scholarly journals Association between maternal antenatal care visits and newborn low birth weight in Bangladesh: a national representative survey

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 935
Author(s):  
Md. Sabbir Ahmed ◽  
Sumaia Sahrin ◽  
Fakir Md Yunus

Background: Low Birth Weight (LBW) is a global health concern for childhood mortality and morbidity. The objectives of this study were to assess the association between the number of Antenatal Care Visits (ANC) and LBW among Bangladeshi newborns, and to identify the demographic and socio-economic predictors of LBW.   Methods: Our present cross-sectional study is based on the secondary data of the Bangladesh Demography and Health Survey (BDHS) 2014. Complete data of 4,235 (weighted) mother-child pairs were included in the analysis.   Results: The overall prevalence of LBW among newborns were found to be 19.3% (95% CI: 17.8-20.9). Among the mothers who received antenatal care services 1-3 times during pregnancy, 35% had less possibility of having LBW babies [COR = 0.65, 95% CI: 0.50-0.85]. The association remained significant after adjusting the analysis with the sex of the newborn, administrative regions (division), maternal educational status, mother’s weight status and fathers’ occupation [AOR = 0.74, 95% CI: 0.55-0.99]. Additionally, the sex of the newborn, division, maternal education, maternal weight status, and fathers’ occupational status were found to be significantly associated with LBW.   Conclusion: Increasing the coverage of antenatal services and enabling mothers to receive quality antenatal services may substantially contribute to reducing the prevalence of LBW in Bangladesh.

Author(s):  
Priti J. Patale ◽  
Monika S. Masare ◽  
Seema S. Bansode-Gokhe

Background: To study the Epidemiological Factors related with the low Birth weight Babies born in tertiary care Hospital of teaching Medical Institution.Methods: The present study was a cross sectional observational study carried out in the Post Natal ward of Obstetric department of a tertiary care hospital of a metropolitan city, data collection was done from the Mothers of low birth weight babies by conducting face to face interview in the post-natal ward with a predesigned, structured Performa. Data was analyzed using statistical package for social science program.Results: The study showed that most of mothers of the babies were between the age group of 22 to 30 years 87 (58.3%) while 49 (32.8%) were below the age of 21 years and 13(8.7%) were above 30 years of age. Most of the study subjects 70 (47.0%) belongs to the lower socioeconomic status where as 62 (41.6%) and 17 (11.4%) belong to upper lower and middle socioeconomic class respectively. It was observed in the present study that maternal education, socioeconomic status, parity, maternal weight gain during pregnancy, height of the mother, tobacco habits either chewing or smoking, birth order of the baby are the factors, significantly associated with low birth weight of the baby.Conclusions: Socioeconomic development, maternal nutrition, and increasing the use of health services during pregnancy, are all important for reducing LBW. There is need to strengthen the existing maternal services at the basic level of community.


2021 ◽  
Vol 8 (4) ◽  
pp. 689
Author(s):  
Jillela Mahesh Reddy ◽  
Sasi Priya Aravalli

Background: purpose of this study was to determine prevalence of maternal and social risk factors of low birth weight. The purpose of this study is to prevalence of maternal and social risk factors of low birth weight.Methods: The cross-sectional and comparative study was carried out by reviewing medical records of newborn delivered for one year in 250 newborn. Birth weight was categorized into two as low birth weight (birth weight <2500 grams), considered as cases, and normal birth weight (birth weight ≥2500 grams), considered as controls or the reference birth weight.Results: In our study mother’s age, socioeconomic, educational status, occupation as significant variables to be associated with low birth weight. caesarean section increased significantly with decrease in gestational age and maternal weight, history of abortion, iron supplementation Hypertension, anemia, and DM are Predictors of maternal and obstetric with low birth weight.Conclusions: Prompt identification of causes and prevention of premature delivery, proper knowledge of signs and symptoms of pregnancy complications, and preventing any physical trauma or its potential causes are recommended during pregnancy to prevent low birth weight. 


BMJ Open ◽  
2018 ◽  
Vol 8 (8) ◽  
pp. e020410 ◽  
Author(s):  
Zhifei He ◽  
Ghose Bishwajit ◽  
Sanni Yaya ◽  
Zhaohui Cheng ◽  
Dongsheng Zou ◽  
...  

