Health Problem ◽  
World Health ◽  
Plasma Retinol

Using the World Health Organization criterion, the prevalence of sub-clinical vitamin A deficiency can be assessed using plasma retinol concentrations <0·7 μmol/l. However, plasma retinol can be depressed by infection; thus, the use of this criterion alone may overestimate deficiency. In the present study, we investigated the usefulness of the acute-phase proteins (APP) α1-antichymotrypsin (ACT) and α1-acid glycoprotein (AGP), plasma carotenoids and anthropometric and gestational indices to interpret plasma retinol in the blood of 192 apparently healthy Nigerian neonates collected randomly during days 1–20 postpartum. The mean weight (2·64 kg) and length (0·458 m) of the neonates and plasma concentrations (geometric mean, μmol/l) of retinol (0·54), α-carotene (0·072), ß-carotene (0·076) and lutein (0·080) were low. The prevalence of vitamin A deficiency was 72 %, indicating a severe public health problem. Babies who were of low birth weight (P<0·003) or premature and low birth weight (P<0·023) had significantly lower retinol concentrations than full-term normal weight babies. Thirty-two neonates had abnormal ACT and forty-four abnormal AGP concentrations. Positive correlations between retinol and ACT (r0·186,P=0·05) and AGP (r0·31,P=0·0001) during days 1–5 may be due to the increasing plasma retinol from maternal milk and a coincidental increasing capacity to synthesise APP. Subsequently, negative correlations between retinol and ACT (r−0·28,P=0·02) and AGP (r−0·29,P=0·018) from day 6 onwards reflected the continuing increase in plasma retinol, but no further increase in the APP. Overall, weight, ACT, lutein and age explained 30 % of the variance in retinol, but lutein was the most significant (r20·18,P<0·0001). Hence, the distribution of plasma retinol concentrations in this group of neonates was more strongly linked with nutrition (via the surrogate marker lutein) than infection.

scholarly journals Prevalence and risk factors associated with low birth weight babies-a cross sectional study

2021 ◽  
Vol 8 (7) ◽  
pp. 1168
Author(s):  
Gurunathan Gopal
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Gestational Age ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Maternal Risk ◽  
Factors Associated ◽  
The World

Background: Babies with a birth weight of less than 2500 grams, irrespective of the period of their gestation are termed as low birth weight (LBW) babies. Despite consistent efforts to improve the quality of maternal and child health, more than twenty million LBW babies are born every year throughout the world. The present study was to explore the effects of various maternal risk factors associated with low birth-weight of institutionally delivered newborns. Across the world, neonatal mortality is 20 times more likely for LBW babies compared to normal birth weight (NBW) babies (>2.5 kg).Methods: A cross sectional study was conducted in neonatal intensive care unit (NICU) of ACS Medical College and Hospital, Chennai from December 2019 to October 2020. Altogether 350 babies were taken who were delivered at ACS hospital.Results: The number of times of ANC attendance was also significantly associated with LBW, odds ratio (OR)=1.296, and p=0.001. The number of meals was not associated with LBW OR=0.946, and p=0.831. The gestational age assessed as completed weeks of pregnancy was significantly associated with LBW OR=3.302; p=0.00001.Conclusions: This study suggests that there are several factors interplaying which lead to LBW babies. Socio-demographic factors (maternal age and gestational age) and antenatal care are more important.

Effect of stop smoking during the first trimester on Low birth weight: A MCBR Study

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
O Kharkova ◽  
J Odland
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Public Health Problem ◽  
First Trimester ◽  
World Health ◽  
Antenatal Visit ◽  
Smoking During Pregnancy ◽  
Stop Smoking ◽  
Quitting Smoking ◽  
Term Baby

