scholarly journals Faktor risiko yang berhubungan dengan kejadian berat badan lahir rendah pada neonatus yang dirawat di RSUP Prof. Dr. R. D. Kandou periode Januari 2015-Juli 2016

e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Enny Susilowati ◽  
Rocky Wilar ◽  
Praevilia Salendu

Abstract: Infants with low birth weight is a complex issue and has contribution in the high rate of morbidity and mortality, disability, various disorders or inhibition of growth and cognitive development as well as other chronic diseases. This study was aimed to obtain the risk factors associated with low birth weight of neonates at Prof. Dr. R. D. Kandou Hospital in Manado from January 2015 to July 2016. This was a descriptive retrospective study with a field survey method. Samples were patients diagnosed as low birth weight neonatus treated at Department of Pediatrics of Prof Dr. R. D. Kandou Hospital Manado from January 2015 to July 2016. The results showed that based on maternal risk factors (age, parity, maternal infection, premature, multiple pregnancy and history of low birth weight neonates), fetal and placental (congenital abnormalities) factors, and environmental factors (smoker and drunk), the most frequent risk factor was prematurity. Conclusion: In this study, the most frequent risk factor of low birth weight infant was prematurity Keywords: low birth weight, rick factors, neonate Abstrak: Bayi dengan berat badan lahir rendah (BBLR) merupakan masalah yang sangat kompleks dan memberikan kontribusi dalam hal tingginya angka morbiditas dan mortalitas, kecacatan, gangguan atau terhambatnya pertumbuhan dan perkembangan kognitif, serta penyakit kronis dikemudian hari. Penelitian ini bertujuan untuk mengetahui faktor risiko yang behubungan dengan kejadian BBLR pada neonatus yang dirawat di RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2015-Juli 2016. Jenis penelitian ialah deskriptif retrospektif dengan metode survei lapangan. Sampel penelitian ialah pasien neonatus dengan BBLR yang dirawat di Bagian Ilmu Kesehatan Anak RSUP Prof. Dr. R. D. Kandou Manado pada bulan Januari 2015- Juli 2016. Hasil penelitian memperlihatkan berdasarkan faktor risiko ibu (usia, paritas, infeksi, kelahiran prematuritas, kehamilan ganda, dan riwayat BBLR sebelumnya), janin dan plasenta (kelainan bawaan), dan lingkungan (rokok dan akohol) didapatkan faktor risiko tersering ialah prematuritas. Simpulan: Dalam studi ini, faktor risiko tersering yang berhubungan dengan kejadian BBLR ialah prematuritas.Kata kunci: BBLR, faktor risiko, neonatus

2018 ◽  
Vol 21 (04) ◽  
pp. 745-749
Author(s):  
Sikandar Ali Bhand ◽  
Farzana Sheikh ◽  
Abdul Rehman Siyal ◽  
Muhammad Akber Nizamani ◽  
Muhammad Saeed

… Objective: To determine the presenting features and assessment of the neonateswith hypoglycemia along with maternal and neonatal risk factors for hypoglycemia. Subjects &methods: All consecutive neonates with hypoglycemia admitted were included in the study.Demographic characteristics of the mothers and their babies, past medical history and illnessesduring pregnancy especially that, of diabetes mellitus and duration, details of the management oflabour and place of delivery, birth asphyxia as well as history of feeding prior to admission. All therisk factors and clinical features were documented. Results: From presenting features neonateswere most common temperature instability 32% of the neonates. Maternal risk factors were asMaternal diabetic mellitus, Intrapartum administration of glucose , Maternal drug uses as: (Betablockers, Oral hypoglycemic agents, Valproate), family history of metabolic disorder and withoutany factors with the percentage 13%, 17%, (15%, 08%, 07%) , 27% and 13% respectively.Neonatal risk factors of the patients were found low birth weight 49%, small gestational age 26%,macrosomia 11%, respiratory distress 32%, sepsis 20%, hypothermia 25%, congenital cardiacabnormalities 4%, endocrine disorder 4%, family history of metabolic disorder 7%, inborn errorsof metabolism 4%, rhesus hemolytic disease 5%, erythroblastosis fetalis 1%, inadequate feeding35% and neonates without factors were 6%. Conclusions: The risk factors associate withneonatal hypoglycemia are, low birth weight, small gestational age, macrodome, respiratorydistress, sepsis, hypothermia and inadequate feeding , and maternal risk factors associate toneonatal hypoglycemia was Eclampsia, Maternal diabetic mellitus, and maternal drug uses


