scholarly journals Regular antenatal care visits were associated with low risk of low birth weight among newborns in Rwanda: Evidence from the 2014/2015 Rwanda Demographic Health Survey (RDHS) Data

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 402
Author(s):  
Emmanuel Biracyaza ◽  
Samuel Habimana ◽  
Donat Rusengamihigo ◽  
Heather Evans
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Health Survey ◽  
Cross Sectional Study ◽  
Demographic Health Survey ◽  
Maternal Complications ◽  
Cross Sectional ◽  
Maternal Characteristics

Background: Low birth weight (LBW) remains the global unfinished agenda in most countries of the world especially in low- and middle-income countries. LBW subsequently has harmful effects on the lifestyle, psychosocial and physiological development of the child. Although it is known that antenatal care (ANC) visits are important interventions contributing to prediction of newborn birth weight, little has been conducted on effect of ANC visits on birth weight in Rwanda. This study aimed at determining the association between regular ANC visits and risk of LBW among newborns in Rwanda. Methods: A cross-sectional study design was conducted to analyse the effects of ANC on LBW using the 2014/2015 Rwanda Demographic Health Survey. Associations of socio-demographic, socio-economic, and individual factors of the mother with LBW newborns were performed using bivariate and multiple logistic regression analyses. Results: Prevalences of LBW and macrosomia were 5.8% and 17.6%, respectively. Newborns delivered from mothers attending fewer than four ANC visits were at almost three-times greater risk of having LBW [aOR=2.8; 95%CI (1.5–5.4), p=0.002] compared to those whose mothers attending four or more ANC visits. Residing in a rural area for pregnant women was significantly associated with LBW [aOR=1.1; 95%CI (0.7–1.6), p=0.008]. Maternal characteristics, such as anemia, predicted an increase in LBW [aOR=3.5; 95%CI (1.5–5.4), p<0.001]. Those who received no nutritional counseling [aOR=2.5; 95%CI (2–8.5), p<0.001] and who were not told about maternal complications [aOR=3.3; 95%CI (1.5–6.6), p=0.003] were more prone to deliver newborns with LBW than those who received them. Pregnant women who received iron and folic acid were less likely to have LBW newborns [aOR=0.5; 95%CI (0.3–0.9), p=0.015]. Conclusion: ANC visits significantly contributed to reducing the incidence of LBW. This study underscores the need for early, comprehensive, and high-quality ANC services to prevent LBW in Rwanda.

scholarly journals ANALISIS FAKTOR YANG BEHUBUNGAN DENGAN JENIS PERSALINAN PADA IBU HAMIL

2020 ◽  
Vol 6 (3) ◽  
pp. 277-281
Author(s):  
Sitti Fatimah ◽  
Ulfa Fatmasaanti
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Mode Of Delivery ◽  
Health Sector ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Care Workers ◽  
The Relationship

