scholarly journals Assessment of Common Maternal Risk Factors in Fetal Malnutrition

2021 ◽  
Vol 6 (1) ◽  
pp. 1377-1382
Author(s):  
Anshu Poudel ◽  
Nisha K Bhatta ◽  
Mohan Chandra Regmi ◽  
Lokraj Shah ◽  
Rajan Paudel

Introduction: Nutritional assessment of the newborn gives the reflection of the growth process in the intrauterine period. The Clinical Assessment of Fetal Nutritional Status score (CAN score) method is only the method to assess the fetal malnutrition which includes the clinical observation for the presence of the sign of malnutrition in newborns. Since the fetal growth is related to availability of intrauterine nutrition and placental function, there may be several maternal factors associated with the fetal malnutrition. Objectives: The main objective of the study was to determine the prevalance of Fetal Malnutrition in term newborns and the role of maternal factors in the etiology of fetal malnutrition (FM) in the Neonatal and Maternity Units of B.P Koirala Institute of Health Sciences, Dharan. Methodology: This was a hospital based observational cross sectional study of consecutive, singleton, term live babies delivered between September 2019 to March 2020. Fetal malnutrition was diagnosed using Clinical Assessment of Fetal Nutritional Status score (CAN score) developed by Metcoff. The maternal history was obtained from the mother which included age, parity, socioeconomic class, pre pregnancy weight, number of antenatal care during pregnancy, history of maternal illness and drugs taken during pregnancy. Nutritional status of the mother was determined using weight, height, mid arm circumference (MAC) and the body mass index (BMI). Collected data was entered in Microsoft excel 2010 and converted it into SPSS 23 version software, for statistical analysis. Results: Of the 400 studied newborns, 73 [18%] had FM. The prevalence of teenage pregnancy, primiparity, lower maternal mid arm circumference and vegetarian diets were higher in the mothers of the babies who had suffered fetal malnutrition than the mothers of the babies without FM (p value <0.05).The adverse maternal condition like Pregnancy induced hypertension (PIH), Antepartum hemorrahge (APH), Urinary tract infection (UTI), fever during pregnancy had significant impact in the fetal malnutrition(p value <0.05). Conclusion: Improvement in the socioeconomic condition of women and good antenatal care could reduce most of the maternal factors associated with fetal malnutrition. There should be implementation of more accessible programs which address the issues of the maternal nutrition and the maternal health care in Nepal. 

2020 ◽  
Vol 3 (2) ◽  
pp. 47-58
Author(s):  
ME Banwat ◽  
NB Noel ◽  
JJ Mamza ◽  
KK Bello ◽  
EE Orya ◽  
...  

Background: Malnutrition is responsible for more than 41 percent of the deaths that occur annually in children from 6-24 months of age in developing countries. Mothers play a vital role in the choice and use of complementary feeds of their children and this is in turn determined by their varied socio-demographics. This study therefore set out to ascertain the maternal factors associated with the nutritional status of children aged 4-24 months attending routine immunization clinics in Jos North Local Government Area of Plateau State.Methods: In this cross-sectional study, multistage sampling technique was used to select 210 mothers of children 4-24 months of age from two immunization clinics in Jos North Local Government Area. Quantitative data was collected from them using an interviewer administered questionnaire and analyzed using Epi Info statistical software version 3.5.4. Statistical associations between maternal factors and nutritional status were determined using Chi-square test and logistic regression analysis based on a p - value of less than or equal to 0.05.Result: The maternal factors associated with the children’s nutritional status included level of education (p = 0.047 for PCV), ethnicity (p = 0.023) and religion (p = 0.007) for food consumption. Also, income (p = 0.004 for food consumption), age group (p = 0.032 for food consumption and p = 0.019 for PCV).Conclusion: It was concluded that more attention needs to be paid by families and governments to improving socioeconomic status of women as a strategy to curbing childhood malnutrition in in Nigeria.


2018 ◽  
Vol 3 (1) ◽  
pp. 103
Author(s):  
Wira Meiriza ◽  
Aladin Aladin ◽  
Edison Edison

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.


2021 ◽  
Author(s):  
Henry Sembatya ◽  
Justine Namuli ◽  
Judith Ajeani ◽  
Sam Ononge

Abstract Background: Psychological distress (PD) among pregnant women has a bearing both on the mother and the outcome of the pregnancy and is thus a public health problem. It is a precursor for other severe mental health conditions that include anxiety, depression, bipolar disorder and so if screened and diagnosed early it can prevent progress to severe mental illness. PD has however not been screened among pregnant women and thus no available data in Uganda. The objective of this study was to determine the prevalence and factors associated with PD among pregnant women at Kawempe hospital Uganda.Methods: A cross sectional study was conducted among 530 pregnant women attending antenatal care at Kawempe hospital Uganda. The SRQ-20 tool was used to screen for PD and data on socio-demographic and clinical factors was collected using a. socio-demographic questionnaire and medical records respectively. Descriptive statistics were applied to determine the prevalence of PD and multivariable logistic regression analysis was used to assess for factors associated with PD among pregnant women.Results: The prevalence of PD was 19.1% , while having a fair/bad relationship with the spouse (P-value =0.007), a low monthly income (p-value = 0.013), and having less than two meals a day (P-value =0.022). were independently associated with PDConclusion: Approximately one in five pregnant women receiving ANC at Kawempe hospital has PD. This study therefore supports the need for integration of mental health assessment into the antenatal care package of women at Kawempe hospital and Uganda at large


