scholarly journals LOW BIRTH WEIGHT DETERMINANTS

2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Legawati Legawati

Latar belakang: Bayi Berat lahir rendah (BBLR) adalah salah satu masalah kesehatan masyarakat utama pada bayi baru lahir yang mempengaruhi bayi baru lahir dengan banyak gangguan kesehatan, seperti hipoglikemia, hipotermia, keterbelakangan mental, fisik, dan masalah perkembangan saraf. Akibatnya, risiko kematian tinggi pada bayi BBLR. Menurut estimasi WHO 2014, 4,53% dari total kematian di Ethiopia disebabkan oleh BBLR. Secara global, 15 hingga 20% bayi baru lahir adalah BBLR; 13% di Afrika sub-Sahara dan 15,9% di sepuluh negara berkembang (Armenia, Kamboja, Kolombia, Indonesia, Yordania, Nepal, Pakistan, Tanzania, Uganda, dan Zimbabwe). Sebagai akibatnya, BBLR melakukan beban luar biasa pada sistem politik, sosial, ekonomi, dan kesehatan baik di negara berkembang maupun negara maju. Oleh karena itu, pada akhir 2025, Badan Kesehatan Dunia menetapkan target kebijakan untuk mengurangi BBLR sebesar 30%. Tujuan : untuk mengidentifikasi determinan dan faktor risiko kejadian bayi berat lahir rendah (BBLR) Metode: PubMed, Web of Science, perpustakaan Cochrane, dan Google Cendekia dicari. Sebuah plot funnel dan uji regresi Egger digunakan untuk melihat bias publikasi. Statistik I-square diterapkan untuk memeriksa heterogenitas studi. Model varian acak-efek terbalik diterapkan untuk memperkirakan prevalensi nasional dan ukuran efek faktor terkait. Analisis subkelompok dilakukan berdasarkan wilayah, desain penelitian, dan tahun publikasi. Hasil: Kesimpulan: Prevalensi bayi berat lahir rendah di Ethiopia tetap tinggi. Tinjauan ini dapat membantu pembuat kebijakan dan petugas program untuk merancang intervensi pencegahan kejadian bayi berat lahir rendah.

2018 ◽  
Vol 10 (2) ◽  
pp. 72-78 ◽  
Author(s):  
Ensiyeh Jenabi ◽  
Bita Fereidooni

Background: Many observational services have been conducted to evaluate the risk factors of low birth weight, but the results showed no consistency. Therefore, we conducted this meta-analysis to investigate the association between endometriosis (body mass index) and the risk of low birth weight. Methods: Relevant works that were published in major international electronic databases such as PubMed, Scopus, Web of Science, LILACS, SciELO, and Cochrane were systematically searched until February 2018. Begg’s and Egger’s tests were used to determine publication bias in included studies. The random-effects model was carried out to determine the odds ratio. Results: A meta-analysis of the 12 studies proposed a significant association between endometriosis and the risk of low birth weight (odds ratio = 1.34, 95% confidence interval = 1.08–1.60). The subgroup analysis was carried out based on the design, adjusted form, and use of assisted reproductive technology in studies. The pooled results based on subgroup analysis in case–control and cohort studies were 1.46 (0.79–2.12) and 1.32 (1.02–1.62), respectively. There was significant correlation between endometriosis and low birth weight in cohort studies. Also, heterogeneity was not reported among studies in the subgroup based on adjusted form. There was no significant correlation between endometriosis and low birth weight in studies using assisted reproductive technology methods Conclusion: The systematic review and meta-analysis showed that endometriosis increases the risk of low birth weight. Therefore, it is a risk factor for low birth weight.


2020 ◽  
Vol 28 (1) ◽  
pp. 55-65
Author(s):  
Gabriela Ribeiro Barros de Farias ◽  
Celina Maria Colino Magalhães

O presente trabalho apresenta uma revisão integrativa da produção científica nacional e internacional, dos últimos cinco anos, sobre estudos existentes na literatura que abordem a correlação entre a maternidade na adolescência ao nascimento de um bebê prematuro e de baixo peso. Foram acessadas publicações indexadas nas bases de dados Lilacs, Pubmed Central, SciELO (Web of Science), e Scopus (Elsevier), através dos descritores: adolescent, mother, baby ou infant newborn, preterm e low birth weight em artigos de língua inglesa e portuguesa. Entre 206 publicações encontradas, 11 trabalhos foram selecionados de acordo com os critérios de inclusão e por avaliação entre juízes, os quais permitiram compreender temáticas especificas da maternidade adolescente frente ao parto prematuro e de baixo peso ao nascimento. Algumas temáticas foram destacadas como: aspectos emocionais das mães, questões psicossociais, associação entre IMC (índice de massa corporal – peso) materno (pré e peri gestacional) as taxas relativas do nascimento prematuro e/ou baixo peso do bebê e o risco da maternidade adolescente e suas comorbidades. Conclui-se que programas de acompanhamento para prevenção da gravidez adolescente, educação em saúde são essenciais para minimizar as taxas de nascimentos prematuros e com baixo peso, assim como a assistência pré-natal direcionada a problemática relativa a condição de saúde do adolescente.


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