scholarly journals Prévalence et risque fœto-maternel de la maternité précoce dans la province du Lualaba en République Démocratique du Congo Prevalence and risk fetal-maternal of early motherhood in Lualaba Province, Democratic Republic of Congo

2019 ◽  
Vol 7 (03) ◽  
Author(s):  
Kasongo Kayembe Aimé ◽  
Mujinga Kashala ◽  
Mundongo Tshamba Henri ◽  
Ntambue Mukengeshayi Abel ◽  
Kakoma Sakatolo Z ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Rural Areas ◽  
Health Concern ◽  
Age Group ◽  
Maternal Deaths ◽  
Group 13 ◽  
Early Motherhood ◽  
Poids De Naissance ◽  
The City

Contexte : La maternité précoce est la survenue d’une grossesse chez une femme dont l’âge est inférieur à 19 ans pour les uns et inférieur à 21 ans pour les autres au moment de la naissance de son bébé. Elle présente de nombreuses complications fœto-maternelles et demeure une préoccupation sociale et sanitaire majeure. Cependant, la survenue d'une maternité pendant cette période et surtout à l'adolescence est considérée par nombre de gynécologues obstétriciens comme non recommandable et devant être prévenue. Méthodologie : Nous avons mené une étude transversale à visée analytique. Notre milieu d’étude a été fait de 5 zones de santé de la Province du Lualaba (2 urbaines et 3 rurales). Les registres de maternité ont été consultés dans ces structures. 25815 accouchements ont été enregistrés dont 3550 étaient de survenue précoce. Résultats : La prévalence des maternités précoces était de 13,8% (IC 95% : 13,4 ; 14,2. Les prévalences élevées ont été enregistrées dans les structures rurales que celles urbaines (65,2% Vs 34,8%). L’âge moyen aux maternités précoces était de 17,1 ans avec une déviation standard de 0,82. Les extrêmes étaient de 13 ans et de 18 ans. Les mères des villages ont présenté un risque OR=5,65 de ne pas suivre la CPN face à celles de la ville et Bidonville. Comparée à la tranche d’âge de 15-18 ans, la tranche de 13 à 15 ans a présenté un risque élevé des conséquences d’accouchement dont : 3,41 [2,42 ; 4,79] pour les déchirures des parties molles et de 6,57 [4,38 ; 9,82] pour les hémorragies du post partum. Sur les 1,4 % de nouveaux nés de faible poids de naissance, le risque était élevé chez les mères de 13-15 ans OR= 3,96 [1,68 ; 9,0]. Celles du milieu rural comprises dans la tranche d’âge de 13-15 ans ont présenté le risque de faible poids de naissance estimé à OR= 5,39[1,21 ; 20,58], contre celles de la ville et Bidon ville OR= 3,983 de s’accoucher des enfants de faible poids à la naissance. Le décès avant 8 jours a été vécu dans 12,2% chez les victimes de maternités précoces. Le risque était élevé chez celles de 13 à 15ans. OR=1,61 [1,10; 2,56] pour le décès des enfants avant le 8ème jour de vie. Les faibles poids de naissance ont couru un risque 33,45 fois plus élevé de décéder avant le 8ème jour de vie OR=33,45 [15,41 ; 74,91]. Conclusion : Les maternités précoces dans la province du Lualaba sont présentes avec des conséquences semblables à celles du reste du monde. Ces conséquences entraînent les risques pathologiques liés à l’immaturité des organes génitaux de la jeune mère (déchirure périnéale), césarienne, séjours prolongés dans les hôpitaux. L’étude permet d’appuyer les stratégies internationales décourageant les maternités précoces à cause des effets néfastes en matière de santé reproductive aboutissant aux graves complications et décès maternels. Summary Context: Early motherhood is the occurrence of a pregnancy in a woman whose age is less than 19 years for some and less than 21 years for others at the time of birth of her baby. It presents numerous feto-maternal complications and remains a major social and health concern. However, the occurrence of maternity during this period and especially in adolescence is considered by many gynecologists obstetricians as not recommendable and to be prevented. Kasongo Kayembe Aimé et al Prévalence et risque fœto-maternel de la maternité précoce dans la province du Lualaba en.. 314 | Int. J. of Multidisciplinary and Current research, Vol.7 (May/June 2019) Methodology: We did an analytical cross-sectional study. Our study area was made of 5 health zones of Province of Lualaba (2 urban and 3 rural). Maternity records were consulted in these structures. 25815 births were recorded, of which 3550 were early births. Results: The prevalence of early motherhood was 13.8% 95% CI [13.4; 14.2]. High prevalence have been recorded in rural structures as urban ones (65.2% vs 34.8%). The average age for early motherhood was 17.1 years with a standard deviation of 0.82. The extremes were 13 and 18. Mothers in villages have ran a risk estimated to OR = 5.65 of not following the NHC during this pregnancy in the face of the city and slums. Compared to the age group of 16-18, the age group 13 to 15 years has a high risk of childbirth. Consequences whose risks were estimated as follows: The tears of the soft parts OR = 3.43 [2.50; 4, 71]; the postpartum hemorrhage OR = 2.64 [1.68; 4.17]. Of the 1.4% of low birth weights experienced, the risk was high for mothers aged 13-15 years OR = 4.15 [1.99; 8.65]. Those in rural areas included in the age group 13-15 years ran, the risk of low birth weight estimated at OR = 7.15 [2.32; 22,04]. Against those of the city and in the slums OR = 3.78 [1.25; 9.78] to give birth to children of low birth weight. The death before 8 days was experienced in 12.2% among the victims of early maternity. The risk was high for those aged 13 to 15 years OR = 1.72 [1.16; 2.53] for death of children before 8th day of life. In 12.2% among the victims of early maternity. The risk was high among those aged 13 to 15 years OR = 1.72 [1.16; 2.53]. For the death of children before the 8th day of life, the birth with low weights ran a risk estimated OR = 32.50 [16.15; 65, 39] to die before the 8th day of life. ORaMH = 1.64. There were 817 maternal deaths per 100,000 live births. Conclusion: Early maternity in the province of Lualaba is present with consequences similar to those of the rest of the world. These consequences result to pathological risks associated with the immaturity of the young mother's genitalia (perinea tear), cesarean section, and extended stays in hospitals. The study supports international strategies that discourage early motherhood due to adverse reproductive health effects leading to severe complications and maternal deaths.

