A Study of Exclusive Breast Feeding in Premature and Low Birth Weight Infants Less than Six Months of Age in Hillah City Babylon Province

A hospital based descriptive cross-sectional study was conducted to describe the prevalence of exclusive breast feeding in premature and low birth weight infants. The study included 200 infants in Hillah city Babylon Province, whose ages were less than six months. Catchments of these infants was in the neonatal /special care baby units and the general wards in both Hillah General Teaching Hospital and Babil Maternity Teaching Hospital in Babylon Governorate during the period from the first of January 2018 till the end of March 2018. The infants’ mothers came from mixed urban and rural backgrounds. Socio –demographic variables related to infants and their mothers’ obstetric data were recorded. Neonatal data was extracted from the medical records of the labor and neonatal care wards. The study included mothers of all ages, one in six of whom (16%) were teenagers marrying at a young age.52% of the older respondents reported being married during their teenage years. Since all the babies included in the study were either preterm or low birth weight, the mean birth weight was (1894.00±464.15) gm (LBW) and the mean gestational age was (34.42±2.84) weeks (preterm).The study outlined three main groups of reasons in order of frequency for quitting exclusive breast feeding, the first group involved the following reasons (milk was of poor quality, breast milk causes jaundice or diarrhea or a previous child didn't thrive on breast feeding) (53.7%), the second group covered reasons related to (advice from doctor/medical staff, or non-medically qualified person) (22%)and the third group was because of (LBW and prematurity per se)(14.6%).

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Pre-discharge growth pattern of very low birth weight infants (VLBW): A 5 year single center experience

Journal of Neonatal-Perinatal Medicine ◽

10.3233/npm-200592 ◽

2020 ◽

pp. 1-6

Author(s):

S.H. Elbeely ◽

M.A. AlQurashi

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Gestational Age ◽

Growth Pattern ◽

Very Low Birth Weight ◽

Single Center ◽

Low Birth Weight Infants ◽

Cross Sectional ◽

Vlbw Infants ◽

The Mean

BACKGROUND: Very low birth weight infants born prematurely are at greater risk for growth delays that lead to Ex-utero Growth Restriction (EUGR) during vulnerable periods of organ structural and functional development. There is considerable evidence that early growth failure has adverse effects on long term neurodevelopment in children which often persists into adulthood. METHODS: This is a single-center cross-sectional study on live newborn infants with birth weight ranges from 500 to 1500 grams (VLBW) and gestational age (GA) between 24–32 weeks who were admitted to NICU at KAMC-Jeddah over a 5 year period (2009–2013). This study aims to evaluate predischarge growth pattern of VLBW infants in terms of weight, head circumference (HC) and length and to identify important variables that have influenced such growth pattern. RESULTS: Of the 135 infants included in the final analysis, 68 (50.4%) were male and 67 (49.6%) were female and the mean gestational age was 28.83±2.064 weeks and the mean birth weight 1166.74±256 grams. Ninety-two infants (68%) had discharge weight at ≤10th percentile and forty four (32%) had their weight >10th percentile. HC was the lowest affected among the anthropometric measurements with 42% ≤10th percentile. In terms of linear growth, 62% had their length ≤10th percentile. Amongst infants born ≤750 grams, 71% and 70% had HC and height at ≤10th percentile respectively, at the time of discharge. BPD was significantly associated with EUGR (p = 0.026). CONCLUSIONS: This study demonstrates that almost 2/3rd of VLBW infants born at KAMC-Jeddah with birth weight ≤750 grams were discharged home with EUGR as demonstrated by their weight, length, and HC ≤10th percentile. BPD was found to be significantly associated with EUGR amongst post-natal factors influencing EUGR.

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Associated Factors to Immunization Timeliness and Completion in Preterm and Low Birth Weight Infants at Essos Hospital Center Yaounde

10.21203/rs.3.rs-110589/v1 ◽

2020 ◽

Author(s):

Marie Kouya ◽

Annie Carole Nga Motaze ◽

Jeannette Epee Ngoué ◽

Arsene Brunelle Sandie ◽

Paul Olivier Koki Ndombo ◽

...

