Maternal, fetal and new born outcomes in pre-eclampsia and eclampsia: a hospital based study

Background: Pre-eclampsia /Eclampsia are becoming a leading cause of maternal and neonatal morbidity and mortality in developed and developing countries. Developing countries are at higher risk of facing this problem.Objective: To assess the maternal, fetal / newborn outcome of pre-eclampsia and eclampsia among mothers admitted in maternity ward of BPKIHS. Methods: This is a hospital based cross sectional study carried out in maternity ward at BPKIHS. A total 150 pregnant women (diagnosed of preeclampsia/eclampsia cases-75 and controls -75) included using purposive sampling technique. Data was collected using self-developed pretested, semi structured performa by the interview. Detailed physical examination and observations were also done. Results: Preterm delivery, early rupture of membrane, need for an assisted vaginal delivery (vacuum and forceps) and caesarean delivery, were significantly higher in cases than controls (P < 0.001). Abnormal range of fetal heart rate, still birth, intrauterine fetal death, birth asphyxia ,need for resuscitation, low birth weight and intrauterine growth retardation were significantly higher in cases than controls (P <0.001). Conclusion: Maternal, fetal and newborn outcome such as preterm delivery, caesarean section, birth asphyxia, low birth weight and intrauterine fetal death are more common seen among women who were diagnosed with preeclampsia /eclampsia than normal pregnancy. It is very important of early identification and prompt management to prevent complication of both mother and fetus.Health Renaissance 2014;12(2): pp: 106-110

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Maternal anaemia and its impact on perinatal outcome in a tertiary care hospital in Pakistan

Eastern Mediterranean Health Journal ◽

10.26719/2004.10.6.801 ◽

2004 ◽

Vol 10 (6) ◽

pp. 801-807

Author(s):

F. W. Lone ◽

R. N. Qureshi ◽

F. Emmanuel

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Preterm Delivery ◽

Perinatal Outcome ◽

Fetal Death ◽

Intrauterine Fetal Death ◽

Care Hospital ◽

Apgar Scores ◽

Maternal Anaemia ◽

Increased Risk

Maternal anaemia is a common problem in pregnancy, particularly in developing countries. We investigated the relationship between maternal anaemia and perinatal outcome in a cohort of 629 pregnant women from October 2001 to 2002. Of these, 313 were anaemic [haemoglobin < 11 g/L]. Perinatal outcomes included preterm delivery, low birth weight, intrauterine growth retardation, perinatal death, low Apgar scores and intrauterine fetal death. Univariate and multivariate analyses were performed. The risk of preterm delivery and low birth weight among the anaemic women was 4 and 1.9 times more respectively than the non-anaemic women. The neonates of anaemic women also had 1.8 times increased risk having low Apgar scores at 1 minute and there was a 3.7 greater risk of intrauterine fetal death among the anaemic women than the non-anaemic women

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Analisis faktor kejadian wasting pada anak balita 12-59 bulan di Puskesmas Bulili Kota Palu: Studi cross sectional

AcTion Aceh Nutrition Journal ◽

10.30867/action.v6i2.345 ◽

2021 ◽

Vol 6 (2) ◽

pp. 111

Author(s):

Hepti Muliyati ◽

Menis Mbali ◽

Hadidja Bando ◽

Riana Pangestu Utami ◽

Opyn Mananta

Keyword(s):

Public Health ◽

Birth Weight ◽

Low Birth Weight ◽

Public Health Problem ◽

Sampling Technique ◽

P Value ◽

Fisher Exact Test ◽

Important Public Health Problem ◽

Cross Sectional ◽

Exact Test

Wasting on children is an important public health problem because of its considerable impact on their health and growth. This problem could lead to iron deficiency which could induce infection disease and probably lower a child’s intelligence as a long-term effect. This study aimed to analyze factors related to wasting on 12-59 months children in Bulili Public Health Center (PHC), Palu City. The analytical descriptive study designed with a cross-sectional approach was applied in this study. One hundred and twenty-one subject was selected from 283 children with purposive sampling technique. Data were analyzed with chi-square and Fisher exact test with significant (p < 0,05). The result showed that most children with low birth weight experienced wasting with a p-value = 0,000. Most of the children from higher-income families did not experience wasting with a p-value = 0,004. Most children who didn’t receive breastfeeding milk did not experience wasting with a p-value = 0,958. This study concluded a correlation between low birth weight and income to wasting, but breastfeeding practice was not related.