2019 ◽  
Author(s):  
Nigusse Obse Nebi ◽  
Tolossa Eticha Chaka ◽  
Tilaye Workineh Abebe ◽  
Ephrem Mannekulih M

Abstract Back ground: Low birth weight is the major predictor of prenatal mortality and morbidity world wide. It has been defined by the World Health Organization as weight at birth of less than 2,500 grams irrespective of their age. Rate of low birth weight is still high in developing countries like Ethiopia particularly Oromia regional state where adequate primary health care services for maternal and child health are not universally available to all the populations. It is therefore imperative to identify risk factors for low birth weight in various communities in order to come up with feasible intervention strategies to minimize the problem. Methods: Facility based case-control study design was conducted from June-1/2017 to April-30/2018 on 318 mothers with singleton and full term neonates (108 case to 210 control). Semi structured interviewer administered and pretested questionnaire was used by trained data collectors working in delivery ward. The data were entered and analyzed statistical software. Descriptive and bivariate analysis was done. Result The mean maternal age of all study participants was 26.7 years with [SD of 4.8] with mean age for mothers of cases was 25.5 years and for controls was 27.4 years. In bivariet analysis residency being rural (AOR= 1.95 with 95% CI (1.0-3.48), parity ≥2 (AOR= 3.45 (1.89-6.32), number of antenatal care attendance ˂4 visits (AOR= 0.40(0.218-0.73)), birth interval ˂24 moths (AOR= 2.68 (1.45-4.94), history of hypertension (AOR= 0.39(0.18-0.87) and maternal MUAC ˂21cm (AOR=0.38 (0.159-0.91) were found to be statistically significant. Conclusions Variables that were found to have a statically significant relationship with low birth weight were residency being rural, occupation, parity ≥2 & birth interval ≤24months, number of antenatal care attendance ˂4 visits, history of hypertension and maternal MUAC ˂21cm were found to be statistically significant. Key phrases:- Low bith weight, maternal risk factor


2015 ◽  
Vol 53 (200) ◽  
pp. 250-255 ◽  
Author(s):  
Neebha Ojha

Introduction: Low birth weight and preterm birth are the major community health problems in developing countries. They are the major determinants of perinatal survival and infant morbidity and mortality.  The aim of this study was to determine the proportion and the maternal risk factors for low birth weight and preterm birth among hospital deliveries in Tribhuvan University Teaching Hospital. Methods: A cross sectional retrospective study was carried out in the Department of Obstetrics and Gynecology of TUTH. Maternal risk factors like age, parity, ethnicity, history of previous abortion, history of previous cesarean section, antepartum hemorrhage and medical disorders were studied. Information on all births that occurred was extracted from maternity case notes and delivery registers. Results: During the study period, there were 685 singleton live births.  Among these 78(11.4%) were low birth weight and 47(6.9%) were preterm birth. The mean birth weight was 2950 ± 488 gm. The mean weight of female was statistically less compared to male babies (p=0.032). The significant risk factors for LBW were primiparity (OR 2.12; 95%CI 1.25-3.58), Indo-Aryan ethnicity (OR 1.97; 95%CI 1.12-3.45) and history of medical disorder (OR 3.08; 95%CI 1.17-8.12). As for PTB antepartum hemorrhage (OR 8.63; 95%CI 1.99-37.30) and history of medical disorder (OR 3.20; 95%CI 1.04-9.89) were significant risk factors. Conclusions: Parity, ethnicity, and medical disorders were the main risk factors for low birth weight. Antepartum hemorrhage and medical disorders were significant risk factors for preterm birth. Keywords: low birth weight; preterm birth; risk factors.


