scholarly journals The Correlation of Maternal Factors and The Quality of Antenatal Care Services With Low Birth Weight Babies In Health Facilities Level I

2018 ◽  
Vol 3 (1) ◽  
pp. 103
Author(s):  
Wira Meiriza ◽  
Aladin Aladin ◽  
Edison Edison
Keyword(s):  
Birth Weight ◽  
Maternal Health ◽  
Nutritional Status ◽  
Antenatal Care ◽  
Maternal Age ◽  
Economic Status ◽  
Maternal Factors ◽  
Care Services ◽  
Low Birth Weight Babies

Infant Mortality Rate in West Sumatra still increased from 96 cases in 2015 becomes 111 cases in 2016. One of the contributors to this was the case of Low Birth Weight Babies (LBWB), wich is birth weight < 2500 grams. Causative factors of LBWB are derived from maternal factors because it is related to fetal growth, starting from the moment of conception until the baby is born. Maternal health is very influential towards the growth and development of the fetus. In addition, Antenatal Care is also require to monitor maternal health. Antenatal service care quality can detect the occurrence of risk in pregnancy. This study aims to determine the relationship of maternal factors based on maternal age, parity, distance of pregnancy, complications of pregnancy, economic status, nutritional status, anemia status, antenatal care implementation and the quality of antenatal care services with LBWB incidence on health facilities level 1 in Padang City.This study used a comparative cross-sectional design totalling 72 respondents consisting of a group of mothers who gave birth to babies with birth weight < 2500 grams and ≥ 2500 grams using consecutive sampling technique. Then conducted interviews and observations by using questionnaires as well as data processing were carried out using SPSS. The results showed there was a correlation between pregnancy complications (p = 0.033), anemia status (p = 0.016) and the implementation of antenatal care (p = 0.000) with the incidence of LBWB, while the unrelated were maternal age (p = 0.405), parity (p = 1,000), pregnancy distance (p = 1,000), economic status (p = 0.637), nutritional status (p = 0.326), and quality of antenatal care services (p = 0.812).The conclusion of this study is that there is no correlation between the quality of antenatal care services and the incidence of LBWB, and the implementation of antenatal care is the dominant factor related with the incidence of LBWB in Padang City.

scholarly journals Faktor Risiko Bayi Berat Lahir Rendah di Rumah Sakit Umum Daerah Haji Makassar

2020 ◽  
Vol 1 (1) ◽  
pp. 16
Author(s):  
Hatijar Hatijar
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Nutritional Status ◽  
Pregnant Women ◽  
Maternal Age ◽  
Health Workers ◽  
Sampling Technique ◽  
P Value ◽  
Cross Sectional ◽  
Low Birth Weight Babies

Low birth weight babies are babies born with a weight less than 2500 grams. LBW (low birth weight) affects the high mortality rate in infants and is at risk of experiencing obstacles in growth and development. LBW is generally caused due to lack of nutrition and nutritional needs from mother to fetus while pregnant women aged less than 20 years and more than 35 years have the risk of giving birth to LBW. The purpose of this study is to determine the risk factors that cause LBW based on maternal age and nutritional status. The research method used was observational with a cross sectional study approach. The sampling technique was random sampling at the Regional Haji Makassar General Hospital in the January to July 2015 period with a total sample of 65 people. Analysis using the Chi Square Test. The results showed that there was a relationship between maternal age, nutritional status of LBW with a value (p value = 0.00 <α = 0.05). Maternal age and nutritional status are factors that influence low birth weight where the results of the study indicate that there is a relationship between maternal age and nutritional status on the incidence of low birth weight. To reduce the incidence of low birth weight, it is necessary to increase counseling about the causes of low birth weight babies by health workers, especially midwives to pregnant women to prevent the risk of low birth weight birth.