Abstract Background Tobacco smoking is a public health problem. Even though this habit is less common among women than men in Russia, it appears to be on the increase among women aged ≥15 years. Smoking during pregnancy leads to adverse pregnancy and birth outcomes. Compared to the number of studies on maternal smoking and birth weight, the influence of stop smoking on low birth weight is not well documented. The aim of the study was to assess an effect of quitting smoking during the first trimester on low birth weight. Methods The study is based on the Murmansk County Birth registry. Women who delivered a singleton pregnancy after 37 weeks of gestation were comprised to the study (N = 44,486). Smoking information was assessed at the first antenatal visit during pregnancy and self-reported and. Low birth weight was defined in according to the World Health Organization as Mean value minus 2 standard deviations for girls and boys separately. Using logistic regressions, we adjusted for maternal age, residence, ethnicity, education, marital status, alcohol abuse, year of delivery, body mass index, pregnancy diabetes, gestational age, and excessive weight gain. Results The prevalence of low birth weight was 1.1%. This adverse birth outcome was more prevalent in women who smoked during pregnancy (2.5%) in compared to those who stopped do it during pregnancy (0.8%) or did not smoke before and during pregnancy (0.9%) (p &lt; 0.001). Compared to non-smokers, quitting smoking during the first trimester had no significant impact on the low birth weight, even after adjustment for confounders (ORcrude = 0.97 with 95%CI 0.64-1.47 and ORadj = 0.89 with 95%CI 0.58-1.36). Conclusions We observed that women who stop smoking during the first trimester are at no greater risk of having a term baby with low birth weight. Our findings underline a continued need for actions against smoking during pregnancy. Key messages Women who stop smoking during the first trimester are at no greater risk of having a term baby with low birth weight. Our findings underline a continued need for actions against smoking during pregnancy.

Risk Factors for Low Birth Weight among Neonates Delivered in Public Health Facilities in Adama town, Oromia Regional State, Ethiopia

2019 ◽  
Author(s):  
Nigusse Obse Nebi ◽  
Tolossa Eticha Chaka ◽  
Tilaye Workineh Abebe ◽  
Ephrem Mannekulih M
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Antenatal Care ◽  
Birth Interval ◽  
World Health ◽  
Bivariate Analysis ◽  
Maternal Risk ◽  
Regional State ◽  
History Of

Abstract Back ground: Low birth weight is the major predictor of prenatal mortality and morbidity world wide. It has been defined by the World Health Organization as weight at birth of less than 2,500 grams irrespective of their age. Rate of low birth weight is still high in developing countries like Ethiopia particularly Oromia regional state where adequate primary health care services for maternal and child health are not universally available to all the populations. It is therefore imperative to identify risk factors for low birth weight in various communities in order to come up with feasible intervention strategies to minimize the problem. Methods: Facility based case-control study design was conducted from June-1/2017 to April-30/2018 on 318 mothers with singleton and full term neonates (108 case to 210 control). Semi structured interviewer administered and pretested questionnaire was used by trained data collectors working in delivery ward. The data were entered and analyzed statistical software. Descriptive and bivariate analysis was done. Result The mean maternal age of all study participants was 26.7 years with [SD of 4.8] with mean age for mothers of cases was 25.5 years and for controls was 27.4 years. In bivariet analysis residency being rural (AOR= 1.95 with 95% CI (1.0-3.48), parity ≥2 (AOR= 3.45 (1.89-6.32), number of antenatal care attendance ˂4 visits (AOR= 0.40(0.218-0.73)), birth interval ˂24 moths (AOR= 2.68 (1.45-4.94), history of hypertension (AOR= 0.39(0.18-0.87) and maternal MUAC ˂21cm (AOR=0.38 (0.159-0.91) were found to be statistically significant. Conclusions Variables that were found to have a statically significant relationship with low birth weight were residency being rural, occupation, parity ≥2 & birth interval ≤24months, number of antenatal care attendance ˂4 visits, history of hypertension and maternal MUAC ˂21cm were found to be statistically significant. Key phrases:- Low bith weight, maternal risk factor

scholarly journals Nutrition as risk factor for development of chronic non-communicable diseases

2020 ◽  
Vol 11 (1) ◽  
pp. 44-53
Author(s):  
Vesna Lazić ◽  
Biljana Mijović ◽  
Miloš Maksimović
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Public Health Problem ◽  
Communicable Diseases ◽  
World Health ◽  
Metabolic Risk Factor ◽  
Metabolic Risk ◽  
Non Communicable Diseases ◽  
The World ◽  
Unhealthy Diet

