Risk Factors for Low Birth Weight among Neonates Delivered in Public Health Facilities in Adama town, Oromia Regional State, Ethiopia

2019 ◽  
Author(s):  
Nigusse Obse Nebi ◽  
Tolossa Eticha Chaka ◽  
Tilaye Workineh Abebe ◽  
Ephrem Mannekulih M
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Antenatal Care ◽  
Birth Interval ◽  
World Health ◽  
Bivariate Analysis ◽  
Maternal Risk ◽  
Regional State ◽  
History Of

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

scholarly journals NEONATAL HYPOGLYCEMIA

2018 ◽  
Vol 21 (04) ◽  
pp. 745-749
Author(s):  
Sikandar Ali Bhand ◽  
Farzana Sheikh ◽  
Abdul Rehman Siyal ◽  
Muhammad Akber Nizamani ◽  
Muhammad Saeed
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Family History ◽  
Low Birth Weight ◽  
Gestational Age ◽  
Metabolic Disorder ◽  
Maternal Risk Factors ◽  
Diabetic Mellitus ◽  
Maternal Risk ◽  
History Of

… Objective: To determine the presenting features and assessment of the neonateswith hypoglycemia along with maternal and neonatal risk factors for hypoglycemia. Subjects &methods: All consecutive neonates with hypoglycemia admitted were included in the study.Demographic characteristics of the mothers and their babies, past medical history and illnessesduring pregnancy especially that, of diabetes mellitus and duration, details of the management oflabour and place of delivery, birth asphyxia as well as history of feeding prior to admission. All therisk factors and clinical features were documented. Results: From presenting features neonateswere most common temperature instability 32% of the neonates. Maternal risk factors were asMaternal diabetic mellitus, Intrapartum administration of glucose , Maternal drug uses as: (Betablockers, Oral hypoglycemic agents, Valproate), family history of metabolic disorder and withoutany factors with the percentage 13%, 17%, (15%, 08%, 07%) , 27% and 13% respectively.Neonatal risk factors of the patients were found low birth weight 49%, small gestational age 26%,macrosomia 11%, respiratory distress 32%, sepsis 20%, hypothermia 25%, congenital cardiacabnormalities 4%, endocrine disorder 4%, family history of metabolic disorder 7%, inborn errorsof metabolism 4%, rhesus hemolytic disease 5%, erythroblastosis fetalis 1%, inadequate feeding35% and neonates without factors were 6%. Conclusions: The risk factors associate withneonatal hypoglycemia are, low birth weight, small gestational age, macrodome, respiratorydistress, sepsis, hypothermia and inadequate feeding , and maternal risk factors associate toneonatal hypoglycemia was Eclampsia, Maternal diabetic mellitus, and maternal drug uses

scholarly journals Maternal Factors for Low Birth Weight and Preterm Birth At Tertiary Care Hospital

2015 ◽  
Vol 53 (200) ◽  
pp. 250-255 ◽  
Author(s):  
Neebha Ojha
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Preterm Birth ◽  
Low Birth Weight ◽  
Significant Risk ◽  
Maternal Risk Factors ◽  
Maternal Risk ◽  
Medical Disorders ◽  
History Of ◽  
The Mean

Introduction: Low birth weight and preterm birth are the major community health problems in developing countries. They are the major determinants of perinatal survival and infant morbidity and mortality.  The aim of this study was to determine the proportion and the maternal risk factors for low birth weight and preterm birth among hospital deliveries in Tribhuvan University Teaching Hospital. Methods: A cross sectional retrospective study was carried out in the Department of Obstetrics and Gynecology of TUTH. Maternal risk factors like age, parity, ethnicity, history of previous abortion, history of previous cesarean section, antepartum hemorrhage and medical disorders were studied. Information on all births that occurred was extracted from maternity case notes and delivery registers. Results: During the study period, there were 685 singleton live births.  Among these 78(11.4%) were low birth weight and 47(6.9%) were preterm birth. The mean birth weight was 2950 ± 488 gm. The mean weight of female was statistically less compared to male babies (p=0.032). The significant risk factors for LBW were primiparity (OR 2.12; 95%CI 1.25-3.58), Indo-Aryan ethnicity (OR 1.97; 95%CI 1.12-3.45) and history of medical disorder (OR 3.08; 95%CI 1.17-8.12). As for PTB antepartum hemorrhage (OR 8.63; 95%CI 1.99-37.30) and history of medical disorder (OR 3.20; 95%CI 1.04-9.89) were significant risk factors. Conclusions: Parity, ethnicity, and medical disorders were the main risk factors for low birth weight. Antepartum hemorrhage and medical disorders were significant risk factors for preterm birth. Keywords: low birth weight; preterm birth; risk factors.

