scholarly journals Maternal factors of low birth weight babies in an antenatal care hospital in Bangladesh

2020 ◽  
Vol 5 (4) ◽  
pp. 271-279
Author(s):  
Musammet Rasheda Begum ◽  
Soma Chowdhury Biswas

Low birth weight (LBW) has been considered as the strongest predictor of child morbidity and mortality. The goal of this study was to inspect the socio-demographics and nutritional status of mother and its impact on neonatal birth weight. A cross-sectional study was conducted among 85 mothers with third trimester’s pregnancy period of age between 17 to 35 years in maternal health care centers at Chittagong, Bangladesh. Average age of mothers was 24 04 years and age at marriage it was 18 03 years. Height and MUAC of the respondents were 153 5.37 cm and 25.53 3.09 cm respectively. Half of participants suffered from anemia (Hb level <11 g/dL). Average birth weight was 2759.7 561.42 g. The preterm birth was 10.6% and about 22.35% babies delivered by C section. Twenty eight percent of offspring were born with low birth weight (LBW), among the LBW babies, 11.76 % were born at home and 16.47 % at hospital. Maternal height (AOR: 2.79; 95% CI: 1.02-8.44), Mid Upper Arm Circumference (MUAC) (AOR 2.73; 95% CI 1.03-8.01) and gestational age (AOR 8.92, 95% CI: 1.76-45.16) were significantly associated with LBW of babies after adjusting the education level of mothers. The proportion of LBW was not negligible which still national public health concern in Bangladesh. Proper nutrition and monitoring on gestational length might minimize small size babies. Asian J. Med. Biol. Res. June 2019, 5(4): 271-279

Author(s):  
Renu Sulakhe Vasant ◽  
Lavanya K. M. Rao ◽  
Nageswara Rao V.

Background: Low birth weight (LBW) is one of the commonest cause for infant and childhood morbidity and mortality. The majority of low birth weight in developing countries is due to intrauterine growth retardation, while most low birth weight in industrialized countries is due to preterm birth. LBW is the single most important factor determining the survival chances of the child. The objectives of the study were to assess the proportion of low birth weight among babies delivered by mothers at a tertiary care hospital and to analyse the relationship between low birth weight and certain socio-demographic factors.Methods: A cross-sectional study conducted in a tertiary care centre for a period of six months.Results: The prevalence of LBW was 23.5%. The proportion of mothers having low birth weight was maximum in women aged less than 18 years (35%) and more than 30 years (26.5%). Muslim women had a higher proportion of LBW (28.8%). LBW was more in women belonging to joint family (30.0%), low per capita income group and illiterates.Conclusions: The prevalence of LBW still continues to be high, almost one fourth of the babies are LBW. Different socio-demographic characteristics of the population are still the important factors determining the occurrence of LBW.


Author(s):  
Pradip Kumar Bhue ◽  
Himansu Prasad Acharya ◽  
Subrat Kumar Pradhan ◽  
Pratima Biswal ◽  
Amit Pritam Swain ◽  
...  

Background: World Health Organization has defined low birth weight (LBW) as birth weight less than 2,500 grams. Giving birth to a LBW infant is influenced by several factors. Objective of the study was to measure the proportion of low birth weight babies delivered in V.S.S medical college and hospital, Burla and its association with socio-demographic factors.Methods: Hospital based cross -sectional study comprising of 1030 postnatal women who delivered single live baby in V.S.S Medical College and Hospital, Burla. Selection of study participants was done by systematic random sampling in the study period October 2012 to September 2014. Chi-square test was used to measure association between LBW and socio-demographic factors.Results: The proportion of LBW was found to be 27.76%. The proportion of LBW babies was high and significant in extremes of age i.e. teenage (44.19%) and 30 years and above age group (39.56%) and Muslim mothers (36.36%), illiterate mothers (53.52 %), manual labourer (67.14%), socioeconomic class IV and V (32.98%), consanguinity history (60.58%), smoky fuel (30.02%), consumption of tobacco (49.11%).Conclusions: The proportion of LBW (27.76%) was found to be higher than national average (21.5%).


2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Alekaw Sema ◽  
Firehiwot Tesfaye ◽  
Yalelet Belay ◽  
Bezabh Amsalu ◽  
Desalegn Bekele ◽  
...  