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HUBUNGAN BBLR DAN ASI EKSLUSIF DENGAN KEJADIAN STUNTING DI PUSKESMAS LIMA PULUH PEKANBARU

Jurnal Endurance ◽

10.22216/jen.v3i1.1767 ◽

2018 ◽

Vol 3 (1) ◽

pp. 131

Author(s):

Lidia Fitri

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Exclusive Breastfeeding ◽

Health Centre ◽

Sampling Technique ◽

P Value ◽

Not Given ◽

Cross Sectional ◽

Analysis Study

Stunting is one of the long-term indicators for malnutrition. Stunting prevalence in Indonesia about 37.2%. Babies born with low birth weight is 10.2% and the achievement of exclusive breastfeeding is 30.2%. Survey in Limapuluh Health Centre Pekanbaru, from 18 children who perform measurements, obtained 13 infants suffered stunting. The result of interviews showed that three of them were born with low birth weight (BBLR) and five are not given exclusive breastfeeding. This research is to find-out the correlation between low birth weight (BBLR) and exclusive breastfeeding with stunting in Limapuluh Health Centre Pekanbaru in 2017. This study was a quantitative analysis study used cross sectional strategy. Population consists of 300 people, sample consists of 75 people by accidental sampling technique. Analysis using univariat and bivariate. The result were 25 infant (33,3%) are stunting, 22 infant (29,3%) with low birth weight (BBLR) and not given exclusive breastfeeding are 55 infant (73,3%). There was a significant association between low birth weight (BBLR) with stunting was obtained p value 0.000 and association between exclusive breastfeeding with stunting was obtained p value 0.021 its mean p<0,05. There is a relationship between BBLR and exclusive breastfeeding with stunting events, the Ha accepted. Stunting merupakan salah satu indikasi buruknya status gizi pada anak. Prevalensi stunting di Indonesia sebesar 37,2%. Angka kejadian bayi dengan BBLR sebanyak 10,2% dan pencapaian ASI ekslusif 30,2%. Survey di Puskesmas Lima Puluh kota Pekanbaru Provinsi Riau didapatkan dari 18 orang balita yang di ukur, 13 orang diantaranya mengalami stunting. Hasil wawancara memperlihatkan bahwa 3 orang diantaranya lahir dengan BBLR dan 5 orang tidak diberikan ASI ekslusif. Tujuan penelitian untuk mengetahui hubungan berat badan lahir rendah (BBLR) dan ASI ekslusif dengan kejadian stunting di Puskesmas Lima Puluh Pekanbaru. Jenis penelitian analitik kuantitatif dengan desain cross sectional. Populasi berjumlah 300 orang balita, sampel 75 responden dengan teknik accidental sampling. Analisis data secara univariat dan bivariat. Hasil penelitian diperoleh sebanyak 25 orang (33,3%) balita mengalami stunting, balita dengan BBLR sebanyak 22 orang (29,3%) dan yang tidak diberikan ASI ekslusif sebanyak 55 orang (73,3%). Ada hubungan yang bermakna antara berat badan lahir rendah (BBLR) dengan kejadian stunting dimana p value 0.000 dan terdapat hubungan antara pemberian ASI ekslusif dengan kejadian stunting diperoleh nilai p value 0.021 artinya p<0,05. Dapat disimpulkan terdapat hubungan antara BBLR dan ASI eklusif dengan kejadian stunting, maka Ha diterima.

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Determinan Kejadian Bayi Berat Badan Lahir Rendah (Bblr) di Gorontalo

Jurnal Kesmas Untika Luwuk : Public Health Journal ◽

10.51888/phj.v11i2.39 ◽

2020 ◽

Vol 11 (2) ◽

pp. 37-42

Author(s):

Firdausi Ramadhani ◽

Yanti Hz. Hano

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Family Income ◽

Sampling Technique ◽

Cross Sectional Study ◽

P Value ◽

Sectional Study ◽

Cross Sectional ◽

Purposive Sampling ◽

Low Birth Weight Babies

Penelitian ini bertujuan untuk mengetahui beberapa faktor yang berhubungan dengan kejadian bayi Bayi Berat Badan Lahir Rendah (BBLR) di Wilayah Kerja Puskesmas Limboto Kabupaten Gorontalo. Metode yang digunakan adalah Observasional Analitik dengan pendekatan cross sectional study. Populasi adalah seluruh ibu yang melahirkan berjumlah 853 responden, dengan Sampel yaitu sebanyak 202 responden. Teknik pengambilan sampel menggunakan tekhnik Purposive Sampling. Analisis data menggunakan uji Chi Square. Hasil penelitian menunjukkan proporsi bayi Berat Badan Lahir Rendah (BBLR) 34 responden (16,8%) dan bayi Berat Badan Lahir Normal (BBLN) 168 responden (83,2%). Hasil bivariat didapatkan bahwa ada hubungan pengetahuan (p-value 0,044), pendapatan keluarga (p-value 0,029) dengan kejadian bayi Berat Badan Lahir Rendah (BBLR). Sedangkan, jumlah paritas (p value 0,523), jarak kehamilan (p-value 0,659), dan Kekurangan Energi Kronik (KEK) (p-value 0,637) tidak memiliki hubungan yang bermakna secara statisti dengan kejadian bayi Berat Badan Lahir Rendah (BBLR). This study aims to determine several factors associated with the incidence of low birth weight babies (LBW) in the Limboto Health Center, Gorontalo District. The method used is analytic observational with a cross sectional study approach. The population was all mothers who gave birth totaling 853 respondents, with a sample of 202 respondents. The sampling technique used purposive sampling technique. The results showed that the proportion of Low Birth Weight (LBW) babies was 34 respondents (16.8%) and Normal Birth Weight (BBLN) babies were 168 respondents (83.2%). The bivariate results showed that there was a relationship between knowledge (p value 0.044), family income (p value 0.029) with the incidence of low birth weight babies (LBW). Meanwhile, the parity (p value 0.523), pregnancy distance (p-value 0.659), and Chronic Energy Deficiency (P-value 0.637) did not have a statistically significant relationship with the incidence of Low Birth Weight (LBW).