QUALITY OF ANTENATAL CARE AND ITS DOSE–RESPONSE RELATIONSHIP WITH BIRTH WEIGHT IN A MATERNAL AND CHILD HEALTH TRAINING INSTITUTE IN BANGLADESH

2008 ◽  
Vol 40 (3) ◽  
pp. 321-337 ◽  
Author(s):  
SELINA KHATUN ◽  
MAHMUDUR RAHMAN
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Antenatal Care ◽  
Income Status ◽  
Low Birth Weight Babies ◽  
Per Capita ◽  
And Child Health ◽  
Antenatal Visits ◽  
Training Institute

SummaryFour hundred and sixty-five pregnant women and their newborn babies were studied at a maternal and child health training institute in Dhaka, Bangladesh, between July 2002 and June 2003 with the objective of (1) examining the relationship between birth weight and maternal factors, and, if there was a dose–response relationship between quality of antenatal care and birth weight, (2) predicting the number of antenatal visits required for women with different significant characteristics to reduce the incidence of low-birth-weight babies. The study revealed that 23·2% of the babies were of low birth weight according to the WHO cut-off point of <2500 g. Mean birth weight was 2674·19±425·31 g. A low birth weight was more common in younger (<20 years) and older (≥30 years) mothers, the low-income group and those with little or no education. The mean birth weight of the babies increased with an increase in quality of antenatal care. The babies of the mothers who had 6+ antenatal visits were found to be 727·26 g heavier than those who had 1–3 visits and 325·88 g heavier than those who had 4–5 visits. No significant relationship was found between number of conception, birth-to-conception interval, BMI at first visit, sex of the newborn and birth weight. Further, from multiple regression analysis (stepwise), it was revealed that number of antenatal visits, educational level of the mother and per capita yearly income had independent effects on birth weight after controlling the effect of each variable. Using multiple regression analysis, the estimated number of antenatal visits required to reduce the incidence of low-birth-weight babies for women with no education and below-average per capita income status was 6; the number required for women with no education and above-average per capita income status was 5; and that for women with education and with any category of income status was 4 visits. So there is a need to stratify women according to their income and educational status so that, along with other measures, the required number of antenatal visits can be estimated beforehand to reduce the incidence of low-birth-weight babies.

scholarly journals Piecing the evidences: Barriers to utilization of Antenatal Care Services by Currently Married Women in Rural Uttarakhand- A community-based study

2020 ◽  
Vol 32 (1) ◽  
pp. 114-119
Author(s):  
Ruchi Juyal ◽  
Jayanti Semwal ◽  
Sunil Dutt Kandpal ◽  
Ashok Kumar Srivastava ◽  
Deep Shikha ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Rural Areas ◽  
Economic Status ◽  
Married Women ◽  
Chi Square ◽  
Services Utilization ◽  
Care Services ◽  
Chi Square Test ◽  
Area Of Concern

Background: High maternal mortality has always been an area of concern in developing countries. Availability and availment of adequate antenatal care play a significant role in reduction of maternal deaths. Aim & Objective: To know the extent of antenatal care (ANC) services utilization by the currently married women of rural Uttarakhand during their last pregnancy, to find the barriers for utilization of ANC services and correlate the socio-demographic variables with the non-utilization of ANC services. Methods and Material: This correlational study was conducted in rural areas of 3 randomly selected districts in Uttarakhand. Multistage stratified and simple random samplings were used for area selection and PPS technique was used to recruit the participants. Overall, 637 currently married women (CMW) who delivered in last 5 years prior to survey, were interviewed by trained social workers. Chi-square test was used to ascertain association between variables and regression analysis was done to adjust for confounding associations. Results: Overall 496 (77.9%) women availed one or more ANC services during their last pregnancy, but the complete package was availed by only 210 (33%) of the CMW. Majority of the women who did not avail any ANC services were older, illiterate, labourer, spouse of labourer/ unemployed person and belonged to lower socio-economic status. Unawareness was the most commonly cited reason for not availing ANC services followed by financial issues and unfelt need. Conclusions: Women in Uttarakhand are pliant to ANC services, but there is a need to create demand for it by increasing awareness and improving the quality of ANC services.

scholarly journals Socio Economic and Maternal Reproductive factors affecting Low Birth Weight Babies in Central Nepal

2017 ◽  
Vol 36 (3) ◽  
pp. 277-283 ◽  
Author(s):  
Manju Shrestha ◽  
Sweta Kumari Gupta ◽  
Bhawani Kant Sharmah ◽  
Manish Baidya
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Maternal Age ◽  
Maternal Education ◽  
Economic Status ◽  
Tertiary Care ◽  
Reproductive Factors ◽  
P Value ◽  
Cross Sectional ◽  
Low Birth Weight Babies