scholarly journals A study to assess the effectiveness of structured teaching programme on knowledge regarding care of low birth weight babies among mothers in selected rural areas of Rajkot, Gujarat

2020 ◽  
Vol 3 (01) ◽  
Author(s):  
Binu Joe ◽  
Anu Joykutty
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Rural Areas ◽  
Sampling Technique ◽  
Control Group ◽  
Age Group ◽  
Control Group Design ◽  
Teaching Programme ◽  
Post Test ◽  
Quasi Experimental

A quasi experimental study with pre test, post test without control group design was undertaken on 60 mothers selected by purposive sampling technique to assess the effectiveness of teaching programme on home management of low birth weight baby among mothers using closed ended questionnaire. Result reveals that more or less similar percentage 47% was in the age group of 21-25 and 46% in the age group of 26-30 years. The overall mean knowledge on practice score in pre test was 13.34±3.25 whereas it was 24.18±3.09 in post test revealing 31.89% enhancement of knowledge scores.

Kangaroo mother care: Understanding community low birth weight baby care perceptions and practices for designing appropriate community based KMC implementation package: a formative research. (Preprint)

2021 ◽  
Author(s):  
Shabina Ariff ◽  
Ikram Maznani ◽  
Maria Bhura ◽  
Zahid Memon ◽  
Tayyaba Arshad ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Rural Areas ◽  
Healthcare Providers ◽  
Newborn Care ◽  
Formative Research ◽  
Kangaroo Mother Care ◽  
Community Members ◽  
Hospital Administrators ◽  
Skin Contact