scholarly journals A study of maternal factors influencing very low birth weight babies

2017 ◽  
Vol 4 (4) ◽  
pp. 1173 ◽  
Author(s):  
Mani Madhavan Sachithanantha Mooorthi ◽  
Balakrishnan Nadesan ◽  
Ezhilarasu Ramalingam ◽  
Sivaraman Thirumalaikumarasamy
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Birth Interval ◽  
Very Low Birth Weight ◽  
Previous History ◽  
P Value ◽  
Maternal Factors ◽  
Maternal Risk ◽  
Vlbw Infants ◽  
History Of

Background: Very low birth weight (VLBW) infants present one of the greatest medical and ethical challenges to the medical field. Although they represent a small percentage of overall birth and NICU admissions, VLBW infants are often the most critically ill and at the highest risk for mortality and long-term morbidity of any NICU patients. The present study was conducted with aim to find out the maternal risk factors related to VLBW of newborn.Methods: This prospective case control study was conducted in Govt. R.S.R.M Lying in Hospital, which is affiliated to Stanley Medical College, during the period from January 2005- December 2005. The data related to maternal and new born variables were collected and evaluated by using Chi square test. P value less than 0.05 was considered as statistically significant.Results: The incidence of VLBW newborns was found to be 2.08%. The most common cause of VLBW is preterm delivery (84%). Maternal factors like age, weight, parity, literacy, mid arm circumference, income, bad obstetric history of the mother and birth interval showed a significant association with the incidence of VLBW of the infants (P <0.05). Antenatal visits, maternal occupation and maternal disease had no significant (P >0.05) influence on the delivery of VLBW babies.Conclusions: In the present study, incidence of VLBW was associated with the maternal factors like age, parity, literacy, nutritional status, income, birth interval and previous history of bad obstetrics. Hence, the study concludes that pregnant women need to be careful of all these above factors so as to avoid VLBW babies. 

scholarly journals “Study of low birth weight babies and their association with maternal risk factors.”

2020 ◽  
Vol 7 (7) ◽  
pp. 379-387
Author(s):  
Dr. M. Sarika ◽  
◽  
Dr. Rashmi Vishwakarma ◽  
Dr. Rajasekhar Rao ◽  
◽  
...  
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Prenatal Care ◽  
Low Birth Weight ◽  
Rural Areas ◽  
Maternal Risk ◽  
Her Family ◽  
Low Birth Weight Babies ◽  
History Of ◽  
Pregnancy Weight

Objective: To study the prevalence of low birth weight babies and to find their association withmaternal risk factors. Methods: This is a hospital-based prospective, observational, conducted inKamineni Hospital, LB Nagar, Hyderabad. Data about maternal exposure to different risk factorswere recorded using a preformed questionnaire. The information included the socio-demographicprofile of the mother and her family, obstetric history of the mother especially about previous births,abortions, pre-pregnancy weight, height, weight gain during pregnancy, antenatal services obtainedby the mother. Results: Out of 286 newborns 77 newborns were of low birth weight i.e., theprevalence of low birth weight in my study was 26.9% Prevalence of low birth weight was more infemale babies, mothers from rural areas, illiterate mothers(40.54), more in mothers who hadpregnancy-induced hypertension(54.28), more in multigravida mothers, more in mothers who hadirregular antenatal check-ups (45.65%) more in mothers who gained less than 6kgs duringpregnancy, more in mothers who had oligohydramnios (50%). Conclusion: This study shows thatbio-demographic and prenatal care variables have the strongest influence in determining the birthweight of a baby. However, Socio-economic and demographic factors are significantly associatedwith prenatal care, which is one of the behavioral factors associated with low birth weight.

scholarly journals Faktor risiko yang berhubungan dengan kejadian berat badan lahir rendah pada neonatus yang dirawat di RSUP Prof. Dr. R. D. Kandou periode Januari 2015-Juli 2016

e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Enny Susilowati ◽  
Rocky Wilar ◽  
Praevilia Salendu
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Multiple Pregnancy ◽  
High Rate ◽  
Survey Method ◽  
Maternal Risk ◽  
Inhibition Of Growth ◽  
History Of