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Determinants of Birth Asphyxia among Newborns in Amhara National Regional State Referral Hospitals, Ethiopia

10.21203/rs.2.10659/v1 ◽

2019 ◽

Author(s):

Alemwork Desta Meshesha ◽

Muluken Azage ◽

Endalkachew Worku ◽

Getahun Gebre Bogale

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Apgar Score ◽

Neonatal Intensive Care ◽

Birth Asphyxia ◽

Sampling Technique ◽

Health Centers ◽

Instrumental Delivery ◽

Referral Hospitals ◽

Prolonged Labor

Abstract Background Globally, every year, 2.5 million infants die within their first month of life. Neonatal asphyxia is the leading specific cause of neonatal mortality in low- and middle-income countries, including Ethiopia. Therefore, the aim of this study was to identify the determinants of birth asphyxia among newborns admitted in Amhara region referral hospitals, Ethiopia. Methods Facility-based unmatched case-control study was employed among 193 cases and 193 controls of newborns. Newborns admitted to neonatal intensive care units with admission criteria of birth asphyxia and without birth asphyxia were considered as cases (Apgar score<7) and controls (Apgar score>=7) respectively. Data were collected using a structured questionnaire by systematic random sampling technique with proportional allocation, and entered in to Epi-Info version 7 and exported to SPSS version 20 for statistical analysis. Bivariate and multivariable logistic regression models were fitted to identify determinants of birth asphyxia. Results Newborns with low birth weight (<2.5kg) had 8.94 higher odds of birth asphyxia than those whose weight at birth was >=2.5kg at birth (AOR: 8.94, 95% CI: 4.08, 19.56). Newborns born at health centers were 7.36 times more likely to develop birth asphyxia than those born at hospitals (AOR: 7.36, 95% CI: 2.44, 22.13). Newborns born using instrumental delivery were 3.03 times more likely to develop birth asphyxia than those delivered by vaginally (AOR: 3.03, 95% CI: 1.41, 6.49). Newborns from mothers with prolonged labor were 2 times more likely to suffer from birth asphyxia as compared to their counterparts (AOR: 2.00, 95% CI: 1.20, 3.36). Conclusion This study identified prolonged labor, instrumental delivery, delivered at health centers, and low birth weight were identified as determinants of birth asphyxia. Thus, intervention planning towards the identified determinants may be needed to reduce neonatal birth asphyxia.

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Neonatal Outcome Among Adolescent and Adult Pregnancy in a Tertiary Care Center of Nepal

Journal of Nepalgunj Medical College ◽

10.3126/jngmc.v14i2.21541 ◽

2018 ◽

Vol 14 (2) ◽

pp. 56-59

Author(s):

Jyoti Adhikari ◽

Shristi Kharel ◽

Lalita Bahl ◽

Deepal Poudel ◽

Rajesh K.C.