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Very Low Birth Weight ◽

High Rate ◽

Routine Immunization ◽

Low Birth Weight Infants ◽

Cross Sectional ◽

Immunization Practice ◽

The Mean ◽

Hospital Center

Abstract Introduction. Vaccination is very often delayed in premature and low birth weight infants. However, timely vaccination is even more important in the latter because of their increased susceptibility to infection.Objective. To assess immunization practice and factors associated with vaccine promptness and completeness in former preterm and low-birth-weight infants.Methods. We conducted a retrospective analytical cross-sectional study (January 2017 to February 2019). Main measurement : Promptness and completeness at each contact, Statistical analysis was performed using R software version 3.6.2, logistic regression was used to estimate the Odds Ratio (OR) and their 95% Confidence Interval (CI).Results. We recruited 310 children aged 12 to 36 months born before 37 weeks with low birth weight, 163 (52.6%) of whom were female. Two hundred and fifty-three had received the vaccines at the indicated age, with promptness rate of 81.6%, and 97.7% had completed routine immunization at 9 months. The mean age at vaccination initiation was 6 days ±11 and the mean weight at vaccination initiation was 2233g ±494. High prematurity and very low birth weight were associated with a high rate of vaccine delay: 61.5% [OR: 15.56; (CI: 3.22-118.52; p=0.002)] and 66.7% [OR: 19.19; (CI: 4.67-92.52; p<0.001)] respectively. Distance > 5 km with HEC [OR: 3.48; (CI: 1.68-7.47; p=0.001)] was associated with poor vaccination. Women in common-law unions had the lowest vaccine readiness rate (60.6%), (OR: 3.36; CI: 1.006-10.70; p=0.038). The frequency of occurrence of post immunization adverse events was 24.5%, with fever type in 94.7%.Conclusion. Nearly all premature and/or low-birth-weight children hospitalized at Essos Hospital Center had completed routine immunization at 9 months, and the majority had received the vaccines in a timely manner. Similar study is needed in rural area.

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Determinants of exclusive breast-feeding discontinuation in southeastern Brazil, 2008–2013: a pooled data analysis

Public Health Nutrition ◽

10.1017/s1368980020003110 ◽

2020 ◽

pp. 1-8

Author(s):

Edinalva Neves Nascimento ◽

Cláudio Leone ◽

Luiz Carlos de Abreu ◽

Gabriela Buccini

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Breast Feeding ◽

Southeastern Brazil ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Exclusive Breast Feeding ◽

First Time ◽

Pooled Sample ◽

Pacifier Use

Abstract Objective: To analyse the determinants of exclusive breast-feeding (EBF) discontinuation in southeastern Brazil between 2008 and 2013. Design: Secondary cross-sectional data were analysed from three waves of child feeding surveys conducted in the city of Marília, São Paulo, Brazil, in 2008, 2011 and 2013 (n 1645 children under 6 months). Multivariable Poisson regression models were used to test the association between EBF discontinuation and socio-economic, demographic and biomedical factors in a pooled sample and within each survey wave. Setting: Regionally representative cross-sectional survey from Brazil. Participants: The analytical sample included 1645 infants under 6 months old. Results: In the pooled sample, 40·7 % of the infants were exclusively breastfed. Between 2008 and 2013, there was a significant increase in C-section (35·1–42·7 %) and pacifier use (41·4–48·8 %). The determinants of EBF discontinuation in the pooled analysis were mothers working outside the home (adjusted prevalence ratio (APR) = 1·10; 95 % CI 1·00, 1·21), first-time mothers (APR = 1·10; 95 % CI 1·01, 1·20), pacifier use (APR = 1·48; 95 % CI 1·36, 1·61) and low birth weight (APR = 1·17; 95 % CI 1·05, 1·32). Conclusions: Mothers working outside the home, first-time moms, pacifier use and low birth weight were the factors associated with EBF discontinuation. Evidence-based counselling strategies during antenatal and early postpartum care in primary healthcare are needed to address the modifiable determinants of EBF discontinuation and ultimately to improve its rates in southeastern Brazil.

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A Prospective Study on Retinopathy of Prematurity in a Teritiary Care Center

Asian Journal of Clinical Pediatrics and Neonatology ◽

10.47009/ajcpn.2020.8.1.14 ◽

2020 ◽

Vol 8 (1) ◽

pp. 58-60

Author(s):

Mahaboob Basha Kallur ◽

K. Muralidhar

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Retinopathy Of Prematurity ◽

