scholarly journals MATERNAL AND CHILD RISK FACTORS ASSOCIATED WITH NEONATAL MORTALITY

2016 ◽  
Vol 25 (4) ◽  
Author(s):  
Maria Aparecida Munhoz Gaiva ◽  
Elizabeth Fujimori ◽  
Ana Paula Sayuri Sato

ABSTRACT This was a cross-sectional study that investigated maternal and child factors associated with neonatal mortality. Data was obtained from the Live Births and Mortality Information Systems integrated by linkage. A total of 9,349 live births and 78 deaths in the neonatal period, which occurred in 2010 in Cuiabá-MT were analyzed. Univariate and multivariate analyzes were performed. In the multiple logistic regression, neonatal mortality was associated with: maternal age less than 20 years; prematurity; low birth weight; Apgar score less than seven at 1 and 5 minutes; and presence of congenital anomaly. The results highlight the need to improve the quality of prenatal care in order to prevent low birth weight and prematurity. The association between neonatal death and low Apgar score at 1 and 5 minutes indicates the importance of investments in delivery care.

Author(s):  
Mariana Fanstone Ferraresi ◽  
Fabricia Oliveira Saraiva ◽  
Priscila Valverde de O. Vitorino ◽  
Ellen De Sousa Lelis ◽  
Andréia Gontijo da Silva Souza ◽  
...  

Low birth weight is appointed as a strong indicator of the health conditions of the population. Objective: evaluate the prevalence of low birth weight and identify factors associated to the low birth weight in a public maternity of a university hospital of Goiânia, Goiás Methods: This is a cross-sectional study conducted from January to July 2011. The association between variables and birth weight was performed by using the Mantel-Haenszel test and factors associated with low birth weight were estimated using logistic regression or fisher test whether appropriated. Results: The results showed a prevalence of children with low birth weight of 34.0%. After multivariate analysis, preterm birth (OR = 18.6, p = 0.000) remained significantly associated to low birth weight. Conclusions: Investment in the quality of maternal and child health is recommended, since these risk factors can be avoided or minimized through a quality attention. Prevalência e fatores associados ao baixo nascer em uma maternidade PÚBLICA O baixo peso ao nascer é apontado como forte indicador das condições de saúde da população. Objetivo: avaliar a prevalência de baixo peso ao nascer e identificar os fatores associados ao baixo peso ao nascer em uma maternidade pública de referência no município de Goiânia-Goiás. Métodos: Trata-se de um estudo de corte transversal, realizado no período de janeiro a julho de 2011. Associação entre as variáveis e o peso ao nascer foi realizada através do teste de Mantel Haenszel e os fatores associados ao baixo peso foram estimados utilizando regressão logística. Resultados: prevalência de crianças com baixo peso de nascimento de 34,0%. Após análise multivariada, o nascimento pré-termo (OR= 18,6; p=0,000) manteve-se significativamente associado ao baixo peso ao nascer. Conclusões: recomenda-se o investimento na qualificação da assistência materno-infantil, visto que muitos destes fatores de risco podem ser evitados ou minimizados por meio de uma atenção de qualidade.


2014 ◽  
Vol 48 (5) ◽  
pp. 778-786 ◽  
Author(s):  
Maria Aparecida Munhoz Gaiva ◽  
Elizabeth Fujimori ◽  
Ana Paula Sayuri Sato

Objective To evaluate the factors associated with neonatal mortality in infant born with low birth weight. Method Cross-sectional study that analyzed data from 771 live births with low birth weight (<2500 g) in the city of Cuiabá, MT, in 2010, of whom 54 died in the neonatal period. We obtained data from the Information System on Live Births and Mortality, by integrated linkage. Results In multiple logistic regression, neonatal mortality was associated with: number of prenatal visits less than 7 (OR=3.80;CI:1,66-8,70); gestational age less than 37 weeks (OR=4.77;CI:1.48-15.38), Apgar score less than 7 at the 1st minute (OR=4.25;CI:1.84-9.81) and the 5th minute (OR=5.72,CI:2.24-14.60) and presence of congenital anomaly (OR=14.39;IC:2.72-76.09). Conclusion Neonatal mortality in infants with low birth weight is associated with avoidable factors through adequate attention to prenatal care, childbirth and infants.