BACKGROUND Low birth weight (LBW) is a common outcome of preterm birth and increases the risk of an infant’s morbidity and mortality. About 20 million infants are born with low birth weight globally. Since a significant number of births in Pakistan take place at home, it is important to focus on the use of Kangaroo Mother Care (KMC) (skin-to-skin contact) in communities to prevent neonatal mortality and morbidity. OBJECTIVE We conducted a formative research in order to understand the context of communities and facilities with regards to neonatal care and KMC practice, inform the design and delivery of culturally appropriate platforms to introduce KMC in communities, and develop effective recruitment and retention strategies of KMC, in rural areas of district Dadu, in the Sindh province. METHODS We conducted focus group discussions, in-depth interviews and key informant interviews with families of LBW babies, community members, healthcare providers and hospital administrators to identify barriers, enablers and a knowledge base for KMC interventions. RESULTS Newborn care practices in communities were subpar. Although KMC practices are not commonly practiced in communities and facilities and the method is unknown to many, family members were willing to provide KMC to LBW babies to improve their health outcomes. Community members, hospital administrators and healthcare providers widely accepted the practice for neonatal health and found it feasible and convenient. CONCLUSIONS The KMC as a method of treating low birth weight babies is widely accepted in the community. This formative research provided strategically effective ways for developing effective implementation strategies by identifying common community practices for LBW babies, and barriers and enablers to KMC practice.

scholarly journals Dietary patterns of Chinese women of childbearing age during pregnancy and their relationship to the neonatal birth weight

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Hui Yan ◽  
Shaonong Dang ◽  
Yaodong Zhang ◽  
Shuying Luo
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Dietary Patterns ◽  
Rural Areas ◽  
Protective Factor ◽  
Shaanxi Province ◽  
Middle Region ◽  
Neonatal Birth Weight ◽  
Traditional Pattern ◽  
Social Demographic

Abstract Objective To examine the type of maternal dietary patterns during pregnancy and the distribution characteristics of children’s birth weight and the association between dietary patterns and neonatal birth weight in China. Methods Data were derived from a cross-sectional program named “The prevalence and risk factors of birth defects in Shaanxi Province” in July to November in 2013. A stratified multistage random sampling method was used to select women and their children. The mother’s diet during pregnancy was investigated using semi-quantitative food frequency questionnaire (FFQ) to collect the frequency and amount of food consumption, and the newborn birth weight as well as related social demographic information was collected at the same time. In our study, 0–1 year old children and their mothers with complete dietary survey data were selected as research objects. The main dietary patterns were identified according to factor analysis, and latent class analysis (LCA) was used to investigate the social demographic factors affecting dietary patterns. The logistic regression model was used to assess the association between birth weight and maternal dietary patterns during pregnancy by establishing three adjusting models and the data were stratified for further analysis by urban-rural and regions. Results A total of 15,980 participants were involved in this study. Four dietary patterns were identified: “vegetarian pattern”, “balance pattern”, “traditional pattern” and “processing pattern”. Compared with moderate tertile, women in the highest tertile of adherence to vegetarian pattern increased the risk of low birth weight in offspring in rural areas (OR = 1.61, 95%CI:1.06–2.93) and middle region (OR = 1.75, 95%CI:1.18–2.62), and the traditional pattern had greater odds of lower birth weight in the middle region (OR = 1.55, 95%CI:1.05–3.75). The processing pattern was found a protective factor for the occurrence of low birth weight in rural areas (OR = 0.98, 95%CI:0.43–0.99) but was a risk factor for low birth weight in the southern region (OR = 8.83, 95%CI:1.22–15.16). The balance pattern was a protective factor for the occurrence of low birth weight in the northern region(OR = 0.35, 95%CI:0.14–0.83). Conclusion The vegetarian and traditional pattern may be positively related to a higher risk of low birth weight while the balanced pattern may keep birth weight of offspring within the appropriate range. Health education of balanced diet and individual nutrition guidance during pregnancy should be strengthened, to make the dietary structure during pregnancy are more reasonable, reduce the occurrence of adverse birth weight of newborns.

scholarly journals Determinan kejadian stunting pada bayi usia 6 bulan di Kota Semarang