Background Maternal and child health efforts are efforts in the health sector related to the service and maintenance of pregnant women, childbirth, breastfeeding, infants, and toddlers and preschoolers. The mode of delivery is a number of methods chosen by the mother who delivered and by the health worker who handled it. Mochtar divides the type of labor according to the way labor is divided into two categories, normal (spontaneous) labor, which is the birth of the baby behind the head with the mother's own power and abnormal delivery, namely labor with the help of a tool or through the abdominal wall by caesarean surgery. Purpose to find out the factors of labor in pregnant women. Methods This type of research is analytic observational cross-sectional study of women giving birth at the Sibulue puskesmas in the period from December 2019 to February 2020 with a large sample of 67 women giving birth. Data obtained from medical records The results of this study indicate abnormal labor with actions related to the incidence of severe asphyxia (p = 0,000; CI: 1.19-2.06) and Low Birth Weight (p = 0,000; CI: 1.28-2.05). Number of Antenatal Care Examination <4 times associated with the abnormal labor process Action (p = 0.046; CI: 1.04-1.46) Conclusion in this study is the relationship between the delivery process with Antenatal Care examination on the outcome of labor with the incidence of severe asphyxia and Low Birth Weight. Abnormal deliveries with complications occur in women with Antenatal examination <4 times. Suggestions for health care workers to further increase the early detection of risk factors in pregnant women by actively monitoring women during pregnancy.  Keywords: antenatal examination, type of labor, maternal mother  ABSTRAK  Latar Belakang Upaya kesehatan ibu dan anak adalah upaya bidang kesehatan terkait pelayanan dan pemeliharaan ibu hamil, bersalin, menyusui, bayi, dan anak balita serta anak prasekolah. Cara persalinan adalah beberapa metode yang dipilih oleh ibu yang melakukan persalinan maupun oleh tenaga kesehatan yang menanganinya. Mochtar membagi jenis persalinan menurut cara persalinan berdasarkan dua kategori, persalinan normal (spontan) yaitu proses lahirnya bayi letak belakang kepala dengan tenaga ibu sendiri dan persalinan abnormal, yaitu persalinan dengan bantuan alat atau melalui dinding perut dengan cara operasi caesarea.  Penelitian ini bertujuan untuk mengetahu factor proses persalinan pada Ibu hamil.  Metode Jenis penelitian ini analitik observatif cross-sectional terhadap wanita yang melahirkan di puskesmas Sibulue pada periode bulan desember 2019 hingga Februari 2020 dengan besar sampel 67 wanita yang melahirkan. Data diperoleh dari catatan medis.  Hasil penelitian ini menunjukan persalinan abnormal dengan tindakan berhubungan dengan kejadian Asfiksia Berat (p=0,000; CI: 1.19-2.06) dan Berat  badan Lahir Rendah (p=0,000; CI: 1.28-2.05). Jumlah Pemeriksaan Antenatal care <4 Kali berhubungan dengan proses persalinan abnormal Tindakan (p=0,046; CI: 1.04-1.46).  Kesimpulan pada penelitian ini adanya hubungaan proses persalinan dengan pemeriksaan Antenatal Care pada hasil persalinan dengan kejadian asfiksia berat dan Berat Badan Lahir Rendah . Persalinan abnormal dengan komplikasi terjadi pada ibu dengan pemeriksaan Antenatal <4 kali. Saran bagi petugas pelayanan kesehatan agar lebih meningkatkan deteksi dini faktor risiko pada ibu hamil dengan pemantauan secara aktif pada ibu semasa hamil.  Kata Kunci : Pemeriksaan antenatal, jenis persalinan, ibu hamil

scholarly journals Kecacingan, malaria, dan status besi ibu hamil di Kabupaten Batang Hari Provinsi Jambi

2009 ◽  
Vol 5 (3) ◽  
pp. 120
Author(s):  
Helfiyan Helfiyan ◽  
Hamam Hadi ◽  
Siti Helmyati
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Pregnant Women ◽  
Ascaris Lumbricoides ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Necator Americanus ◽  
Before And After

Background: Anemia among pregnant women may increase abortion, premature, low birth weight and even mortality before and after delivery. Factors causing anemia in Indonesia are lack of Fe, inadequate intake, demanding needs, and lack of nutrient facilitating Fe absorption. Besides, infection such as worm and malaria may cause anemia as well. Result of household health survey 2001 stated that prevalence of pregnant women with anemia was 40% in Indonesia. In Jambi Province, it was 39% in 2003 and 42.3% for Batang Hari Regency while infection of malaria was 50.0% in all age groups and many other districts that its environment were woods, humid, and wasted that may increase infection of hookworm.Objective: The study was proposed to know the correlation of hookworm, malaria with anemia among pregnant women by analyzing correlation of hookworm, malaria, and anemia and correlation of hookworm, malaria and Fe status among pregnant women.Method: This was cross sectional study. It held from September until December 2005 in Batang Hari Regency, Jambi Province. Subjects were 132 pregnant women. Examination of blood for Hb, malaria and ferritin were taken together while feces were later.Results: There were no significant correlation of Ascaris lumbricoides infection with anemia (p = 0.36; OR = 2.43), Trichiuris thrichiura infection with anemia (p = 0.30), 2 kinds of worm Ascaris lumbricoides + Trichiuris trichiura with anemia (p = 0.08; OR = 4.87), and infection of Ascaris lumbricoides + Necator americanus with anemia (p = 0.30). There was significant correlation of 3 kinds of worm Ascaris lumbricoides + Trichiuris trichiura + Necator americanus with anemia (p = 0.018; OR = 7.3). There were no significant correlation of Ascaris lumbricoides with ferritin (p = 0.17; OR = 3.23) and Trichiuris trichiura with ferritin (p = 0.25). There was significant correlation of 2 kinds of worm Ascaris lumbricoides + Trichiuris trichiura with ferritin (p = 0.04; OR = 6.4). There was no significant correlation of Ascaris lumbricoides + Necator americanus with ferritin p = 0.25. There were significant correlation of 3 kinds of worm (Ascaris lumbricoides + Trichiuris trichiura + Necator americanus) with ferritin p = 0.007; OR = 9.69 and ferritin with anemia p = 0.0001; OR = 17.45.Conclusion: There was no significant correlation of hookworms Ascaris lumbricoides, Trichiuris trichiura, Ascaris lumbricoides + Trichius trichiura, Ascaris lumbricoides + Necator americanus with anemia. There were significant correlation of infection of Ascaris lumbricoides + Trichiuris trichiura + Necator americanus with anemia and malaria with anemia. There was no correlation of hookworms Ascaris lumbricoides, Trichiuris trichiura, Ascaris lumbricoides + Neca- tor americanus with anemia. There were correlation of infection Ascaris lumbricoides + Trichiuris trichiura and Ascaris lumbricoides + Trichiuris trichiuris + Necator americanus with ferritin, malaria with ferritin, and ferritin with anemia.