Abstract: Infants with low birth weight is a complex issue and has contribution in the high rate of morbidity and mortality, disability, various disorders or inhibition of growth and cognitive development as well as other chronic diseases. This study was aimed to obtain the risk factors associated with low birth weight of neonates at Prof. Dr. R. D. Kandou Hospital in Manado from January 2015 to July 2016. This was a descriptive retrospective study with a field survey method. Samples were patients diagnosed as low birth weight neonatus treated at Department of Pediatrics of Prof Dr. R. D. Kandou Hospital Manado from January 2015 to July 2016. The results showed that based on maternal risk factors (age, parity, maternal infection, premature, multiple pregnancy and history of low birth weight neonates), fetal and placental (congenital abnormalities) factors, and environmental factors (smoker and drunk), the most frequent risk factor was prematurity. Conclusion: In this study, the most frequent risk factor of low birth weight infant was prematurity Keywords: low birth weight, rick factors, neonate Abstrak: Bayi dengan berat badan lahir rendah (BBLR) merupakan masalah yang sangat kompleks dan memberikan kontribusi dalam hal tingginya angka morbiditas dan mortalitas, kecacatan, gangguan atau terhambatnya pertumbuhan dan perkembangan kognitif, serta penyakit kronis dikemudian hari. Penelitian ini bertujuan untuk mengetahui faktor risiko yang behubungan dengan kejadian BBLR pada neonatus yang dirawat di RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2015-Juli 2016. Jenis penelitian ialah deskriptif retrospektif dengan metode survei lapangan. Sampel penelitian ialah pasien neonatus dengan BBLR yang dirawat di Bagian Ilmu Kesehatan Anak RSUP Prof. Dr. R. D. Kandou Manado pada bulan Januari 2015- Juli 2016. Hasil penelitian memperlihatkan berdasarkan faktor risiko ibu (usia, paritas, infeksi, kelahiran prematuritas, kehamilan ganda, dan riwayat BBLR sebelumnya), janin dan plasenta (kelainan bawaan), dan lingkungan (rokok dan akohol) didapatkan faktor risiko tersering ialah prematuritas. Simpulan: Dalam studi ini, faktor risiko tersering yang berhubungan dengan kejadian BBLR ialah prematuritas.Kata kunci: BBLR, faktor risiko, neonatus

scholarly journals Clinical profile of low birth babies in NICU: a rural tertiary care hospital based study

2017 ◽  
Vol 5 (1) ◽  
pp. 239
Author(s):  
Mrudul Kumar ◽  
Keerti Swarnkar ◽  
Jayant Vagha
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Antenatal Care ◽  
Economic Status ◽  
Educational Status ◽  
Maternal Risk Factors ◽  
Maternal Risk ◽  
Low Birth Weight Babies ◽  
Maternal Educational Status

Background: The low birth weight (LBW) infant remains at much higher risk of mortality than the infant at normal weight at birth. In the neonatal period when most infant deaths occur, the proportion of low birth weight infants is the major determinant of the magnitude of mortality rates. Mortality and morbidity among low birth weight babies are a major public health problem in our country. It is important to identify risk factors associated with LBW babies.Methods: Prospective observational study was conducted on 222 neonates with low birth weight admitted in Neonatal intensive care unit (NICU) of Acharya Vinoba Bhave Rural Hospital, Jawaharlal Nehru Medical College, Sawangi Meghe, Wardha from September 2015 to August 2017. Maternal risk factors and neonatal morbidities were recorded. The study was designed to assess the risk factors of LBW babies and their short-term outcome.Results: 222 low birth weight babies were studied, among which 36(16.22%) were weighed less than 1500 grams and 186 (83.78%) were 1500-2500 grams. The most common maternal risk factors which were associated with very low birth weight were low socio-economic status, occupations with more strenuous activity, low maternal educational status, poor antenatal care, poor pregnancy weight gain and chronic illnesses. Anemia was present in 99 (44.595%) mothers. Among other risk factors during pregnancy oligohydramnios was present in 43 (19.369%) mothers, followed by preeclampsia in 42 (18.918%) mothers and pyrexia in 31 (13.963%) mothers. 166 (74.76%) babies are small for gestational age (SGA) babies. Overall mortality rate was 40.54%.Conclusions: Most of LBW babies are SGA babies. Low socio-economic status, low maternal educational status and poor antenatal care were the important risk factors. Morbidity and mortality of low birth weight babies could be reduced considerably by proper health education, improved antenatal care, prompt identification of high risk pregnancies, proper referral, better nursing care and management.

scholarly journals Maternal risk factors and its association with low birth weight: a study from rural area of Maharashtra