2016 ◽  
Vol 4 (2) ◽  
pp. 82-88
Author(s):  
Ardian Candra Mustikaningrum ◽  
Hertanto W Subagio ◽  
Ani Margawati
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Respiratory Infection ◽  
Acute Respiratory Infection ◽  
Maternal Education ◽  
Sample Selection ◽  
Economic Level ◽  
Main Determinants ◽  
The City ◽  
Control Study

Background: Stunting is an indicator of chronic nutrition problems. Districts with the highest prevalence of stunting is the District Gunungpati (16,93%), Mijen (13,75%), and Tembalang (10,11%). The prevalence of stunting are more difficult to overcome with increasing age there should be a study to determine the incidence of stunting the determinant.Objective: To identify determinants of stunting in infants aged 6 months in the city of Semarang.Methods: case-control study, composed of 91 infants stunting and 91 normal infants. The sample selection using purposive sampling. Determinants studied were low birth weight, exclusive breastfeeding, complementary feeding Giving early, the incidence of diarrhea, ISPA, the allocation of parenting time mother, maternal height, maternal education, family economic level, and head circumference. The research instrument with a questionnaire, digital baby scales, infantometer, and metline. Data were analyzed with the value of odds ratios  and multiple logistic regression.Results:The proportion of stunting was 39.6% in male babies and 60.4% in girls. Result of bivariate are low birth weight, the incidence of diarrhea, ISPA, maternal education, and family economic level association with stunting, but result in multivariate determinant incidence of stunting is the family's economic level (OR = 5,39, 95% CI = 2,73; 10,63, p<0,001), the incidence of acute respiratory infection (OR = 2,29, 95% CI = 1,16; 4,51, p=0,016). The family's economic level, the incidence of acute respiratory infection, and the incident of diarrhea contribute to stunting by 30%..Conclusion: The main determinants of stunting in infants 6 months is the  family’seconomic level.

scholarly journals Exploring the association between adverse maternal circumstances and low birth weight in neonates: a nationwide population-based study in Bangladesh

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e036162
Author(s):  
Md Mostaured Ali Khan ◽  
Md Golam Mustagir ◽  
Md Rafiqul Islam ◽  
Md Sharif Kaikobad ◽  
Hafiz TA Khan
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Rural Areas ◽  
Partner Violence ◽  
Multivariate Logistic Regression Analysis ◽  
Population Based ◽  
Chi Square ◽  
The Sustainable Development ◽  
Chi Square Test ◽  
Study Designs

ObjectiveThis study is concerned with helping to improve the health and care of newborn babies in Bangladesh by exploring adverse maternal circumstances and assessing whether these are contributing towards low birth weight (LBW) in neonates.Study designs and settingsData were drawn and analysed from the Bangladesh Demographic and Health Survey, 2014. Any association between LBW and adverse maternal circumstances were assessed using a Chi-square test with determinants of LBW identified by multivariate logistic regression analysis.ParticipantsThe study is based on 4728 children aged below 5 years and born to women from selected households.ResultsThe rate of LBW was around 19.9% (199 per 1000 live births) with the highest level found in the Sylhet region (26.2%). The rate was even higher in rural areas (20.8%) and among illiterate mothers (26.6%). Several adverse maternal circumstances of the women included in the survey were found to be significant for increasing the likelihood of giving birth to LBW babies. These circumstances included the women being underweight (adjusted odds ratio (AOR) 1.26, 95% CI 1.06 to 1.49); having unwanted births (AOR 1.22, 95% CI 1.03 to 1.44); had previous pregnancies terminated (AOR 1.28, 95% CI 1.05 to 1.57); were victims of intimate partner violence (AOR 1.23, 95% CI 1.05 to 1.45) and taking antenatal care <4 times (AOR 1.23, 95% CI 1.03 to 1.48). Other important risk factors that were revealed included age at birth <18 years (AOR 1.42, 95% CI 1.11 to 1.83) and intervals between the number of births <24 months (AOR 1.25, 95% CI 1.01 to 1.55). When taking multiple fertility behaviours together such as, the ages of the women at birth (<18 years with interval <24 months (AOR 1.26, 95% CI 1.02 to 1.57) and birth order (>3 with interval <24 months (AOR 1.68, 95% CI 1.18 to 2.37), then the risk of having LBW babies significantly increased.ConclusionThis study finds that adverse maternal circumstances combined with high-risk fertility behaviours are significantly associated with LBW in neonates. This situation could severely impede progress in Bangladesh towards achieving the sustainable development goal concerned with the healthcare of newborns.