Chronic non-communicable diseases are diseases that arise as a response of the human body to a number of factors, the most important of which are ecological and socio-economic factors. According to the World Health Organization, their classification is based on mortality and morbidity statistics. The top four leading causes of death are as follows: cardiovascular diseases, malignancies, chronic respiratory diseases and diabetes. Non-communicable diseases (NCDs) present a global public health problem, leading to over 40 million deaths a year, whereby the population aged 30 to 69 years account for one third of the total number of deaths. Risk factors for the development of chronic NCDs can be divided into metabolic and environmental ones. Metabolic risk factors include hypertension, hyperglycemia, hyperlipidemia and obesity. Environmental risk factors include: alcohol and tobacco consumption, followed by physical inactivity and unhealthy diet. Unhealthy diet, apart from posing a risk for the development of NCDs, is also the cause of metabolic risk factor development, namely hypertension and obesity. The world nutritional authorities are focused on making dietary recommendations to prevent the rising trend and subsequently reduce morbidity from NCDs.

scholarly journals The evaluation of children with cerebral palsy admitted to the pediatric neurology outpatient department

2021 ◽  
pp. 32-37
Author(s):  
Handan HAKYEMEZ TOPTAN
Keyword(s):  
Risk Factors ◽  
Cerebral Palsy ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Medical Records ◽  
Muscle Tone ◽  
Imaging Finding ◽  
Delivery Mode ◽  
Imaging Results ◽  
Study Results

Objective: Cerebral palsy (CP) is a neurological condition that occurs as a result of non-progressive damage in the immature brain and is characterized by impairment of muscle tone and posture. This study aims to evaluate the risk factors and imaging findings of patients with CP. Material and Methods: Medical records of patients with CP at the Pediatric Neu- rology Clinic of Cerrahpasa Medical School were evaluated retrospectively. Demo- graphic and clinical characteristics were collected from medical records: Gestational age, birth weight, intrauterine growth retardation (IUGR), delivery mode, type of CP, risk factors, accompanying diseases, computed tomography (CT), magnetic reso- nance imaging (MRI), and electroencephalography findings were recorded. Results: A total of 169 patients were enrolled in the study. The mean age at diag- nosis was 27.3±26.1 months. One hundred eight (66.2%) patients were term and 55 (33.7%) were preterm. The delivery mode was vaginal in 99 (58.6%) cases and cesarean section in 70 (40.4%) cases. Ninety-six cases (56.8%) were male and 73 (43.2%) were female. Birth weights were <2500 g in 59 cases (34.9%) and 2500–4500 g in 110 cases (65%). The types of CP were spastic (n=144, 86%), dyskinetic (n=13, 7.7%), mixed (n=6, 3.6%) and ataxic-hypotonic type (n=5, 3%). In subgroup analysis, 65 (38.5%) cases were quadriparetic, 43 (25.6%) cases were diplegic, 35 (20.7%) cases were hemiparetic, and 2 (1.2%) cases were monoparetic. The reasons for CP were asphyxia (n=99, 58.9%), low birth weight (n=61, 36.1%), prematurity (n=55, 32.5%), hyperbilirubinemia (n=16, 9.5%), meningitis (n=7, 4.1%), intracranial vascular processes (n=7, 4.2%), sepsis (n=6, 3.6%), hydrocephalus (n=5, 3%), genetic anom- alies (n=5, 3%), and hypoglycemia (n=1, 0.6%). No risk factors could be determined in eight (4.7%) cases. Imaging techniques (CT and/or MRI) showed encephalomala- cia, which was considered as the main finding of hypoxic-ischemic encephalopathy, in 45 (26.6%) cases. Imaging results of 15 (8.9%) patients were normal. Conclusion: This study results showed that asphyxia, low birth weight, and prema- turity are the main reasons for the development of CP. Encephalomalacia is the most common imaging finding, but imaging may be also normal in some patients with CP.