ObjectivesThe present study aimed to estimate the prevalence of low birth weight (LBW), and to investigate the association between maternal body weight measured in terms of body mass index (BMI) and birth weight in selected countries in Africa.SettingUrban and rural household in Burkina Faso, Ghana, Malawi, Senegal and Uganda.ParticipantsMothers (n=11 418) aged between 15 and 49 years with a history of childbirth in the last 5 years.ResultsThe prevalence of LBW in Burkina Faso, Ghana, Malawi, Senegal and Uganda was, respectively, 13.4%, 10.2%, 12.1%, 15.7% and 10%. Compared with women who are of normal weight, underweight mothers had a higher likelihood of giving birth to LBW babies in all countries except Ghana. However, the association between maternal BMI and birth weight was found to be statistically significant for Senegal only (OR=1.961 (95% CI 1.259 to 3.055)).ConclusionUnderweight mothers in Senegal share a greater risk of having LBW babies compared with their normal-weight counterparts. Programmes targeting to address infant mortality should focus on promoting nutritional status among women of childbearing age. Longitudinal studies are required to better elucidate the causal nature of the relationship between maternal underweight and LBW.


BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e025715 ◽  
Author(s):  
Rajat Das Gupta ◽  
Krystal Swasey ◽  
Vanessa Burrowes ◽  
Mohammad Rashidul Hashan ◽  
Gulam Muhammed Al Kibria

ObjectivesThis study aimed to investigate the factors associated with low birth weight (LBW) in Afghanistan.DesignCross-sectional study.SettingThis study used data collected from the Afghanistan Demographic and Health Survey 2015.ParticipantsFacility-based data from 2773 weighted live-born children enrolled by a two-stage sampling strategy were included in our analysis.Primary and secondary outcome measuresThe primary outcome was LBW, defined as birth weight <2.5kg.ResultsOut of 2773 newborns, 15.5% (n=431) had LBW. Most of these newborns were females (58.3%, n=251), had a mother with no formal schooling (70.5%, n=304), lived in urban areas (63.4%, n=274) or lived in the Central region of Afghanistan (59.7%, n=257). In multivariable analysis, residence in Central (adjusted OR (AOR): 3.4; 95% CI 1.7 to 6.7), Central Western (AOR: 3.0; 95% CI 1.5 to 5.8) and Southern Western (AOR: 4.0; 95% CI 1.7 to 9.1) regions had positive association with LBW. On the other hand, male children (AOR: 0.5; 95% CI 0.4 to 0.8), newborns with primary maternal education (AOR: 0.5; 95% CI 0.3 to 0.8), birth interval ≥48 months (AOR: 0.4; 95% CI 0.1 to 0.8), belonging to the richest wealth quintile (AOR: 0.2; 95% CI 0.1 to 0.6) and rural residence (AOR: 0.3; 95% CI 0.2 to 0.6) had decreased odds of LBW.ConclusionsMultiple factors had association with LBW in Afghanistan. Maternal, Neonatal and Child Health programmes should focus on enhancing maternal education and promoting birth spacing to prevent LBW. To reduce the overall burden of LBW, women of the poorest wealth quintiles, and residents of Central, Central Western and South Western regions should also be prioritised. Further exploration is needed to understand why urban areas are associated with higher likelihood of LBW. In addition, research using nationally representative samples are required.


2018 ◽  
Vol 12 (1) ◽  
pp. 61
Author(s):  
U. Evi Nasla Nasla

Abstract: The efforts of decreasing the infant mortality is focused on the causes of infant’s death. One of them  is the lowest Birth Weight that can be prevented through a quality and comprehensive antenatal care. The factors that affect the occurrence of low birth weight (LBW) in Singkawang city is age, parity, range of pregnancy, arm circumference, antenatal care, anemia history, newborn weight. The objective study was to determine the factors that affect the occurrence of LBW in Singkawang in 2015. This research employed analytical survey research design with retrospectively approach with cross sectional design. The sample used is the case of newborn with LBW as many as 105 with a ratio of 1: 1 with a total sample of 210 babies. The sample was random sampling. The data analysis used Chi Square and logistic regression test. Chi Square test results showed that there was a significant relationship between age, arm circumference, antenatal care of anemia (p = 0.005, p = 0.013, p = 0.020, p = 0.003) with the incidence of LBW. And there was no significant correlation between parity and range of pregnancy (p = 0.805, p = 0.766). This research is expected to be the basis of evaluating the occurrence of LBW thus it can be detected earlier.Keywords: Age; Parity; Antenatal Care; Arm Circumference; Anemia history; Lowest Birt Weight.


