A prospective study of maternal risk factors for low birth weight babies in Maiduguri, North-Eastern Nigeria

2014 ◽  
Vol 11 (2) ◽  
pp. 89 ◽  
Author(s):  
IdrisUsman Takai ◽  
BalaMohammed Audu ◽  
Mohammed Bukar
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


2018 ◽  
Vol 10 (1) ◽  
pp. 77-85 ◽  
Author(s):  
Prerna Bansal ◽  
Sandeep Garg ◽  
Hari Prasad Upadhyay

Background: The low birth weight (LBW) is considered as sensitive index of nation’s health and development. Almost a third of the newborn in the South East Asia region is low birth weight. Over three- quarters of newborn deaths in Nepal occur in low birth weight babies. The causes of low birth weight are multi-factorial and birth weight is determined by the interaction of both socio-demographic and biological factors. Aims and Objective: To find out the prevalence of low birth weight babies among institutional deliveries and its association with socio-cultural and maternal risk factors. Materials and Methods: A hospital based cross-sectional study was undertaken comprising of 220 postnatal mothers along with singleton live born baby delivered in College of Medical Sciences and Teaching Hospital, Bharatpur, Nepal during the study period of April 2011 to March 2012. Binary logistic regression was used to find the association between dependent variable (LBW) and independent variables. Model accuracy test in binary logistic regression was done by using Hosmer and Lemeshow Test . To find the strength of binary logistic regression Pseudo R-square was used. Results: Out of 220 respondents, the prevalence of LBW was 23.6% (with 95% CI 21.88 to 25.32%). The risk factors like rest received in afternoon during pregnancy, dietary intake during pregnancy and period of gestation were found to be statistically significant. The odds of having LBW babies was 9.07 times higher in preterm births, 2.44 times higher among mothers who took afternoon rest of less than two hours and 3.44 times higher among those mothers who took dietary intake less or same as before during pregnancy. The variation in LBW due to these factors was found to be 22.9% to 34.4%.  Conclusion: The prevalence of low birth weight was found to be significantly high among institutional deliveries of this region of the country. Socio-cultural and maternal risk factors like rest received in the afternoon during pregnancy, dietary intake during pregnancy and period of gestation were found to be significantly associated with low birth weight babies. The problem of low birth weight babies can be lessened down as most of these factors can be tackled easily by providing adequate and effective antenatal care services with its maximum utilisation as well as home care by emphasising upon education of mothers and family members, hence decreasing infant and child mortality rates. 


2018 ◽  
Vol 6 (1) ◽  
pp. 52
Author(s):  
Raghul Jayaseelan ◽  
Chidambaranathan Sivaprakasam ◽  
Logesvar Palanisamy

Background: Maternal, foetal and placental risk factors have a causative effect in the prematurity and failure to thrive in the early infantile period. Timely diagnosis helps in the anticipation of complications specific to risk factors and managing by impairing their harmful effects on the growth and development of the baby.Methods: The study was conducted prospectively in Department of Paediatrics, Rajah Muthiah Medical College and Hospital, Chidambaram from January 2018 to June 2018. 361 Low birth weight babies were included. Neonates (n=361) weighing less than 2.5 kilograms with parental informed consent are included, whereas those with severe congenital anomaly, systemic disease or infection were excluded from the study. Various known maternal, placental and foetal risk factors are observed during the course of the study. The gestational age of the neonates was estimated using modified Dubowitz scoring. Other factors like mode of delivery of the babies were also noted. Statistical analysis (descriptive statistics) was done by using Microsoft Word 2010.Results: Out of 1040 babies born from January to July 2018, 341 babies weight less than 2.5 kg. Out of which 162 (44.88%) babies were born preterm. Of the full term births 52% were low birth weights The risk factors of the neonates are not mutually exclusive. In the present study 28 maternal risk factors were studied. The prevalence of maternal, fetal and placental risk factors was 85.32%, 74.79% and 6.65% respectively.Conclusions: Period prevalence of low birth weight babies and prematurity is 34.71% and 15.58% respectively. Risk factors are not independent to each other with maternal and foetal risk factors have almost have an effect on nearly three fourths of low birth weight neonates.


2017 ◽  
Vol 5 (1) ◽  
pp. 239
Author(s):  
Mrudul Kumar ◽  
Keerti Swarnkar ◽  
Jayant Vagha

Background: The low birth weight (LBW) infant remains at much higher risk of mortality than the infant at normal weight at birth. In the neonatal period when most infant deaths occur, the proportion of low birth weight infants is the major determinant of the magnitude of mortality rates. Mortality and morbidity among low birth weight babies are a major public health problem in our country. It is important to identify risk factors associated with LBW babies.Methods: Prospective observational study was conducted on 222 neonates with low birth weight admitted in Neonatal intensive care unit (NICU) of Acharya Vinoba Bhave Rural Hospital, Jawaharlal Nehru Medical College, Sawangi Meghe, Wardha from September 2015 to August 2017. Maternal risk factors and neonatal morbidities were recorded. The study was designed to assess the risk factors of LBW babies and their short-term outcome.Results: 222 low birth weight babies were studied, among which 36(16.22%) were weighed less than 1500 grams and 186 (83.78%) were 1500-2500 grams. The most common maternal risk factors which were associated with very low birth weight were low socio-economic status, occupations with more strenuous activity, low maternal educational status, poor antenatal care, poor pregnancy weight gain and chronic illnesses. Anemia was present in 99 (44.595%) mothers. Among other risk factors during pregnancy oligohydramnios was present in 43 (19.369%) mothers, followed by preeclampsia in 42 (18.918%) mothers and pyrexia in 31 (13.963%) mothers. 166 (74.76%) babies are small for gestational age (SGA) babies. Overall mortality rate was 40.54%.Conclusions: Most of LBW babies are SGA babies. Low socio-economic status, low maternal educational status and poor antenatal care were the important risk factors. Morbidity and mortality of low birth weight babies could be reduced considerably by proper health education, improved antenatal care, prompt identification of high risk pregnancies, proper referral, better nursing care and management.


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

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