Full-term and Low Birth Weight

PEDIATRICS ◽  
1962 ◽  
Vol 29 (2) ◽  
pp. 333-334
Author(s):  
Peter Gruenwald
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
World Health Organization ◽  
Full Term ◽  
World Health ◽  
Numerical Magnitude ◽  
Obstetrical Care ◽  
The World ◽  
Health Organization

It has been customary to determine prematurity by birth weight alone, even though the shortcomings of this practice have been pointed out convincingly, for instance, by McKeown and Gibson.1 The World Health Organization has recently taken cognizance of this problem, realizing that its previous recommendation of a birth weight limit of 2,500 gm is but a temporary expedient while no better method is available to define, study, and manage prematurity. The new, brief report2 points out the numerical magnitude of the problem by stating that among infants of healthy, young primigravidae receiving good obstetrical care, only two-thirds of those weighing less than 2,500 gm are born before the thirty-eighth week.

scholarly journals Outdoor Air Pollution, Preterm Birth, and Low Birth Weight: Analysis of the World Health Organization Global Survey on Maternal and Perinatal Health

2014 ◽  
Vol 122 (4) ◽  
pp. 425-430 ◽  
Author(s):  
Nancy L. Fleischer ◽  
Mario Merialdi ◽  
Aaron van Donkelaar ◽  
Felipe Vadillo-Ortega ◽  
Randall V. Martin ◽  
...  
Keyword(s):  
Air Pollution ◽  
Birth Weight ◽  
Preterm Birth ◽  
Low Birth Weight ◽  
World Health Organization ◽  
World Health ◽  
Outdoor Air ◽  
The World ◽  
Weight Analysis ◽  
Health Organization

scholarly journals Message of the WHO Representative to the Philippines

2021 ◽  
Vol 55 (9) ◽  
Author(s):  
Rabindra Abeyasinghe
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Exclusive Breastfeeding ◽  
The Philippines ◽  
Kangaroo Mother Care ◽  
World Health ◽  
Outpatient Basis ◽  
Close Monitoring ◽  
Child Deaths ◽  
The World

Globally, an estimated 2.4 million children died in their first month of life in 2019. This translated to 6,700 newborn deaths every day, and accounted for 47% of all child deaths under the age of 5 years. The world has made substantial progress in child and newborn survival since 1990. However, 75% of newborn deaths continue to occur in the first week of life and about 1 million newborns die within their first 24 hours of life. In the Philippines, an estimated 63,000 of 1.7 million children born in 2019 died before their fifth birthday, with half occurring among newborns. Preterm birth, intrapartum-related complications such as birth asphyxia, infections and birth defects, caused most neonatal deaths in 2019. While child deaths decreased by one-half between 1990 and 2018, newborn mortality declined at half that rate. Along with asphyxia and sepsis, complications of prematurity are the main causes of newborn deaths. Preterm (< 37 weeks gestation) and low birth weight  (LBW) (<2500 g) babies have immature immune and organ systems, low fat reserves and reduced muscle mass, placing them at a much higher risk for hypothermia, infection, and death, compared to babies born with normal weight. Kangaroo mother care (KMC) is a technique of caring for preterm and LBW babies which consists of keeping them in skin-to-skin contact (SSC) on the chest of the mother (or other family members), as early and as long as possible, exclusive breastfeeding, and early discharge from the hospital with close monitoring on an outpatient basis. KMC has been demonstrated to reduce mortality in small babies by almost half compared to conventional incubator-based neonatal intensive care. Other benefits include prolonged duration of exclusive breastfeeding and better growth rates. Thus, the World Health Organization (WHO) recommends KMC for babies less than or equal to 2,000 grams. We also support widespread calls to introduce, accelerate, and sustain quality KMC implementation. It is with this note that I congratulate the Kangaroo Mother Care Foundation Philippines, and the research authors for all their original scientific papers on KMC. The publication of these studies, present added evidence that KMC is a cost-efficient, readily available, effective strategy for saving the lives of babies born either prematurely, or with low birth weight for age.     Rabindra Abeyasinghe, MD, MSc, DTM&H (Public Health) WHO Representative to the Philippines

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