2019 ◽  
Vol 6 (7) ◽  
pp. 2783
Author(s):  
Dnyaneshwar N. Digole ◽  
A. S. Nagaonkar ◽  
Anant A. Takalkar
Keyword(s):  
Risk Factors ◽  
Folic Acid ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Maternal Risk Factors ◽  
Maternal Risk ◽  
Low Birth Weight Babies ◽  
History Of ◽  
Iron And Folic Acid ◽  
Antenatal Visits

Background: Low birth weight is single most important factor determining the survival chances of the child. A high percentage of low birth weight points to deficient health status of pregnant women, inadequate prenatal care and the need for improved care of the newborn. Present hospital based study was undertaken to identify the maternal risk factors associated with low birth weight babies.Methods: The present hospital based descriptive study was conducted at Swami Ramanand Teerth Rural Govt. Medical College and Hospital. The data collection was done during 1st March 2012 to 28th February 2013. All deliveries occurring on alternate days were included in the study which comes to, 1154 deliveries. Data was analysed by using SPSS 16.0 version.Results: The percentage of low birth weight babies was more in primipara mothers (25.53%). The percentage of low birth weight babies was high (34.56%) when pregnancy interval was 1 year. Percentage of low birth weight was maximum among mothers with no antenatal visits (42.93%). Percentage of low birth weight babies was more (38.75%) in mothers who had not consumed iron and folic acid tablets. Percentage of low birth weight babies was higher (35.62%) among mothers who had antenatal history of radiological exposure. Percentage of low birth weight babies was more (30.27%) in mothers who received inadequate afternoon rest.Conclusions: In our study low birth weight was commonly observed in primipara mothers, pregnancy interval less than a year, mothers with no antenatal visits, in mothers who had not consumed iron and folic acid tablets and with history of radiological exposure.

scholarly journals P2-445 Maternal risk factors associated with low birth weight in Wardha, India

2011 ◽  
Vol 65 (Suppl 1) ◽  
pp. A344-A344
Author(s):  
C. Maliye ◽  
M. Taywade ◽  
S. Gupta ◽  
P. Deshmukh ◽  
B. Garg
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Maternal Risk Factors ◽  
Maternal Risk ◽  
Factors Associated

scholarly journals Maternal Risk Factors, Clinical Profile and Short-Term Outcome of Pre-Term Low Birth Weight Babies

KYAMC Journal ◽  
2020 ◽  
Vol 11 (2) ◽  
pp. 77-82
Author(s):  
Mosammat Afroza Jinnat ◽  
Shafi Ahmed ◽  
Sirajum Monira ◽  
Muhammad Mozammel Haque ◽  
Mashura Musharraf ◽  
...  
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Maternal Risk Factors ◽  
Short Term ◽  
Term Outcome ◽  
Maternal Risk ◽  
Short Term Outcome ◽  
Low Birth Weight Babies ◽  
Neonatal Ward

Background: Preterm Low Birth Weight babies carry relatively higher risk of perinatal and neonatal mortality, retarded growth and development subsequently. In this study, some maternal risk factors were investigated as it seems to be important to study these factors on regional basis. Objective: To find out the maternal risk factors, clinical profile and short term outcome of pre-term low birth weight neonates by gestational age, birth weight, Occipitofrontal Circumference, length, different presentation (asphyxia, hypothermia, feeding difficulties, signs of infection) on admission and the morbidity and mortality of preterm LBW. Materials and Methods: A descriptive type of cross sectional study was done in neonatal ward of Jalalabad Ragib Rabeya Medical College Hospital, Sylhet from May, 2015 to April, 2016. Hundred cases were selected from neonatal ward and 100 controls were selected from obstetrics ward. Results: Among 100 pre-term LBW neonates, 52 were male and 48 were female. Only 22% mother took regular antenatal check up in case group and 55% in control group. Mean gestational age of neonates were 33.3±2.1 weeks. Important risk factors were primi parity (58% in cases vs 34% in control), hypertension (19% vs 5%), pre-eclampsia (26% vs 12%), prolonged rupture of membrane (33% vs 7%), APH (22% vs 0%), acute infection (8% vs 1%), multiple birth (17% vs 2%). Common clinical presentations were prematurity and LBW. Commonest morbidity was feeding problem (70%). The overall survival rate was 87%. Most common cause of death was septicemia (30%). Conclusion: all the identified risk factors were significantly higher in pre-term LBW babies than those of control. KYAMC Journal Vol. 11, No.-2, July 2020, Page 77-82

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