scholarly journals Prevalence and Determinants of Low Birth Weight in Ethiopia: A Systematic Review and Meta-Analysis

2020 ◽  
Vol 2020 ◽  
pp. 1-13
Author(s):  
Nuradin Abusha Katiso ◽  
Getachew Mullu Kassa ◽  
Gedefaw Abeje Fekadu ◽  
Abadi Kidanemariam Berhe ◽  
Achenef Asmamaw Muche
Keyword(s):  
Birth Weight ◽  
Prenatal Care ◽  
Low Birth Weight ◽  
Rural Areas ◽  
Meta Analysis ◽  
Significant Risk ◽  
Significant Risk Factor ◽  
Pooled Prevalence ◽  
Unpublished Studies ◽  
Meta Analyses

Introduction. Low birth weight (LBW) is the most significant risk factor for neonatal and infant mortality. It is one of the major public health problems in developing countries. Although there are various studies on low birth weight, findings were inconsistent and inconclusive. Therefore, this study was conducted to estimate the national-pooled prevalence of low birth weight and its associated factors in Ethiopia. Method. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was followed. This meta-analysis employed a review of both published and unpublished studies conducted in Ethiopia. The databases used were PubMed, Google Scholar, CINAHL, and African Journals Online. Relevant search terms for prevalence and determinants of LBW were used to retrieve articles. The meta-analysis was conducted using STATA 14 software. Forest plots were used to present the findings. The Cochran Q test and I2 test statistics were used to test heterogeneity across studies. Egger’s test was used to assess the publication bias of included studies. The pooled prevalence and the odds ratios (OR) with 95% confidence intervals (CI) were computed and were presented using forest plots. Results. A total of 28 studies, 50,110 newborn babies, were included in this meta-analysis. The pooled prevalence of LBW in Ethiopia was 14.1% (95% CI = 11.2, 17.1). Higher variation in the prevalence of LBW in different regions across the country was observed. Significant association of LBW with sex of the newborn baby, higher odds among female babies (OR = 1.5 (95% CI = 1.2, 1.7)), prematurity (OR = 4.7 (95% CI = 1.5, 14.5)), not attending prenatal care (OR = 1.7 (95% CI = 1.4, 2.2)), pregnancy-induced hypertension (OR = 6.7 (95% CI = 3.5, 12.9)), and newborn babies whose mothers were from rural areas (OR = 1.8 (95% CI = 1.2, 2.6) were the factors associated with low birth weight. Conclusions. The prevalence of LBW in Ethiopia was high. LBW was associated with several maternal and newborn characteristics. The large disparity of LBW among the different regions in the country needs targeted intervention in areas with higher prevalence. Particular emphasis should be given to mothers residing in rural areas. Community-based programs are important to increase the use of prenatal care.

scholarly journals Examining the Relationship Between Low Birth Weight Occurrence and Passive Measures of Environmental Arsenic by Census Tract in Escambia and Santa Rosa Counties, Florida

2020 ◽  
Vol 14 ◽  
pp. 117863022091305
Author(s):  
Maya Scott-Richardson ◽  
Marilyn O’Hara Ruiz ◽  
Rebecca L Smith
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Census Tract ◽  
Linear Models ◽  
Arsenic Concentration ◽  
Vital Statistics ◽  
Health Concern ◽  
Department Of Health ◽  
Florida Department ◽  
Contaminated Drinking Water