Neonatal Intensive Care ◽

Care Center ◽

Low Birth Weight Infants ◽

Cross Sectional ◽

Retinal Neovascularisation ◽

Premature Babies ◽

Low Birth Weight Babies

Background: Retinopathy of prematurity (ROP) is a vaso-proliferative retinopathy which occurs mostly in premature babies. The pathological change in ROP is peripheral retinal neovascularisation which may regress completely or leave sequelae from mild myopia to bilateral total blindness. International classification of ROP helped in uniform documentation and staging of ROP. In India, the incidence of ROP is between 38 and 51.9 p.c among low-birth-weight infants. Aim & Objectives: To estimate the incidence of ROP among premature and / or low birth weight babies who were born and admitted to neonatal intensive care unit and attending neonatal follow-up clinic.Subjects and Methods:A hospital based, prospective analytical cross-sectional study was conducted in Department of Pediatrics at Shadan Institute of Medical Sciences, Teaching hospital and research center, Hyderabad, Telangana for a period of 6 months from 1st October 2018 to 31st March 2019. Prior to the study initiation, ethical clearance was obtained and written consent was taken from the parents of the respective babies. The study subjects included premature babies (less than or equal to 35 weeks of gestation) or low birth weight babies (less than or equal to 1500 grams). A predesigned, pre-tested, semi-structured proforma was used to collected the data. The data was collected, entered in Microsoft excel-2013 and analyzed using SPSS version-22 (trial). Data was presented in percentages, proportions and figures.Result:The ROP incidence in the study group was reported among 17.1 p.c of the study subjects.Conclusion:Low birth weight and prematurity are important risk factors for ROP.

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Association of early postnatal growth trajectory with body composition in term low birth weight infants

Journal of Developmental Origins of Health and Disease ◽

10.1017/s2040174414000178 ◽

2014 ◽

Vol 5 (3) ◽

pp. 189-196 ◽

Cited By ~ 12

Author(s):

P. Khandelwal ◽

V. Jain ◽

A. K. Gupta ◽

M. Kalaivani ◽

V. K. Paul

Keyword(s):

Body Composition ◽

Birth Weight ◽

Low Birth Weight ◽

Postnatal Growth ◽

Early Infancy ◽

Low Birth Weight Infants ◽

Z Scores ◽

The Mean ◽

And Gender

Growth acceleration or catch-up growth (CUG) in early infancy is a plausible risk factor for later obesity and cardiovascular disease. We postulate that this risk may be mediated by an adverse programming of body composition by CUG in early infancy. The study was aimed at evaluating the association between the pattern of gain in weight and length of term low birth weight (LBW) infants from birth to 6 months, with fat mass percent (FM%) at 6 months. Term healthy singleton LBW infants were enrolled. Baby’s weight and length z-scores were measured at birth and three follow-up visits. Body composition was measured by dual-energy absorptiometry at last visit. A total of 54 babies (28 boys) were enrolled. The mean birth weight and gestation were 2175±180 g and 37.6±0.6 weeks. Follow-up visits were at 1.4±0.0, 3.0±0.3 and 7.2±0.8 months. The proportion of babies who showed CUG [increase in weight for age z-score (∆WAZ)>0.67] from birth to 1.4, 3.0 and 7.2 months was 29.6, 26.4 and 48.5%, respectively. The mean FM% at 7.2 months was 16.6±7.8%. Infants with greater ∆WAZ from birth to 3 and 7.2 months had significantly greater FM% at 7.2 months after adjusting for current age, size and gender. Infants with early CUG (<1.4 months) had higher FM% than infants with no CUG. We conclude that earlier and greater increment in WAZ is positively associated with FM%.

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A STUDY ON FOLLOWUP OF LOW BIRTH WEIGHT BABIES ON EXCLUSIVE BREAST FEEDING UPTO FOUR MONTHS OF AGE

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2016/262 ◽

2016 ◽

Vol 5 (21) ◽

pp. 1128-1132

Author(s):

Srinivasa Sharanappa ◽

Reshmavathi Venkatram

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Breast Feeding ◽

Exclusive Breast Feeding ◽

Low Birth Weight Babies

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THE ANALYSIS OF LOW BIRTH WEIGHT INFANTS IN SINGKAWANG CITY

Jurnal Kesehatan Prima ◽

10.32807/jkp.v12i1.94 ◽

2018 ◽

Vol 12 (1) ◽

pp. 61

Author(s):