Background. Low Birth Weight (LBW) is a serious public health concern in low- and middle-income countries. Globally, 20 million, an estimated 15% to 20% of babies were born with LBW, and, of these, 13% were in sub-Saharan Africa. Although the World Health Assembly targeted to reduce LBW by 30% by the end of 2025, little has been done on and known about LBW. To meet the goal successfully and efficiently, more research studies on the problem are vital. Hence, the aim of this study was to determine the prevalence and the associated factors of LBW in Dire Dawa city, eastern Ethiopia. Objective. The purpose of this study was to assess the prevalence and the associated factors of low birth weight in Dire Dawa City, eastern Ethiopia, 2017. Method. A cross-sectional study designed was conducted, and using a systematic sampling technique, 431 mothers who gave birth in the public hospitals in Dire Dawa city from July 01 to August 30, 2018, were selected. Stillbirth and infants with birth defects were excluded from the study. Well-trained data collectors collected the data using a structured questionnaire which was pretested. The data were analyzed using SPSS Version 22.0. The Adjusted Odds Ratio (AOR) with 95% confidence interval (CI) was applied in multivariate logistic regression models, and p value less than 0.05 was considered as statistical significant. Result. The prevalence of low birth weight was 21%. Not received nutritional counseling during antenatal care (AOR = 2.03, 95% CI: 1.01, 4.06), preterm birth (AOR = 18.48, 95% CI: 6.51, 52.42), maternal smoking (AOR = 3.97, 95% CI: 1.59, 9.88), and height of the mother less than 150 cm (AOR = 3.54, 95% CI: 1.07, 11.76) were significantly associated with Low birth weight. Conclusion. There was a high prevalence of low birth weight in the study area. Effective dietary counseling and additional diet, implementing proven strategies to prevent preterm birth and avoid smoking during pregnancy might decrease the low birth weight and then enhance child survival.


2019 ◽  
Vol 6 (5) ◽  
pp. 2098
Author(s):  
Jyothi S. D. ◽  
Raghavendra Doddamani

Background: Birth weight acts as a crucial sensitive and reliable tool to prevent infant and child morbidity and mortality. There has been a considerable interest in recent years for using simple anthropometric measures as an alternative to birth weight. Objective of the study is to determine the cut off values of the anthropometric measurements and to assess the accuracy of the anthropometric surrogates to identify low birth weight babiesMethods: This is a cross sectional study conducted for a period of one year from 1st Dec 2011 to 31st Nov 2012 at Christian fellowship hospital, Oddanchatram, Dindigal, Tamilnadu. Study population included all the live newborns of term gestation at the hospital. A total of 500 newborns were included in the study during the period. Birth weight of the newborn was measured using spring scale to the nearest 25 grams. Head circumference, Chest circumference, Mid Upper Arm Circumference, Foot Length, Thigh circumference, Calf circumference, Crown-hell length were measured using proper guidelines to the nearest 0.1 cm.Results: In the present study, low birth weight was present in 262 (52.4%) of the newborns. Thigh circumference with cut off value of 15 cm had higher sensitivity and specificity of 97.5% and 80.9% respectively. It was followed by Mid upper arm circumference with cut off value of 10 cm, sensitivity of 81.5% and specificity of 93.9%. Thigh circumference and mid upper arm circumference had high area under curve of 0.949 and 0.855 respectively. All the anthropometric measurements were statistically significant at 5% level of significance.Conclusions: Thigh circumference with a cut off of 15 cm, followed by mid upper arm circumference of 10 cm were the better surrogate anthropometric measurements with better sensitivity, specificity to identify low birth weight babies.


Author(s):  
M. Sheeba Apoorva ◽  
Vimala Thomas ◽  
B. Kiranmai

Background: Birth weight is an important indicator of new born growth, survival and psychosocial development. Globally, more than 20 million are born with low birth weight (LBW) and the prevalence of low birth weight in India is 20%. The study was conducted to find the proportion of low birth weight and the factors influencing the weight of the baby.Methods: A cross sectional study was conducted at Gandhi hospital, Telangana from September to November, 2015 using a semi structured questionnaire among 204 postnatal mothers.Results: Out of 204 live births, 26% were found to be low birth weight. About 44.4% LBW babies are born to teenage mothers and 70% among the mothers with height less than 140 cms. Of the pre-term babies, nearly half of the babies (49.3%) were low birth weight. Around 30.3% of LBW was found with an inter-pregnancy interval of <2 years. About 41.2% of the mothers having complications had low birth weight babies.Conclusions: Nearly one fourth of the newborns were low birth weight. Gender of the child, socioeconomic status, education, gestational age, inter pregnancy interval, medical complications were found to affect the birth weight.


2017 ◽  
Vol 4 (6) ◽  
pp. 2065 ◽  
Author(s):  
Arshiya Rehman Sheikh ◽  
Sushama Subhash Thakre ◽  
Subhash Thakre ◽  
Chaitanya Rangangouda Patil ◽  
Prithvi B. Petkar