2018 ◽  
Vol 1 (3) ◽  
Author(s):  
Okta Vianis

<p>Based on monitoring reports nutritional status of children in Lubuk Kilangan Puskesmas Padang in 2014, from 291 infants who weighed by BB / U, known malnutrition by 10 people (3.44%), malnutrition as many as 54 people (18.56%), and good nutrition as much as 222 (76.3%). The purpose of this study to see if Factors Associated with the Nutritional Status In Toddlers in Sub Bandar Buat Padang District of Lubuk Kilangan 2016.</p><p>Types and methods of this research is analytic survey with cross sectional design. The research was conducted in the village of Lubuk Kilangan Bandar Buat District of Padang in May 2016. The population is all the mothers who have children amounted to 755 people. Samples taken as many as 88 people with cluster random sampling techniques and sample used for the randomization Simple Random Sampling technique. Data collected by using a questionnaire. Processing of data by univariate and bivariate data analysis performed using Chi-Square test.</p><p>The results were obtained over the majority 51.1% children have malnutrition. Mothers who are knowledgeable low of 3.6%, which the family income &lt;1.615 million as much as 47.7%. Mothers who do not give exclusive breastfeeding much as 52.3%. Of test statistics in get a significant relationship between the nutritional status of children with a mother knowledge (p value 0.000), there was a significant relationship between the nutritional status of children with family incomes (p value 0.000), and no significant correlation between the nutritional status of children with exclusive breastfeeding ( p value 0.034).</p><p> It was concluded that there is a relationship between the nutritional status of children with the knowledge of the mother, family income and exclusive breastfeeding in Lubuk Kilangan Puskesmas Padang Year 2016. For the Lubuk Kilangan health center in order to do counseling at least 1 time a month on Nutrition in infants in order to improve knowledge of mothers on nutritional status.</p>


2019 ◽  
Author(s):  
Eskeziaw Kassahun Abebe ◽  
Amanuel Addisu Dessie ◽  
Liknaw Bewket Zeleke

Abstract Objectives Maternal health care services are important for the survival and wellbeing of both mother and infant. In 2015, an estimated 303,000 women died from pregnancy-related complications. The Ethiopian government has implemented strategies to enhance maternal health service utilization, and reduce maternal morbidity and mortality. However, only 20.4% of women initiated the first antenatal care visit before 16 weeks of gestation. Therefore, this study assessed factors associated with late antenatal care visit in Ethiopia. A community based cross-sectional study design was used to examine 4,740 women from the 2016 Ethiopia Demographic and Health Survey data. Odds ratios with corresponding 95% confidence intervals (CI) were computed to examine the strength of an association. In the multivariable analysis, variables with p-value <0.05 were considered as statistically significant. Result The prevalence of late initiation of first antenatal care visit in Ethiopia was 67.3% (65.0%,69.6%). Living in rural areas (AOR= 95% CI:1.19,2.56) and fifth or above birth order (AOR=1.5;95% CI:1.10,2.00) were significantly associated with late antenatal care visit. Consequently, increasing the access and utilization of family planning, and raise an awareness on the benefit of early initiation of first antenatal care visit is recommended.


2017 ◽  
Vol 19 (3) ◽  
Author(s):  
Flora Njiku ◽  
Herman Wella ◽  
Adellah Sariah ◽  
Joyce Protas

Background: Adequate utilization of antenatal health care services is associated with improved maternal and neonatal health outcomes. The World Health Organization recommends pregnant women to attend antenatal care services as early as in the first trimester. However, many women due to various reasons fail to meet the recommendations. The objective of this study was to determine the prevalence and factors associated with late antenatal booking among pregnant women in Lushoto district of north-eastern Tanzania.Methods: This hospital based cross sectional study involved pregnant women and was conducted in August-September 2015. A standardized questionnaire was used to obtain participants demographic characteristics and obstetrics history. Data analysis was done using (SPSS) and relationship between outcome variables and exposure variable was done using Chi-square test. Multivariate logistic regression was used to measure the association.Results: A total of 240 participants were involved in the study.  Out of these, 169 (70.4%) participants booked late for antenatal care (ANC) services. Delayed booking was mainly associated with not being married (AOR=3.08; 95%CI 1.149-8.275; P value=0.025) and unemployment (AOR=4.28; 95% CI 2.11-8.679; p-value=0.000)Conclusion:  Late first antenatal clinic visit was high in Lushoto, and was highly associated with unmarried and unemployment status. Therefore, provision of continuous health education and community sensitization on the importance of timely seeking ANC services should be strengthened.


Sign in / Sign up

Export Citation Format

Share Document