scholarly journals Predictive accuracy of perceived baby birth size for birth weight: a cross-sectional study from the 2016 Ethiopian Demographic and Health Survey

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e031986
Author(s):  
Dabere Nigatu ◽  
Demewoz Haile ◽  
Bereket Gebremichael ◽  
Yordanos M Tiruneh
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Health Survey ◽  
Predictive Accuracy ◽  
Cross Sectional Study ◽  
Demographic And Health Survey ◽  
Birth Size ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Influencing

ObjectivesThe study was designed to evaluate the accuracy of maternally perceived baby birth size assessments as a measure of birth weight and examine factors influencing the accuracy of maternal size assessments.Study designCross-sectional study.SettingThe study is based on national data from the 2016 Ethiopian Demographic and Health Survey.ParticipantsWe included 1455 children who had both birth size and birth weight data.Main outcome measuresPredictive accuracy of baby birth size for low birth weight. Level of discordance between maternally perceived birth size and birth weight including factors influencing discordance.ResultsMother-reported baby birth size had low sensitivity (57%) and positive predictive value (41%) to indicate low birth weight but had high specificity (89%) and negative predictive values (94%). The per cent of agreement between birth weight (<2500 g vs ≥2500 g) and maternally perceived birth size (small size vs average or above) was 86% and kappa statistics indicated a moderate level of agreement (kappa=0.41, p<0.001). Maternal age, wealth index quintile, marital status and maternal education were significant predictors of the discordance between birth size and birth weight.ConclusionsMaternal assessment of baby size at birth is an inaccurate proxy indicator of low birth weight in Ethiopia. Therefore, a mother’s recall of birth size should be used as a proxy indicator for low birth weight with caution and should take maternal characteristics into consideration.

scholarly journals HUBUNGAN JUMLAH PEMERIKSAAN ANTENATAL DENGAN HASIL KEHAMILAN DAN PERSALINAN DI RSUP PROF. DR. R.D. KANDOU MANADO

2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Janson Simanjuntak ◽  
Joice M. M. Sondakh ◽  
Freddy Wagey
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Antenatal Care ◽  
Care Delivery ◽  
Cross Sectional Study ◽  
Operative Delivery ◽  
Cross Sectional ◽  
Perinatal Deaths ◽  
Delivery Outcome ◽  
North Sulawesi

