scholarly journals Risk factors for low birth weight infants in East Nusa Tenggara

2017 ◽  
Vol 5 (1) ◽  
pp. 39
Author(s):  
Khrispina Owa ◽  
I Wayan Gede Artawan Eka Putra ◽  
I Gusti Ayu Trisna Windiani

Background and purpose: Low birth weight (LBW) is a major cause of neonatal and infant mortality. The Indonesian Demographic and Health Survey indicated that neonatal mortality rate in East Nusa Tenggara was 26 per 1000 live births, 15% of which were caused by low birth weight. This study aims to understand the relationship between age of mother, birth spacing, chronic energy deficiency, presence of concomitant diseases, employment status, anemia, quality of antenatal care and traditional dietary restrictions on the incidence of LBW in Ende District, East Nusa Tenggara.Methods: A case control study was conducted at Ende District in 2015, with a total of 156 respondents. Cases were mothers giving birth to LBW infant (<2500 gram) and controls were mothers giving birth to normal weight infant (≥2500 gram). Case and control ratio was 1:1. Data were obtained from antenatal care records and interviews. Data were analysed using bivariate analysis and multivariate with logistic regression.Results: This study found that risk factors of LBW include age of mother <20 or ≥35 years (AOR=6.8; 95%CI: 1.87-25.0), traditional dietary restrictions (AOR=6.7; 95%CI: 1.71-26.8), birth spacing <2 years (AOR=6.5; 95%CI: 1.78-24.2), chronic energy deficiency (AOR=5.3; 95%CI: 1.38-21.0), being employe (AOR=4.6; 95%CI: 1.44-14.9), anemia (AOR=4.2; 95%CI: 1.37-13.1), malaria infection (AOR=3.9; 95%CI: 1.21-12.7) and low quality of antenatal care (AOR=3.5; 95%CI: 1.11-11.3).Conclusions: Age of mother <20 or ≥35 years, traditional dietary restrictions, birth spacing <2 years, chronic energy deficiency, maternal occupation, anemia, malaria infection and low quality of antenatal care are risk factors for LBW in the District of Ende.

Author(s):  
Khrispina Owa ◽  
I.W.G. Artawan Eka Putra ◽  
I.G.A Trisna Windiani

Background and purpose: Low birth weight (LBW) is a major cause of neonatal and infant mortality. The Indonesian Demographic and Health Survey indicated that neonatal mortality rate in East Nusa Tenggara was 26 per 1000 live births, 15% of which were caused by low birth weight. This study aims to understand the relationship between age of mother, birth spacing, chronic energy deficiency, presence of concomitant diseases, employment status, anemia, quality of antenatal care and traditional dietary restrictions on the incidence of LBW in Ende District, East Nusa Tenggara.Methods: A case control study was conducted at Ende District in 2015, with a total of 156 respondents. Cases were mothers giving birth to LBW infant (<2500 gram) and controls were mothers giving birth to normal weight infant (?2500 gram). Case and control ratio was 1:1. Data were obtained from antenatal care records and interviews. Data were analysed using bivariate analysis and multivariate with logistic regression.Results: This study found that risk factors of LBW include age of mother <20 or ?35 years (AOR=6.8; 95%CI: 1.87-25.0), traditional dietary restrictions (AOR=6.7; 95%CI: 1.71-26.8), birth spacing <2 years (AOR=6.5; 95%CI: 1.78-24.2), chronic energy deficiency (AOR=5.3; 95%CI: 1.38-21.0), employed (AOR=4.6; 95%CI: 1.44-14.9), anemia (AOR=4.2; 95%CI: 1.37-13.1), malaria infection (AOR=3.9; 95%CI: 1.21-12.7) and low quality of antenatal care (AOR=3.5; 95%CI: 1.11-11.3).Conclusions: Age of mother <20 or ?35 years, traditional dietary restrictions, birth spacing <2 years, chronic energy deficiency, maternal occupation, anemia, malaria infection and low quality of antenatal care are risk factors for LBW in the District of Ende.


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.


Author(s):  
Igor I. Dyumin ◽  
Elena A. Balakireva ◽  
Elena A. Yaroshevich ◽  
Aleksey I. Sevostyanov ◽  
Igor V. Nikolaenko

The number of premature babies, including those with extremely low birth weight (ELBW), is steadily growing every year. In surviving ELBW infants, retinopathy of prematurity (ROP) more often develops, which has a more severe course, depending not only on the degree of immaturity and somatic burden of premature babies but also on the quality of nursing. The aim of this work is to determine the risk factors for ROP progression in profoundly premature ELBW infants to optimize the tactics of their treatment. Materials and methods. We studied the case histories of 155 surviving premature ELBW infants with ROP of various stages treated in perinatal centres of the Belgorod region in 2014-2019. Results. In premature ELBW infants, ROP of varying severity was found to be diagnosed in 90% of cases. The anamnesis of the mothers of the examined patients with moderate and severe ROP was dominated by unfavorable preceding pregnancies (miscarriages, silent miscarriage and ectopic pregnancies, medical abortions).The need for preterm infants in mechanical ventilation was established to depend on the severity of ROP and the duration of mechanical ventilation (p < 0.05). Frequent, not always justified red blood transfusions leading to the replacement of fetal haemoglobin with adult haemoglobin are also essential factors in ROP progression.