Introduction: Low Birth weight is one of the most sensitive and reliable predictors of health and also an essential determinant of mortality, morbidity and disability in infancy and childhood. Globally, about one sixth of all newborns are low birth weight (LBW <2500 grams), which is the single most important underlying risk factors for neonatal deaths. It is estimated that 18 million babies are born with Low Birth Weight and half of them are born in south Asia. Over three – quarters of newborns death in Nepal occur in LBW babies. The estimates of prevalence of LBW in Nepal have ranged from 14% in community based studies to 32% in hospital based ones, overall being 27%.Objectives were to study the various socioeconomic and maternal reproductive factors related to low birth weight babies in Central regional part of Nepal.Material and Methods: Cross-sectional and observational study was undertaken from October 2012 to September 2014 comprising of 350 singleton live born baby admitted in NICU of Tertiary Care Teaching Hospital, Chitwan.Results: The common risks factors for LBW were significantly associated with low socio- economic status, maternal age, maternal education, occupation of mother, maternal smoking, maternal alcohol intake, number of ANC visit with significant p-value of <0.05.Conclusion: LBW mostly associated with maternal factors can be addressed directly by improving the socioeconomic factors (maternal age, educational level and economic status) and health status of pregnant women by supplementations, family planning services and female education.J Nepal Paediatr Soc 2016;36(3):277-283

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.

Poor quality of antenatal care services—Is lack of competence and support the reason? An observational and interview study in rural areas of Lao PDR

Midwifery ◽  
2013 ◽  
Vol 29 (3) ◽  
pp. 195-202 ◽  
Author(s):  
Chanthanom Manithip ◽  
Kerstin Edin ◽  
Amphoy Sihavong ◽  
Rolf Wahlström ◽  
Hans Wessel
Keyword(s):  
Antenatal Care ◽  
Rural Areas ◽  
Lao Pdr ◽  
Poor Quality ◽  
Interview Study ◽  
Care Services

scholarly journals Maternal Factors and Utilization of the Antenatal Care Services during Pregnancy Associated with Low Birth Weight in Rural Nepal: Analyses of the Antenatal Care and Birth Weight Records of the MATRI-SUMAN Trial

2018 ◽  
Vol 15 (11) ◽  
pp. 2450 ◽  
Author(s):  
Dilaram Acharya ◽  
Jitendra Singh ◽  
Rajendra Kadel ◽  
Seok-Ju Yoo ◽  
Ji-Hyuk Park ◽  
...  
Keyword(s):  
Birth Weight ◽  
Child Health ◽  
Low Birth Weight ◽  
Antenatal Care ◽  
Service Utilization ◽  
Care Service ◽  
Child Health Service ◽  
Major Public Health Problem ◽  
Maternal Factors ◽  
Rural Nepal

Low birth weight (LBW) remains a major public health problem in developing countries, including Nepal. This study was undertaken to examine the association between LBW and maternal factors and antenatal care service utilization, in rural Nepal, using data obtained for a capacity-building and text-messaging intervention, designed to enhance maternal and child health service utilization among pregnant women, in rural Nepal (“MATRI-SUMAN”). The study used a clustered randomized controlled design and was conducted during 2015–2016. We investigated maternal and antenatal care service utilization determinants of LBW, using a logistic regression model. Of the four hundred and two singleton babies, included in the present study, seventy-eight (19.4%) had an LBW (mean (SD), 2210.64 (212.47)) grams. It was found that Dalit caste/ethnicity, illiteracy, manual labor, a female baby, and having more than four family members were significantly positively associated with LBW. In addition, mothers who did not visit an antenatal care (ANC) unit, visited an ANC < 4 times, did not take iron and folic acid (IFA), de-worming tablets, and mothers that did not consume additional food, during pregnancy, were more likely to have an LBW baby, than their counterparts. The MATRI-SUMAN intervention and availability of a kitchen garden at home, were found to reduce the risk of LBW. Nepalese child survival policies and programs should pay attention to these maternal and antenatal care service utilization factors, while designating preventive strategies to improve child health outcomes.

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