Arsenic is a public health concern because of its widespread distribution and high toxicity, even when doses are small. Low birth weight (LBW) occurrence, birth weights less than 2500 g, may be associated with prenatal exposure of arsenic from environmental factors and consuming contaminated drinking water and food. The objective of this study was to examine whether mothers living in areas of Escambia and Santa Rosa counties with varying levels of background arsenic in surface soil and water were associated with the occurrence of LBW. Inverse distance weight in ArcGIS was used to interpolate arsenic concentrations from environmental samples and estimate arsenic concentrations by census tracts in the two counties. After excluding multiple births and displaced geocoding addresses, birth data were obtained for the years of 2005 (n = 5845), 2010 (n = 5569), and 2015 (n = 5770) from the Bureau of Vital Statistics at the Florida Department of Health to assess temporal differences. Generalized linear models were used to analyze and compare the association between child and maternal demographic information, socioeconomic characteristics, and the environmental estimates of arsenic with LBW. No significant association was found between environmental arsenic concentration and LBW, suggesting that environmental contamination of the pregnant mother’s census tract may not be a useful proxy in assessing risk for LBW.

Geographical Distribution and Risk Factors of Low Birth Weight in Nigeria

2020 ◽  
Vol 10 (4) ◽  
pp. 234-248
Author(s):  
Richard Adeleke ◽  
Tolulope Osayomi ◽  
Ayodeji E. Iyanda
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Prevalence Rate ◽  
Spatial Epidemiology ◽  
Ordinary Least Squares ◽  
Health Concern ◽  
Geographical Differences ◽  
Spatial Error ◽  
Geographical Variations

BACKGROUNDLow birth weight (LBW) directly or indirectly accounts for 60% to 80% of all neonatal deaths globally, and it has become an issue of serious health concern with Nigeria with one of the highest infant mortality rates (74/1,000) in the world. Despite the severe health impact, little is understood on the geographical differences in maternal socioeconomic and environmental factors that affect LBW across the states in Nigeria.METHODUsing the spatial epidemiological approach, this study examined the geographical variations in LBW and associated risk factors in Nigeria with the aid of spatial statistics.RESULTSThere was a regional LBW corridor in the extreme north with Yobe state with the highest prevalence rate. Maternal educational attainment and acute maternal malnutrition explained 65.4% (ordinary least squares model) and 70.5% (spatial error model, SEM) of the variation in the geographical pattern of LBW.CONCLUSIONLBW remains an issue of serious health concern in Nigeria. The finding of this study would shed more light on the spatial epidemiology of LBW in Nigeria and also guide public health programs in curtailing the high prevalence rate of LBW.RECOMMENDATIONSThe study recommends health education on nutrition in pregnancy and the need to improve health literacy among women so as to check the high LBW prevalence.

IMPACT OF MATERNAL AGE ON BIRTH OUTCOMES: A POPULATION-BASED STUDY OF PRIMIPAROUS BRAZILIAN WOMEN IN THE CITY OF SÃO PAULO

2005 ◽  
Vol 38 (4) ◽  
pp. 523-535 ◽  
Author(s):  
CARLA JORGE MACHADO
Keyword(s):  
Birth Weight ◽  
Preterm Birth ◽  
Low Birth Weight ◽  
Maternal Age ◽  
Sao Paulo ◽  
Outcome Variable ◽  
Delivery Mode ◽  
São Paulo ◽  
Apgar Scores ◽  
The City

The aim of this study is to analyse the impact of maternal age at first birth on low birth weight, preterm birth and low Apgar scores at one minute and at five minutes among live births delivered to primiparous Brazilian women in the city of São Paulo. Analyses were based on 73,820 birth records from the 1998 birth cohort. Logistic regression was used to assess the association between maternal age and each outcome variable, controlling for the following risk factors: delivery mode, plurality, sex, maternal education, number of prior losses, prenatal care, race, parity and community development. Maternal ages below 20 and above 30 years were significantly associated with the risks of low birth weight and preterm birth, but no association was found between maternal ages and Apgar score, with the exception that ages 15–19 reduced the odds of a low one-minute score. Even though this result seems to be inconsistent, low birth weight, preterm birth and low Apgar scores measure different dimensions of newborn well-being, and the association of each measure with maternal age is expected to diverge.

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