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Preterm Delivery ◽

Adolescent Mothers ◽

Neonatal Outcome ◽

Birth Asphyxia ◽

Adolescent Mother ◽

P Value ◽

The Common ◽

Mother Group

Background: Teenage pregnancy is a common public health problem worldwide which is detrimental to the health of mother and child and has long been considered a high-risk situation. The risk of low birth weight (LBW) and preterm delivery is particularly high among teenagers.Methods: A comparative study was conducted in Nepalgunj Medical College Teaching Hospital, Kohalpur during the period of July 2015 to June 2016. The study was carried out to compare the immediate neonatal outcome and morbidity pattern in neonates of 50 adolescent and 50 adult mothers.Results: In the present study, 84% belonged to adolescent mother group (17-19 years) whereas 50% belonged to adult mother group (20-23 years). Illiteracy was seen more in adolescent mothers (62%) and most were from rural areas (68%). The common immediate neonatal outcome found in adolescent and adult mothers were preterm delivery (96% vs. 52%; p value 0.001), low birth weight (LBW) (70% vs. 38%; p value 0.001). The common neonatal morbidities seen significantly high in neonates of adolescent mothers, viz: Neonatal sepsis (NNS)(54% vs. 20% p value <0.02), apnea (30% vs. 14% P value <0.02), neonatal jaundice(NNJ)(44% vs. 30% p value <0.01) while the other morbidities found were birth asphyxia (20% vs. 14%; p value <0.1), Respiratory distress syndrome (RDS) (36% vs. 24% p value<0.1), anemia (16% vs. 8%; p value <0.1), seizure (10% vs. 8%; p value <0.1), meconium aspiration syndrome (MAS) (6% vs. 18%; p value<0.1) and intrauterine growth retardation(IUGR)(22% vs. 20%; p value <0.5). Similarly mortality was found to be more in neonates of adolescent mothers (14% vs. 8%; p value <0.1).Conclusion: Adolescent pregnant mothers are at risk of having poor neonatal outcome and morbidities like NNS, NNJ, RDS, apnea, IUGR, birth asphyxia, anemia and seizure. JNGMC, Vol. 14 No. 2 December 2016, Page: 56-59

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LOW BIRTH WEIGHT BABIES;

The Professional Medical Journal ◽

10.29309/tpmj/2017.24.08.1003 ◽

2017 ◽

Vol 24 (08) ◽

pp. 1176-1180

Author(s):

Brig® Khalid Mehmood ◽

Ijaz Ali ◽

Syed Hyder Raza

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Gestational Age ◽

Sampling Technique ◽

Cross Sectional Study ◽

Data Collection Tool ◽

Cross Sectional ◽

Normal Birth ◽

Low Birth Weight Babies ◽

Study Setting

Objectives: To determine the proportion of LBW Babies among those deliveredat DHQ Hospital Mirpur. Study design: Descriptive cross sectional study. Setting: DHQ hospitalMirpur AJK. Duration of study: January 2013-May 2013. Sample size: 459 deliveries. Studypopulation: women reporting in Peads OPD of DHQ hospital Mirpur AJ&K with their babiesduring study period. Sampling technique: Convenience method. Data collection tool: Datacollection Performa. Data analysis: SPSS version 14.0.Results: Out of 459 deliveriesconducted at Divisional Head Quarter hospital Mirpur, 149 cases of low birth weight babies(<2500gms) whereas the rest 310 had normal birth weight. Frequency of Low Birth Weight inmale new born babies was high, i.e ratio of male babies were 55% (82) out of 149 individualswhile females were 45% (67). Less than 37 weeks of gestational age, 37% (55) were pretermbabies and 37 – 42 weeks of gestational age, 63% (94) were full term babies.

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

Jurnal Kebidanan Malakbi ◽

10.33490/b.v1i1.205 ◽

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.

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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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Predictors of foeto-maternal outcome of patients with abruptio placenta at Bugando Medical Centre, Tanzania

Tanzania Journal of Health Research ◽

10.4314/thrb.v18i1.3 ◽

2015 ◽

Vol 18 (1) ◽

Author(s):

Dismas Matovelo ◽

Kelvin Nandonde ◽

Anthony Massinde ◽

Richard Rumanyika

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Birth Asphyxia ◽

Cross Sectional Study ◽

Adverse Outcomes ◽

Medical Centre ◽

Cross Sectional ◽

Bugando Medical ◽

Abruptio Placenta ◽

Bugando Medical Centre

Background: Abruptio placenta (AP) is one of the life-threatening obstetric complications for both the foetus and mother. We conducted this study to determine the incidence and predictors of adverse outcomes of abruptio placenta at Bugando Medical Centre (BMC) in northwest Tanzania.Methods: This descriptive cross-sectional study was conducted from October 2012 to April 2013. Women with clinical features of abruptio placenta attending BMC were recruited. Data were collected using a structured checklist and analysed with STATA 11.Results: A total of 3,800 deliveries occurred during study period. The incidence of AP was 2.5% (95/3800). Among patients with AP, 49 (51.6%) delivered by Caesarean section. Three (3.2%) maternal deaths occurred. These deaths were strongly associated with the presence of maternal anaemia (p<0.05), and postpartum haemorrhage (p<0.05). The foetal adverse outcomes were prematurity 78 (82.1%), foetal distress 65 (68.4%), low birth weight 46 (48.4%) and intrauterine foetal deaths 30 (31.6%). Perinatal deaths occurred in 52 (54.7 %) of the cases, and were predicted by low birth weight (p<0.001), vaginal delivery (p=0.001), birth asphyxia (p<0.001), and retroplacental clot (>700ml) (p<0.001).Conclusion: The incidence of AP at BMC is high and characterised by poor maternal and foetal outcomes. Patients with AP should be delivered promptly to improve their survival.

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