2020 ◽  
Vol 27 (02) ◽  
pp. 324-329
Author(s):  
Saba Pario ◽  
Haniyah Qamar ◽  
Rozina Mustafa

Low birth weight is a key determinant of infant survival, health and development. Low birth weight infants are at a greater risk of morbidity and mortality than an infant of normal birth weight and create a substantial strain on the healthcare system. Objectives: To determine the frequency of low birth weight at term and maternal contributing risk factors in women attending antenatal clinic at Creek General Hospital Korangi, Karachi. Study Design: Descriptive cross sectional study. Setting: Department of Obstetrics and Gynecology of Creek General Hospital, United Medical and Dental College Karachi. Period: From May 2017 to April 2018. Material & Methods: Those women who gave birth to babies with less than 2500gm at term, were included in the study to ascertain the frequency and risk factors of low birth weight including age, parity, booking status for antenatal care, pre-pregnancy BMI, history of tobacco intake, medical disorders arising in pregnancy like anemia, pregnancy induced hypertension and gestational diabetes mellitus, birth weight and fetal gender. The data was analyzed on SPSS software. Results: The prevalence of term low birth weight was 22%. Percentage of low birth weight babies among teenage mothers was 72.8%, among the studied mothers 67.4% were primipara, 91.5% had standard antenatal care, Pre-pregnancy BMI was found to be normal in 93% of mothers, 9 mothers (7%) had history of tobacco/ betel nut chewing habit. In this study, iron deficiency anemia was found to be most significant factor leading to LBW babies (62 %). 12% and 8% of mothers were diagnosed with Pregnancy induced Hypertension and Gestational Diabetes mellitus respectively. Regarding fetal gender, 68 were females (52.7%) and 61 (47.3%) were males. Conclusion: Low Birth Weight is an important contributing risk factor for perinatal mortality and morbidity in Pakistan. Anemia was found to be most significant risk factor leading to Low birth weight in our study.


2020 ◽  
Vol 7 (7) ◽  
pp. 379-387
Author(s):  
Dr. M. Sarika ◽  
◽  
Dr. Rashmi Vishwakarma ◽  
Dr. Rajasekhar Rao ◽  
◽  
...  

Objective: To study the prevalence of low birth weight babies and to find their association withmaternal risk factors. Methods: This is a hospital-based prospective, observational, conducted inKamineni Hospital, LB Nagar, Hyderabad. Data about maternal exposure to different risk factorswere recorded using a preformed questionnaire. The information included the socio-demographicprofile of the mother and her family, obstetric history of the mother especially about previous births,abortions, pre-pregnancy weight, height, weight gain during pregnancy, antenatal services obtainedby the mother. Results: Out of 286 newborns 77 newborns were of low birth weight i.e., theprevalence of low birth weight in my study was 26.9% Prevalence of low birth weight was more infemale babies, mothers from rural areas, illiterate mothers(40.54), more in mothers who hadpregnancy-induced hypertension(54.28), more in multigravida mothers, more in mothers who hadirregular antenatal check-ups (45.65%) more in mothers who gained less than 6kgs duringpregnancy, more in mothers who had oligohydramnios (50%). Conclusion: This study shows thatbio-demographic and prenatal care variables have the strongest influence in determining the birthweight of a baby. However, Socio-economic and demographic factors are significantly associatedwith prenatal care, which is one of the behavioral factors associated with low birth weight.


Author(s):  
Almira Maharani ◽  
Aditiawarman Aditiawarman ◽  
Widati Fatmaningrum

Introduction: Preterm birth becomes a global problem due to its high rate of morbidity and mortality. In 2010, it is estimated approximately 15 premature birth cases per 100 lives birth in Indonesia. This study aimed to analyze the maternal risk factors towards preterm birth at Universitas Airlangga Hospital Surabaya in 2017-2018.Methods: This was observational analytic study using case-control approach to observe 178 medical records at Universitas Airlangga Hospital Surabaya. The population of this study was women who had preterm and aterm birth. The sample consisted of case group and control group which were convenient to exclusion and inclusion criteria. Univariate analysis was used to observe the relationship between dependent and independent variable. The significance value was p ≤ 0.05. The data were analysed using SPSS.Results: The research samples consisted of 89 case groups and 89 control groups. The case sample characteristic showed that 36% patients had overweight BMI; 62.9% patients had normal/hypotension; 69.7% patients gave birth to male baby; and 82% patients had no history of disease.There was no patient who used drugs and substance abuse (0%). Mothers aged 20 years old and older than 35 years old had OR = 2.13 (95% CI : 1.106-4.11) to become preterm birth. The primiparous women had risk for preterm birth 2.978 folds (95%, CI : 576-5.625) higher.Conclusion: There was a relationship between maternal age and parity to preterm birth. There was no relationship between maternal education, maternal occupation, hemoglobin levels, history of obstetric complications, and multiple pregnancy to preterm birth.