Abstract: Maternal and perinatal mortality rate in Indonesia is still high. The most cause of maternal and perinatal deaths related to pregnancy and complication of pregnancy can be prevented. Adequate antenatal care is an important factor in reducing maternal and perinatal deaths. This is an analytic observasional cross-sectional study of 2268 women delivered and 2305 neonates born at Prof.Dr.R.D.Kandou Manado hospital  was used. Data is collected from medical record. This study shows that number of antenatal care <4 times is significantly associated with the incidence of severe asphyxia (p=0,003; PR: 2,047; 95% CI: 1,29-3,25) and low birth weight (p=0,000; PR: 1,713; 95% CI: 1,32-2,23). The number of antenatal care >4 times is significantly associated with operative delivery (p=0,001), this is due to Prof.Dr.R.D.Kandou Manado hospital is a referral hospital in North Sulawesi, many samples in this study are women with complicated pregnancy (26,7%). Pregnancy with complications is significantly related to operative delivery  (p=0,000; PR: 1,962; 95% CI: 1,77-2,17). Conclusion is number of antenatal care <4 times relates and increases the risk of incidence of asphyxia and low birth weight, while women with operative delivery are likely to have history of antenatal care visit more (>4 times) during pregnancy. Keywords: antenatal care, delivery outcome, pregnancy outcome.   Abstrak: Angka kematian ibu dan perinatal di Indonesia masih tinggi. Sebagian besar penyebab kematian ibu dan perinatal yang berhubungan dengan kehamilan dan komplikasi kehamilan dapat dicegah.Pemeriksaan antenatal yang adekuat merupakan faktor penting dalam menurunkan angka kematian ibu dan perinatal. Jenis penelitian ini adalah analitik observatif cross-sectionalterhadap 2268 ibu yang melahirkan di RSUP Prof.Dr.R.D.Kandou Manado dan 2305 bayi yang dilahirkan. Data diperoleh dari catatan medis.Hasil penelitian ini menunjukkan jumlah pemeriksaan antenatal <4 kali berhubungan dengan kejadian asfiksia berat (p=0,003; PR: 2,047; 95% CI: 1,29-3,25) danBBLR (p=0,000; PR: 1,713; 95% CI: 1,32-2,23). Jumlah pemeriksaan antenatal >4 kali berhubungan dengan persalinan tindakan (p=0,001), hal ini disebabkan RSUP Prof.Dr.R.D.Kandou Manado merupakan rumah sakit rujukan di Sulawesi Utara sehingga banyak sampel pada penelitian ini adalah ibu-ibu dengan kehamilan dengan komplikasi (26,7%). Kehamilan dengan komplikasi berhubungan dengan persalinan tindakan (p=0,000; PR: 1,962; 95% CI: 1,77-2,17). Kesimpulan penelitian ini menunjukkan bahwa jumlah pemeriksaan antenatal <4 kali berhubungan dan meningkatkan risiko kejadian asfiksia berat dan BBLR, sementara itu wanita yang melakukan persalinan tindakan cenderung memiliki riwayat melakukan pemeriksaan antenatal lebih banyak (>4 kali) selama kehamilan. Kata kunci:hasil kehamilan, hasil persalinan, pemeriksaan antenatal

scholarly journals Pica in Rural Obstetric Population: An Underestimated Nutritional Mystery

2014 ◽  
Vol 6 (2) ◽  
pp. 71-74
Author(s):  
Bhavna Kumare ◽  
Nikita Vijay
Keyword(s):  
Birth Weight ◽  
Preterm Birth ◽  
Low Birth Weight ◽  
Pregnant Women ◽  
Gestational Age ◽  
Cross Sectional Study ◽  
Paired Data ◽  
Chi Square ◽  
Cross Sectional ◽  
Obstetric Population

ABSTRACT Objective To determine the prevalence of pica during pregnancy, maternal hemoglobin levels at delivery and the association of pica with low birth weight and preterm birth. Study design A descriptive cross-sectional study. Subjects/setting Two hundred pregnant women aged 18 to 35 years admitted in labor room of Department of Obstetrics and Gynecology, NKPSIMS. Study duration 1 March 2012 to 28 February 2013. Main outcome measures — maternal hemoglobin at delivery, mean birth weight and mean gestational age were compared in pica and no pica group. Statistical analysis Mean, percentage and chi-square test (for paired data). Results Seventeen percent of these pregnant women practiced pica. The most common pica substance that was consumed was chalk (44.1%) and clay (38.2%). Women in pica group had lower hemoglobin levels 8.63 ± 1.12 gm% (mean ± SD) at delivery than women who did not report pica (10.03 ± 0.96 gm%). There was no difference in mean birth weight and gestational age of neonates born to women with pica group and no pica group. Conclusion The findings suggest that pica practices are associated with significantly lower maternal hemoglobin levels at delivery, but are not associated with low birth weight and preterm birth. How to cite this article Kumare B, Somalwar S, Vijay N. Pica in Rural Obstetric Population: An Underestimated Nutritional Mystery. J South Asian Feder Obst Gynae 2014;6(2):71-74.

scholarly journals A cross sectional study for utilisation of antenatal care services and its association to birth weight of babies in a tertiary care centre in Western India

2018 ◽  
Vol 5 (8) ◽  
pp. 3519 ◽  
Author(s):  
Priyanka D. Jogia ◽  
Kaushik K. Lodhiya
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Antenatal Care ◽  
Preterm Births ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Services ◽  
Education Status ◽  
Lower Education