U. Evi Nasla Nasla

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Antenatal Care ◽

Total Sample ◽

Low Birth Weight Infants ◽

Chi Square ◽

Cross Sectional ◽

Arm Circumference ◽

Newborn Weight ◽

Chi Square Test

Abstract: The efforts of decreasing the infant mortality is focused on the causes of infant’s death. One of them is the lowest Birth Weight that can be prevented through a quality and comprehensive antenatal care. The factors that affect the occurrence of low birth weight (LBW) in Singkawang city is age, parity, range of pregnancy, arm circumference, antenatal care, anemia history, newborn weight. The objective study was to determine the factors that affect the occurrence of LBW in Singkawang in 2015. This research employed analytical survey research design with retrospectively approach with cross sectional design. The sample used is the case of newborn with LBW as many as 105 with a ratio of 1: 1 with a total sample of 210 babies. The sample was random sampling. The data analysis used Chi Square and logistic regression test. Chi Square test results showed that there was a significant relationship between age, arm circumference, antenatal care of anemia (p = 0.005, p = 0.013, p = 0.020, p = 0.003) with the incidence of LBW. And there was no significant correlation between parity and range of pregnancy (p = 0.805, p = 0.766). This research is expected to be the basis of evaluating the occurrence of LBW thus it can be detected earlier.Keywords: Age; Parity; Antenatal Care; Arm Circumference; Anemia history; Lowest Birt Weight.

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PENGARUH PERAWATAN METODE KANGURU TERHADAP PENINGKATAN SUHU TUBUH BAYI BERAT LAHIR RENDAH DI NICU RUMAH SAKIT GRANDMED LUBUK PAKAM TAHUN 2018

Jurnal Penelitian Kebidanan & Kespro ◽

10.36656/jpk2r.v1i2.86 ◽

2019 ◽

Vol 1 (2) ◽

pp. 6-9

Author(s):

Ika Nur Sapurtri ◽

Dwi Handayani ◽

Maharani Nazmi Nasution

Keyword(s):

Birth Weight ◽

Body Temperature ◽

Low Birth Weight ◽

Sampling Technique ◽

Low Birth Weight Infants ◽

Kangaroo Care ◽

Low Birth Weight Babies ◽

Before And After ◽

Post Test ◽

The Mean

Babies with low birth weight have a temperature that is unstable and prone to hypothermia (temperature <36,5ºC). Cold stress can increase mortality and hamper growth. The warmth of the mother's body or a known method of kangaroo care proved to be an effective heat source for infants born at term or low birth weight. This study aims to determine whether there is influence kangaroo care method to your body temperature low birth weight infants. This type of research is pre experiment with models (one group pre-post test design). The population of this research is all low birth weight babies. Sampling techniques in use purposive sampling, that the sampling technique was based on sample criteria specified by the researchers themselves. In this case the samples found as many as 22 people. Data analysis using paired sample t-test with a level of 95%. The results of this study gained an average prior to 34.7 kangaroo care method, after doing kangaroo care method 36.9. The mean before and after kangaroo care method 2.2273. Based on the analysis results showed pvalue (0.004) <α (0.05), It can be concluded no treatment effect kangaroo method to your body temperature low birth weight infants. Recommendations from this research is the kangaroo care method can be used as one LBW care that can be done by the mothers in raising and maintaining body temperature.

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Hubungan Umur Ibu dengan Kejadian Persalinan Prematur di Wilayah Kerja Puskesmas Kaliangkrik Kabupaten Magelang Tahun 2012

Journal of Health ◽

10.30590/vol1-no2-p91-96 ◽

2014 ◽

Vol 1 (2) ◽

pp. 91

Author(s):

Fatimah Sari ◽

Evy Ernawati ◽

Indartik Indartik

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Preterm Labor ◽

Maternal Age ◽

Sampling Technique ◽

The Body ◽

P Value ◽

Low Birth Weight Infants ◽

Cross Sectional ◽

The Relationship

Background: One of the most common causes of death of neonates are low birth weight (LBW) either at term or preterm (premature). As a result of the premature births, children born will experience a variety of health problems due to lack of maturation of the fetus at birth which resulted in many organs of the body that have not been able to work perfectly. factors that can lead to preterm labor (preterm) or low birth weight infants is mother's first factor is less than 20 years of age or over 35 years . Method: This study aims to determine the relationship between maternal age with the incidence of preterm labor. Objective: This research is the type of observational analytic study with cross sectional approach. The sampling technique using saturated sample and the number of samples in this study were 75 respondents. Result: The results showed no association with maternal age on the incidence of preterm labor Puskesmas Kaliangkrik Magelang Regency in 2012 with a p value of 0.000 (0.000 < 0.05) and the relationship is strong enough that the value of the Contingency Coefficient .431. Conclusion: There is a relationship with the mother's age incidence of preterm labor.

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