Author(s):  
Dnyaneshwar N. Digole ◽  
A. S. Nagaonkar ◽  
Anant A. Takalkar

Background: Low birth weight is single most important factor determining the survival chances of the child. A high percentage of low birth weight points to deficient health status of pregnant women, inadequate prenatal care and the need for improved care of the newborn. Present hospital based study was undertaken to identify the maternal risk factors associated with low birth weight babies.Methods: The present hospital based descriptive study was conducted at Swami Ramanand Teerth Rural Govt. Medical College and Hospital. The data collection was done during 1st March 2012 to 28th February 2013. All deliveries occurring on alternate days were included in the study which comes to, 1154 deliveries. Data was analysed by using SPSS 16.0 version.Results: The percentage of low birth weight babies was more in primipara mothers (25.53%). The percentage of low birth weight babies was high (34.56%) when pregnancy interval was 1 year. Percentage of low birth weight was maximum among mothers with no antenatal visits (42.93%). Percentage of low birth weight babies was more (38.75%) in mothers who had not consumed iron and folic acid tablets. Percentage of low birth weight babies was higher (35.62%) among mothers who had antenatal history of radiological exposure. Percentage of low birth weight babies was more (30.27%) in mothers who received inadequate afternoon rest.Conclusions: In our study low birth weight was commonly observed in primipara mothers, pregnancy interval less than a year, mothers with no antenatal visits, in mothers who had not consumed iron and folic acid tablets and with history of radiological exposure.


2011 ◽  
Vol 65 (Suppl 1) ◽  
pp. A344-A344
Author(s):  
C. Maliye ◽  
M. Taywade ◽  
S. Gupta ◽  
P. Deshmukh ◽  
B. Garg

KYAMC Journal ◽  
2020 ◽  
Vol 11 (2) ◽  
pp. 77-82
Author(s):  
Mosammat Afroza Jinnat ◽  
Shafi Ahmed ◽  
Sirajum Monira ◽  
Muhammad Mozammel Haque ◽  
Mashura Musharraf ◽  
...  

Background: Preterm Low Birth Weight babies carry relatively higher risk of perinatal and neonatal mortality, retarded growth and development subsequently. In this study, some maternal risk factors were investigated as it seems to be important to study these factors on regional basis. Objective: To find out the maternal risk factors, clinical profile and short term outcome of pre-term low birth weight neonates by gestational age, birth weight, Occipitofrontal Circumference, length, different presentation (asphyxia, hypothermia, feeding difficulties, signs of infection) on admission and the morbidity and mortality of preterm LBW. Materials and Methods: A descriptive type of cross sectional study was done in neonatal ward of Jalalabad Ragib Rabeya Medical College Hospital, Sylhet from May, 2015 to April, 2016. Hundred cases were selected from neonatal ward and 100 controls were selected from obstetrics ward. Results: Among 100 pre-term LBW neonates, 52 were male and 48 were female. Only 22% mother took regular antenatal check up in case group and 55% in control group. Mean gestational age of neonates were 33.3±2.1 weeks. Important risk factors were primi parity (58% in cases vs 34% in control), hypertension (19% vs 5%), pre-eclampsia (26% vs 12%), prolonged rupture of membrane (33% vs 7%), APH (22% vs 0%), acute infection (8% vs 1%), multiple birth (17% vs 2%). Common clinical presentations were prematurity and LBW. Commonest morbidity was feeding problem (70%). The overall survival rate was 87%. Most common cause of death was septicemia (30%). Conclusion: all the identified risk factors were significantly higher in pre-term LBW babies than those of control. KYAMC Journal Vol. 11, No.-2, July 2020, Page 77-82


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