Background: Low birth weight is a major public health problem in India. Amongst several factors affecting birth weight, the two crucial factors are demographic characteristics of mothers and utilisation of antenatal care services. Identification of these bottlenecks will help in forming suitable strategies to mitigate the problem of low birth weight in developing countries.Methods: This was a cross-sectional study conducted in a medical college hospital of Gujarat. All the mothers admitted in maternity ward for delivery during July 2017 and had given informed consent, were involved in the study. Interview consisted of demographic characteristic of mothers, utilisation of antenatal services and records of pregnancy outcome. Data were entered in excel 2010 and analysed using Epi info 7.2. Strength of association between LBW and risk factors was obtained using odds ratio test.Results: Majority of the mothers had registered for antenatal care within the first trimester (78%) and had taken minimum of four ANC visits (93%). One fifth (18%) of the mothers had babies weighing less than 2.5 kgs. Lower education status of mothers, multigravida, and mothers with less than four ANC visits, preterm births and female foetus were significantly at higher risk of low birth weight as compared to their counterparts.Conclusions: The factors determining LBW were lower education status of mothers, multigravidity, inadequate ANC visits, preterm births and female sex of foetus. We recommend that increasing the education status of masses, particularly of females and ensuring adequate ANC utilisation will reduce the problem of LBW. 

scholarly journals Correlation between Parity, Birth Interval, and the Frequency of Antenatal Care towards the Incidence of Low Birth Weight Babies in RSUD Dr. Mohammad Soewandhie Surabaya

Jurnal Biota ◽  
2019 ◽  
Vol 5 (1) ◽  
pp. 24-29
Author(s):  
Ristya Sylva Imannia ◽  
Budiono Budiono ◽  
Baksono Winardi
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Antenatal Care ◽  
Birth Interval ◽  
Low Frequency ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Infant Deaths ◽  
Risk Pregnancy

Low Birth Weight (LBW) contributes to 60% to 80% of all neonatal and infant deaths in Indonesia whilst globally, prevalence of LBW is 15.5%, amounting to approximately 20 million LBW infants born each year. According to several previous studies, factors closely related with the incidence of LBW are high birth rates, shorter birth intervals, and low frequency of Antenatal Care (ANC) examinations. The objective of this study was to determine the correlation between parity, birth interval, and the frequency of ANC towards the incidence of LBW babies. This retrospective cross-sectional study using simple random sampling involved 95 mothers in RSUD Dr. Mohammad Soewandhie Surabaya between January and July 2016. Data was collected using medical records and analyzed using logistic regression test with p < 0.05. The result of this research showed there was no correlations between parity and incidence of LBW babies (p=0.162) nor between birth interval and incidence of LBW babies (p=0.574). There was a correlation between frequency of ANC and incidence of LBW babies (p=0.006). The physician should further improve early detection for LBW babies by monitoring high-risk pregnancy mothers routinely.

scholarly journals IMPACTS OF DIETARY SUPPLEMENTS AND NUTRIENT-RICH FOOD FOR PREGNANT WOMEN ON BIRTH WEIGHT IN SUGH EL-CHMIS /ALKHOMS – LIBYA

2021 ◽  
Vol 21 (2) ◽  
pp. 426-433
Author(s):  
Alabed Ali A. Alabed ◽  
Eman Ali Aljrbi ◽  
Abdullah Almahdi ◽  
Rasheed Abdulsalam ◽  
Anis Rageh Al-Maleki ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Pregnant Women ◽  
Dietary Supplements ◽  
Soft Drink ◽  
Cross Sectional Study ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Rich Food ◽  
Stratified Sample

This study aims to determine the prevalence of low birth weight in Sugh El-Chmis /Alkhoms -Libya and the associated factors with the low birth weight of the baby. A cross-sectional study was performed in Libya, in 2015 using a pre-tested self-administered questionnaire on a stratified sample of 408 pregnant women. Descriptive, bivariate and multivariate analyses were carried out for statistical analysis. Out of a total of 408 respondents, the prevalence of low birth-weight baby was 23.5%. The most of participants were aged between 19-26 years old (49%). Dietary supplements (folic acid, iron, omega and vitamin A, D, E, S, M), natural fruits (apple, grape, watermelon, plum, figs, strawberry and peaches), all milk and dairy products (milk, cheese and yogurt), meat, fish, egg, legumes were significantly associated with baby weight (P ˂0.05) using bivariate analysis. Furthermore, other factors such as culture and lifestyle and popular diets such as breakfast time, additional meal, soft drink, stimulants, barley wheat brown bread and dates also closely associated with the low-birth weight of new-borns (P ˂0.05). The intake of dietary supplements and nutrient-rich food for pregnant women influenced on the birth weight in Sugh El-Chmis /Alkhoms- Libya. Therefore, awareness regarding intake of dietary supplements and nutrient-rich food is highly recommended.