2021 ◽  
Vol 1 (3) ◽  
pp. 239-245
Author(s):  
Katelino Marpaung ◽  
Husna Yetti ◽  
Defrin Defrin

Abstrak Latar Belakang. Bayi Berat Lahir Rendah (BBLR) adalah bayi yang mempunyai berat lahir kurang dari 2500 gram yang ditimbang pada saat setelah lahir. Saat ini BBLR menjadi salah satu penyebab kematian neonatus terbanyak di Kota Padang. Banyak faktor yang dapat memengaruhi kejadian bayi berat lahir rendah, seperti usia ibu, paritas, jarak kehamilan, status gizi, antenatal care, anemia, pendidikan, sosial ekonomi, penyakit saat hamil, plasenta previa, solusio plasenta, kelainan kongenital, dan kehamilan ganda. Objektif. Penelitian ini bertujuan untuk mengetahui gambaran faktor risiko bayi berat lahir rendah yang dirawat di RSUP Dr. M. Djamil Padang pada periode 1 Januari – 31 Desembar tahun 2019. Metode. Penelitian ini merupakan penelitian deskriptif dengan desain penelitian cross-sectional. Teknik pengambilan sampel yang digunakan adalah simple random sampling dengan jumlah sampel sebanyak 71 sampel. Hasil. Hasil penelitian didapatkan beberapa faktor risiko sebagai berikut : usia ibu berisiko (28,17%), paritas nullipara (35,21%), jarak kehamilan berisiko (8,45%), riwayat antenatal care berisiko (4,23%), ibu anemia (33,80%), status pendidikan rendah (73,24%), status sosial ekonomi rendah (54,93%), penyakit saat hamil (76,06%), kelainan plasenta (5,63%), kelainan kongenital (8,45%), dan kehamilan ganda (22,54%). Kesimpulan.  Faktor risiko yang paling banyak terjadi pada bayi berat lahir rendah adalah penyakit saat hamil, status pendidikan rendah, dan status sosial ekonomi rendah. Kata kunci: BBLR, faktor risiko, neonatus   Abstract Background. Low Birth Weight (LBW) baby is when the infant is weighed less than 2500 grams at the time after birth. Low Birth Weight baby is one of the leading causes of neonates deaths in Padang. There are several factors causing LBW babies, such as maternal age, parity, space between pregnancy, nutrition, antenatal care, anemia, low educational status, low socioeconomic status, disease during pregnancy, placenta previa, placenta abruption, congenital abnormality, and multiple pregnancies. Objective.This study was aimed to describe the risk factors of LBW babies who were treated at RSUP Dr. M. Djamil Padang from 1st January – 31st December 2019. Methods. This study was a descriptive study with a cross-sectional design. Seventy-one samples were selected by simple random sampling. Results. The results of the study describe risk factors of LBW babies as follows mother with threatening age (28.17%), nullipara parity (35.21%), the distance of hazardous pregnancies (8.45%), nutritional status of underweight (12.68%), history of risky antenatal care ( 4.23%), maternal anemia (33.80%), low educational status (73.24%), low socioeconomic status (54.93%), illness during pregnancy (76.06%), placental disorders (5.63) %), congenital abnormalities (8.45%), and multiple pregnancies (22.54%). Conclusion. The most critical risk factors for low birth weight babies are illness during pregnancy, low education status, and low socioeconomic status. Keywords: low birth weight baby, risk factors, neonates


Author(s):  
Vidyadhar B. Bangal ◽  
Satyajit P. Gavhane ◽  
Swati D. Gagare ◽  
Kunal H. Aher ◽  
Dhruval K. Bhavsar ◽  
...  

Background: Birth weight is one of the important determinants of neonatal wellbeing. Birth weight has many determinants that mainly include maternal nutritional status and the term of gestation. Low birth weight is associated with high neonatal and childhood mortality and morbidity. Over the years the birth weight is showing the increasing trend in developing countries like India. The study aimed at finding out the changing pattern of birth weight over a decade in rural India.Methods: A retrospective analysis of over 45,000 births that took place in Tertiary care hospital from year 2008-2017was undertaken. The socio economic determinants of birth weight were studied.Results: The incidence of low birth weight declined from 47 percent to 35 percent over ten years. The mean rise in birth weight in ten years was observed in both male (176 grams) and female (151grams).The incidence of very low birth and extremely low birth was found declined. There was positive co relationship between improved birth weight and improved socio economic status, delay in age at marriage, higher maternal weight gain during pregnancy, improved pre pregnancy nutritional status of women.Conclusions: There is steady decline in incidence of low birth weight over last ten years in study area. Improved maternal health, better nutrition, improved quality of antenatal care and various efforts and actions from the government side have contributed in improving the birth weight.


2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Alekaw Sema ◽  
Firehiwot Tesfaye ◽  
Yalelet Belay ◽  
Bezabh Amsalu ◽  
Desalegn Bekele ◽  
...  