Background: In spite of the interventions being taken, low birth weight still persists as a public health problem in low and middle-income countries. World Health Organization defines low birth weight as birth weight less than 2500 gm. There is a constant search to find newer methods to detect low birth weight babies so that early methods can be instituted. This study was conducted to evaluate calf circumference as procedure to screen low birth weight babies in tertiary care hospital in Nagpur. Methods: A cross sectional study was conducted in tertiary care hospital of Nagpur, Maharashtra for a period of 4 months. The study subjects were babies delivered at the hospital. Birth weight was recorded using a digital weighing scale within 24 hours of the delivery. Length, calf circumference, head and chest circumference were measured according to standard guidelines. Results: Majority of mothers were in the age group of 20 to 24 years of age group, were educated up to primary school and belonged to Hindu religion. The mean calf circumference of low birth weight babies was 9.64±1.13 cm and was 10.96±1.01 cm in normal weight babies. The mean values of calf circumference were significantly lower in low birth weight babies (p <0.001). The sensitivity and specificity for the best cut off of calf circumference was found to be 89.97% and 42.86% respectively.Conclusions: Measuring calf circumference was found to be a good test with higher sensitivity but lower specificity. Hence, calf circumference can be used as an alternative method to screen babies born in remote areas, where the facility of weighing the baby at birth is not available.


2021 ◽  
Vol 8 ◽  
pp. 2333794X2110196
Author(s):  
Sitotaw Molla Mekonnen ◽  
Daniel Mengistu Bekele ◽  
Fikrtemariam Abebe Fenta ◽  
Addisu Dabi Wake

Necrotizing enterocolitis (NEC) remains to be the most critical and frequent gastrointestinal disorder understood in neonatal intensive care units (NICU). The presented study was intended to assess the prevalence of NEC and associated factors among enteral Fed preterm and low birth weight neonates. Institution based retrospective cross-sectional study was conducted on 350 enteral Fed preterm and low birth weight neonates who were admitted at selected public hospitals of Addis Ababa from March 25/2020 to May 10/2020. The data were collected through neonates’ medical record chart review. A total of 350 participants were enrolled in to the study with the response rate of 99.43%. One hundred eighty-four (52.6%) of them were male. The majority 123 (35.1%) of them were (32 + 1 to 34) weeks gestational age. The prevalence of NEC was (25.4%) (n = 89, [95% CI; 21.1, 30.0]). Being ≤28 weeks gestational age (AOR = 3.94, 95% CI [2.67, 9.97]), being (28 + 1 to 32 weeks) gestational age (AOR = 3.65, 95% CI [2.21, 8.31]), birth weight of 1000 to 1499 g (AOR = 2.29, 95% CI [1.22, 4.33]), APGAR score ≤3 (AOR = 2.34, 95% CI [1.32, 4.16]), prolonged labor (AOR = 2.21, 95% CI [1.35, 6.38]), maternal chronic disease particularly hypertension (AOR = 3.2, 95% CI [1.70, 5.90]), chorioamnionitis (AOR = 4.8, 95% CI [3.9, 13]), failure to breath/resuscitated (AOR = 2.1, 95% CI [1.7, 4.4]), CPAP ventilation (AOR = 3.7, 95% CI [1.50, 12.70]), mixed milk (AOR = 3.58, 95% CI [2.16, 9.32]) were factors significantly associated with NEC. Finally, the prevalence of NEC in the study area was high. So that, initiating the programs that could minimize this problem is required to avoid the substantial morbidity and mortality associated with NEC.


BMJ Open ◽  
2012 ◽  
Vol 2 (1) ◽  
pp. e000327 ◽  
Author(s):  
Ryosuke Sato ◽  
Hiroshi Watanabe ◽  
Kenji Shirai ◽  
Shigeru Ohki ◽  
Rieko Genma ◽  
...  

2017 ◽  
Vol 15 (2) ◽  
pp. 169-173 ◽  
Author(s):  
Kamal Prasad Kandel ◽  
Sindhu Kafle

Background: Babies with a birth weight of less than 2500 grams, irrespective of the period of their gestation are termed as Low Birth Weight (LBW) babies. Despite consistent efforts to improve the quality of maternal and child health, more than twenty million low birth-weight (LBW) babies are born every year throughout the world. Though, the health situation of Nepal has improved substantially over the years, the low birth-weight (LBW) rate is still high. The objective of this study was to assess the proportion of low birth weight and identify the associated factors for low birth weight in a live born infant among the institutionally delivered newborns. Methods: A hospital based cross sectional study was conducted in Obstetrics and Gynaecology ward of Bharatpur hospital, Bharatpur, from 17th September to 4th October , 2012. Altogether 480 respondents were taken and respondents were mothers who had delivered newborns in Bharatpur hospital.Results: A total of 480 births occurred during the study period, of which 480 met the study criteria. Among which 9.4% were low birth weight and 90.6% were normal birth weight .Overall mean birth weight was found to be 2.96 kg. Out of total 9.4% newborns were weighing less than 2.50 kg and mean birth weight 2.96kg. Conclusions: This study suggests that there were several factors interplaying which lead to LBW babies; which are age of mother at delivery,weight gain by mother during pregnancy, short, low body mass index and hyperemesis gravidarum was the strongest predictor in this study.


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