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


2019 ◽  
Author(s):  
Nigusse Obse Nebi ◽  
Tolossa Eticha Chaka ◽  
Tilaye Workineh Abebe ◽  
Ephrem Mannekulih M

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


2001 ◽  
Vol 33 (3) ◽  
pp. 391-403 ◽  
Author(s):  
GOBOPAMANG LETAMO ◽  
ROLANG MAJELANTLE

The purpose of this study was to investigate the socioeconomic, biological and behavioural factors influencing low birth weight and prematurity in Botswana. Data were from the Botswana Obstetric Record covering the years 1990 to 1995, and were analysed with both descriptive statistics and multivariate analysis. The study found that the major positive risk factors for low birth weight were: late and less frequent attendance of antenatal care services, having experienced pregnancy termination before, low or no education, unmarried motherhood and place of birth. With regard to prematurity, age, late and less frequent attendance of antenatal care services, unmarried motherhood and place of birth were found to be the major positive risk factors. The importance of early and regular antenatal care attendance, marriage and place of birth cut across both low birth weight and prematurity.


2014 ◽  
Vol 9 (2) ◽  
pp. 83-86
Author(s):  
S S Avachat ◽  
V D Phalke ◽  
S V Kambale

Aims: There is only marginal reduction in proportion of low birth weight babies during last fifteen years. Birth weight is influenced by number of social, economic and demographic factors. The present study was conducted in a rural community to estimate the magnitude of low birth weight and to study the associated sociodemographic factors. Methods: A cross sectional community based study was conducted in six randomly selected villages. Six hundred and fifty two under five children were randomly selected from these villages and data was collected by interviewing mothers of thesechildren with the help of predesigned questionnaire. Information pertaining to age, economic status of mother, antenatal care, birth spacing was collected and significance of these determinants was obtained by appropriate statistical tests. Results: The proportion of low birth weight babies in present study, conducted in a rural community was 18.1%. Significantly large proportion of low birth weight children were born to mothers belonging to lower socioeconomic status and lower educational status. 51% babies were born to mothers with age below 20 years and 25% babies were born with birth interval less than two years. Conclusions: Maternal age, socioeconomic status, antenatal care and short birth spacing are the significant maternal determinants of the birth weight of the baby. Interventions relating to these determinants can reduce the problem of low birth weight in rural area DOI: http://dx.doi.org/10.3126/njog.v9i2.11771


1996 ◽  
Vol 28 (3) ◽  
pp. 339-346 ◽  
Author(s):  
A. Bener ◽  
Y. M. Abdulrazzaq ◽  
A. Dawodu

SummaryThis case-control study was undertaken to determine socio-demographic risk factors for low birth weight in Al-Ain (United Arab Emirates) over a 12-month period in 1992–93. A total of 3485 live births occurred of which 293 (8·4%) were low birth weight. The risk factors considered were mother's occupation, house conditions, place of residence (urban or rural), maternal smoking habits, antenatal care, availability of help in the home, maternal BMI and educational status. Multiple logistic regression analysis showed that mother's occupation, maternal smoking, antenatal care, and lack of help in the home were associated with increased risk of low birth weight.


Author(s):  
Dyah Ekowati ◽  
L. Seri Ani ◽  
IGA. Trisna Windiani

Background and purpose: The prevalence of low birth weight (LBW) in Situbondo District increased from 2.79% in 2008 to 5.85% in 2014. The highest prevalence in 2015 was found in Bungatan Subdistrict (11%). This study aims to determine risk factors of LBW in Bungatan Subdistrict, Situbondo.Methods: A case control study was conducted in Bungatan Subdistrict. A total of 60 infants born at the Bungatan Community Health Centre were included in the study. Cases were infants with LBW and controls were those with normal birth weight. All infants born with LBW were taken as cases (20 infants) while 40 controls were selected using a systematic random sampling. Data were collected from February to March 2016. Data were analysed using bivariate and multivariate with logistic regression test.Results: The majority of respondents were unemployed (80%), aged between 20-35 years during the pregnancy (53.33%), with parity of ?3 (66.67%), low education level (61.67%), anemia during the pregnancy (68.33%), good nutritional status (75.00%), poor nutrition intake during the pregnancy (51.67%) and without pre-eclampsia (88.33%). Parity of >3 increased the risk of LBW (AOR=6.4; 95%CI 1.66 - 24.75). Chronic energy deficiency increased the risk of LBW (AOR=5.6; 95%CI 1.41-22.57).Conclusions: Parity of more than three and chronic energy deficiency increase the risk for LBW in Bungatan Community Health Centre, Situbondo District.


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