2017 ◽  
Vol 15 (2) ◽  
pp. 169-173 ◽  
Author(s):  
Kamal Prasad Kandel ◽  
Sindhu Kafle

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 low birth-weight (LBW) babies are born every year throughout the world. Though, the health situation of Nepal has improved substantially over the years, the low birth-weight (LBW) rate is still high. The objective of this study was to assess the proportion of low birth weight and identify the associated factors for low birth weight in a live born infant among the institutionally delivered newborns. Methods: A hospital based cross sectional study was conducted in Obstetrics and Gynaecology ward of Bharatpur hospital, Bharatpur, from 17th September to 4th October , 2012. Altogether 480 respondents were taken and respondents were mothers who had delivered newborns in Bharatpur hospital.Results: A total of 480 births occurred during the study period, of which 480 met the study criteria. Among which 9.4% were low birth weight and 90.6% were normal birth weight .Overall mean birth weight was found to be 2.96 kg. Out of total 9.4% newborns were weighing less than 2.50 kg and mean birth weight 2.96kg. Conclusions: This study suggests that there were several factors interplaying which lead to LBW babies; which are age of mother at delivery,weight gain by mother during pregnancy, short, low body mass index and hyperemesis gravidarum was the strongest predictor in this study.


2021 ◽  
Vol 8 (7) ◽  
pp. 1168
Author(s):  
Gurunathan Gopal

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.


2020 ◽  
Author(s):  
Alhassan Sibdow Abukari ◽  
Shamsudeen Mohammed ◽  
Nathaniel Awuni ◽  
Ibrahim Yakubu ◽  
Adam Yakubu ◽  
...  

Abstract Background: Apgar score remains the most effective measure of newborn health outcomes in the first few minutes of delivery and it is useful in diagnosing perinatal asphyxia and metabolic acidosis. Methods: This retrospective cross-sectional study was conducted at the Baptist Medical Centre in the North East Region of Ghana. For the period January 1 to December 31 2018, we extracted information on 3011 women who delivered at the facility from birth records. Binary logistic regression models were used to determine the factors associated with low fifth minute Apgar score, preterm low fifth minute Apgar score, and term low fifth minute Apgar score.Results :Nearly half of the participants had experienced 2 to 5 pregnancies (47.1%) and had given birth to 2 to 5 children (47.7%). Most of the women delivered at 37 weeks gestation or more (87.6%), attended 1 to 4 antenatal care visits (53.2%), and received 1 to 3 doses of sulfadoxine-pyrimethamine (70.9%). The majority of the newborns weighed 2.5kg or more at birth (90.7%), were delivered through the vagina (79.8%), and a little over half of them (51.40%) were males. After adjusting for potential confounders, we found evidence that multigravid women were 0.67 (95% CI 0.49 - 0.90) times less likely to deliver a child with low fifth minute Apgar score while delivery at less than 37 weeks gestation, birth weight of less than 2.5kg, and caesarean delivery were associated with increased odds of low fifth minute Apgar score. For infants born at term, being born to a multigravid mother was protective against low fifth minute Apgar score while delivery through caesarean section increased the odds of low fifth minute Apgar score among this group of newborns. Among preterm infants, our study found strong evidence that those born with low birth weight (<2.5kg) had about 4 times the odds of suffering low fifth minute Apgar score compared to those with normal birth weight.Conclusion:In designing interventions to improve the survival and the Apgar score of newborns, measures to properly diagnose and prevent preterm delivery and low birth weight should be of great concern.


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.


Author(s):  
Silvalia Rahma Pratiwi ◽  
◽  
Hanung Prasetya ◽  
Bhisma Murti ◽  
◽  
...  

ABSTRACT Background: Low birth weight (LBW) has been used as an important public health indicator. LBW is one of the key drivers and indirect causes of neonatal death. It contributes to 60% to 80% of all neonatal deaths, annually. This study aimed to examine association between LBW and neonatal mortality using meta analysis. Subjects and Methods: This was meta-analysis and systematic review. Published articles in 2010-2020 were collected from Google Scholar, PubMed, Springer Link, Hindawi, Clinical Key, ProQuest databases. Keywords used “low birth weight” AND “mortality” OR “birth weight mortality” OR “neonatal death” AND “cross sectional” AND “adjusted odd ratio”. The inclusion criteria were full text, using cross-sectional study design, and reporting adjusted ratio. The data were analyzed by PRISMA flow chart and Revman 5.3. Results: 6 studies were met criteria. This study showed that low birth weight increased the risk of neonatal mortality (aOR= 2.23; 95% CI= 1.12 to 4.44; p= 0.02). Conclusion: Low birth weight increases the risk of neonatal mortality. Keywords: low birth weight, mortality, neonatal death Correspondence: Silvalia Rahma Pratiwi. Masters Program in Public Health. Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 082324820288. DOI: https://doi.org/10.26911/the7thicph.03.113


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