scholarly journals Maternal anaemia and pregnancy outcome: a descriptive study in rural areas of Kamrup District, Assam

2020 ◽  
Vol 6 (3) ◽  
pp. 55-58
Author(s):  
Moushumi Biswas ◽  
Rupali Baruah
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Pregnant Women ◽  
Birth Outcomes ◽  
Rural Areas ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Low Birth Weight Babies ◽  
Guwahati City

Background: The relationship between iron deficiency anaemia and low-birth-weight babies during pregnancy remains significant. Low birth weight babies are an increasing risk affecting infant mortality and poor developmental abilities is a rising concern. We aimed to identify the changes in hemoglobin level during pregnancy and study their impact on birth outcomes. This study aimed also to investigate and compare the prevalence of anaemic and non anaemic pregnant women in Boko Bongaon block, Assam in relation to maternal, antenatal and birth-associated factors. Subject/Methods: The study setting is in a rural area of Boko-Bongaon, Kamrup situated 85km away from Guwahati city. The Study design is a community based cross-sectional study done during the period from August 2012 to July 2013. A total of 160 pregnant women were selected by simple random sampling and data collected by house to house visit. Interview was conducted with the use of Predesigned, Pretested structured schedule. Results: We analysed deliveries of 160 pregnant women of which 156 were full term births and 4 still births. There was a statistical significant association between anaemia and birth weight of the babies. Anaemia (Hb<11g/dl), was prevalent in 86% of women, but was not significantly related to the birth outcomes. Conclusion: The present study highlights the importance of regular monitoring of haemoglobin level at intervals during pregnancy to prevent anaemia. Future studies should explore other related risk factors and the reasons for poor birth outcomes in mothers in this population, to inform the design of appropriate public health policies that address this issue

scholarly journals Prenatal and postnatal determinants of stunting at age 0–11 months: A cross-sectional study in Indonesia

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254662
Author(s):  
Arindah Nur Sartika ◽  
Meirina Khoirunnisa ◽  
Eflita Meiyetriani ◽  
Evi Ermayani ◽  
Indriya Laras Pramesthi ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Pregnant Women ◽  
Adult Life ◽  
Immunization Coverage ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Postnatal Factors ◽  
Childhood Stunting

Background Childhood stunting remains the most challenging consequence of undernutrition because it is associated with suboptimal brain development and the subsequent increased risk of metabolic diseases and decreased earnings in adult life. The Sambas District in Indonesia has a high prevalence of stunting (28.4%), followed by underweight (25.5.%) and wasting (14.4%) among children, as well chronic energy deficiency (27%) and anemia (62%) among pregnant women. The present study sought to determine significant factors in childhood stunting with a focus on maternal and child nutrition and prenatal and postnatal determinants. Methods This prospective, repeat, cross-sectional study investigated factors associated with stunting among 559 infants age 0–11 months in Sambas District, Indonesia. Anthropometric measurements were performed by trained enumerators. Data from a 2016 survey of pregnant women and a 2017 survey on mothers and their children were used for postnatal data collection to quantify the prevalence of stunting at age 0–11 months. Using 20 potential predictors of stunting categorized by household characteristics, maternal characteristics, antenatal care services, and child characteristics, logistic regression analysis was conducted to assess the adjusted association between stunting and these factors. Results Of 559 children analyzed, 20.8% were stunted. In the model with low birth weight (LBW) as predictor for stunting, the odds of stunting increased significantly among children who weighed <2.500 g at birth; children who had diarrhea in the past 2 weeks and children who had incomplete basic immunization coverage as infants age 9–11 months. In model without LBW, the odds of stunting increased significantly among children who had preterm at birth, short maternal stature and children who had incomplete basic immunization coverage for 9–11 months infants. Conclusions Postnatal factors—preterm birth, low birth weight, diarrhea and complete basic immunization coverage—were associated with infant stunting in Sambas District, Indonesia. The prenatal factors such as short maternal stature were significant in the multivariate model. Policy makers, especially in the government, should recommend measures focused on those prenatal and postnatal factors to prevent stunting in children and to avoid the sequelae of childhood stunting in adult life.

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