Background. Low Birth Weight (LBW) is a serious public health concern in low- and middle-income countries. Globally, 20 million, an estimated 15% to 20% of babies were born with LBW, and, of these, 13% were in sub-Saharan Africa. Although the World Health Assembly targeted to reduce LBW by 30% by the end of 2025, little has been done on and known about LBW. To meet the goal successfully and efficiently, more research studies on the problem are vital. Hence, the aim of this study was to determine the prevalence and the associated factors of LBW in Dire Dawa city, eastern Ethiopia. Objective. The purpose of this study was to assess the prevalence and the associated factors of low birth weight in Dire Dawa City, eastern Ethiopia, 2017. Method. A cross-sectional study designed was conducted, and using a systematic sampling technique, 431 mothers who gave birth in the public hospitals in Dire Dawa city from July 01 to August 30, 2018, were selected. Stillbirth and infants with birth defects were excluded from the study. Well-trained data collectors collected the data using a structured questionnaire which was pretested. The data were analyzed using SPSS Version 22.0. The Adjusted Odds Ratio (AOR) with 95% confidence interval (CI) was applied in multivariate logistic regression models, and p value less than 0.05 was considered as statistical significant. Result. The prevalence of low birth weight was 21%. Not received nutritional counseling during antenatal care (AOR = 2.03, 95% CI: 1.01, 4.06), preterm birth (AOR = 18.48, 95% CI: 6.51, 52.42), maternal smoking (AOR = 3.97, 95% CI: 1.59, 9.88), and height of the mother less than 150 cm (AOR = 3.54, 95% CI: 1.07, 11.76) were significantly associated with Low birth weight. Conclusion. There was a high prevalence of low birth weight in the study area. Effective dietary counseling and additional diet, implementing proven strategies to prevent preterm birth and avoid smoking during pregnancy might decrease the low birth weight and then enhance child survival.


2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Bably Sabina Azhar ◽  
Md. Monirujjaman ◽  
Kazi Saiful Islam ◽  
Sadia Afrin ◽  
Md. Sabir Hossain

In developing countries, where about 75% of births occur at home or in the community, logistic problems prevent the weighing of every newborn child. Baby born with a weight less than 2,500 g is considered low birth weight, since below this value birth-specific infant mortality begins to rise rapidly. In Bangladesh, the prevalence of low birth weight is unacceptably high. Infant's sex differences, birth to conception interval, gestational age, and Apgar score are associated with infant birth weight. To screen low-birth-weight babies, simple anthropometric parameters can be used in rural areas where 80–90% of deliveries take place. A sample of 343 newborn singletons, 186 male and 157 female babies, were studied in Southwest region of Bangladesh to examine the birth weight status of newborns and to identify the relationship between birth weight and other anthropometric parameters of newborns. The mean birth weight was 2754.81±465.57 g, and 28.6% were low-birth-weight (<2,500 g) babies. All key anthropometric parameters of the newborns significantly correlated with infant birth weight (P=0.05). Mid upper arm circumference and chest circumference were identified as the optimal surrogate indicators of LBW babies. In the community where weighing of newborns is difficult, these measurements can be used to identify the LBW babies.


2022 ◽  
Vol 13 (1) ◽  
pp. 266-272
Author(s):  
Lila Amila ◽  
Ezrin Syariman bin Roslan ◽  
Nabila ◽  
Widati Fatmaningrum

Birth weight serves as an indicator of a newborn’s health status. It is associated with mortality rate in the first year, developmental problems in childhood and risk of various diseases in adulthood. Even in modern era, it continues to be a health concern globally, especially in developing countries. In Indonesia, the prevalence of low birth weight has increased from 2013 to 2018, swaying further from the national target. Low birth weight is often caused by insufficient nutrients supplied by the mother to the fetus. In Indonesia, chronic energy deficiency status is diagnosed in the first antenatal care visit by measuring maternal middle-upper arm circumference with a cut-off point of 23.5cm. Meanwhile, iron level is measured via assessing hemoglobin level will be measured in the first antenatal care visit and in trimester III. This study aims to describe the factors that may influence neonatal birth weight. It is a quantitative study with a cross sectional approach conducted at Sidotopo Wetan Public Health Centre. 97 samples are collected from medical records and analysed using bivariate correlative test. Result shows that maternal age (0.20), chronic energy deficiency status (0.026) and antenatal care visit minimal of 4 times (0.49) increase the risk of low-birth-weight incidence. On the other hand, educational level, maternal parity and anemia status does not acts as risks. In conclusion, maternal age, energy status and visits to antenatal care acts as risk factors in causing low birth weight.


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