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Research paper thumbnail of Risk factors associated with low birth weight of neonates among pregnant women deliveries in maternity of SOS and Benadir Hospitals

Benadir University, 2015

Low birth weight (LBW) is a major determinant of morbidity, mortality and disability in newborn a... more Low birth weight (LBW) is a major determinant of morbidity, mortality and disability in newborn and childhood and has a long-term impact on health outcomes in adult life. It results in substantial costs to the health sector and imposes a significant burden on society as a whole. This study sought to determine risk factors associated with LBW deliveries in SOS and Benadir Maternity Hospitals, Mogadishu, Somalia. It focused on LBW and maternal socio-demographic characteristics, lifestyle and medical factors. This was a cross-sectional study which comprised of 211 women who delivered at SOS and Benadir Maternity Hospitals between1st Feb- 31st July 2015.
Non probability, convenience sampling was used to select the study participants; face to face interviews using semi-structured questionnaires were used for data collection. The prevalence of LBW was 11.85%. There was no significant association between low birth weight and the socio-demographic factors except the educational level of primary school and below which was significantly associated with low birth weight (OR=3.24,P=0.025). There was a significant association between LBW and A child born to a mother who used to consume less than three meals per day during pregnancy (OR= 2.13, p=0.034),Non prenatal clinic attendance (OR= 3.37, p<0.002),, gestational age (<37wks) (OR= 28.28, p<0.001), multiple gestation(OR= 1.87, p<0.02), hypertension (OR= 2.79, p<0.001), abdominal pain (OR= 2.03, p<0.03), lower backache (OR=1.97, p=0.02).
The prevalence of LBW in SOS and Benadir Maternity Hospitals (11.85%) was low compared to the previous prevalence rates that have been reported in Kenya. Since most of LBW deliveries in SOS and Benadir Maternity Hospitals were due to preterm delivery, it implies that if proper and timely diagnosis as well as treatment of causes of premature delivery undertaken, the prevalence can be reduced. Therefore, it is important to upscale antenatal clinic services especially on reproductive health education. There is also need to educate pregnant women on signs and symptoms that could predict adverse pregnancy outcomes.

Research paper thumbnail of Risk factors associated with low birth weight of neonates among pregnant women deliveries in maternity of SOS and Benadir Hospitals

Research paper thumbnail of Risk factors associated with low birth weight of neonates among pregnant women deliveries in maternity of SOS and Benadir Hospitals

A thesis submitted in partial fulfillment of MBchB degree offered by Benadir University faculty of Medicine and Surgery’’

ABSTRACT Low birth weight (LBW) is a major determinant of morbidity, mortality and disability in ... more ABSTRACT
Low birth weight (LBW) is a major determinant of morbidity, mortality and disability in newborn and childhood and has a long-term impact on health outcomes in adult life. It results in substantial costs to the health sector and imposes a significant burden on society as a whole. This study sought to determine risk factors associated with LBW deliveries in SOS and Benadir Maternity Hospitals, Mogadishu, Somalia. It focused on LBW and maternal socio-demographic characteristics, lifestyle and medical factors. This was a cross-sectional study which comprised of 211 women who delivered at SOS and Benadir Maternity Hospitals between1st Feb- 31st July 2015.
Non probability, convenience sampling was used to select the study participants; face to face interviews using semi-structured questionnaires were used for data collection. The prevalence of LBW was 11.85%. There was no significant association between low birth weight and the socio-demographic factors except the educational level of primary school and below which was significantly associated with low birth weight (OR=3.24,P=0.025). There was a significant association between LBW and A child born to a mother who used to consume less than three meals per day during pregnancy (OR= 2.13, p=0.034),Non prenatal clinic attendance (OR= 3.37, p<0.002),, gestational age (<37wks) (OR= 28.28, p<0.001), multiple gestation(OR= 1.87, p<0.02), hypertension (OR= 2.79, p<0.001), abdominal pain (OR= 2.03, p<0.03), lower backache (OR=1.97, p=0.02).
The prevalence of LBW in SOS and Benadir Maternity Hospitals (11.85%) was low compared to the previous prevalence rates that have been reported in Kenya. Since most of LBW deliveries in SOS and Benadir Maternity Hospitals were due to preterm delivery, it implies that if proper and timely diagnosis as well as treatment of causes of premature delivery undertaken, the prevalence can be reduced. Therefore, it is important to upscale antenatal clinic services especially on reproductive health education. There is also need to educate pregnant women on signs and symptoms that could predict adverse pregnancy outcomes.

Papers by Abdulfatah Hassan

Research paper thumbnail of Risk factors associated with low birth weight of neonates among pregnant women attending a referral hospital in northern Tanzania

Tanzania Journal of Health Research, 2008

According to the World Health Organization low birth weight (LBW) babies are those born with less... more According to the World Health Organization low birth weight (LBW) babies are those born with less than 2500g. A descriptive retrospective cross-sectional study using existing data from a one-year (2001) block of birth registers of 3464 pregnant women was done at Kilimanjaro Christian Medical Centre in Moshi, Tanzania. The objective was to determine factors associated with LBW and their contribution to the problem. Out of 648 pregnant women who were tested for HIV infection 59 (9.1%) were positive for the infection. Twelve (20.3%) of HIV positive women gave birth to LBW neonates. HIV positive women were twice more likely to give birth to LBW infants than HIV negative ones (χ 2 = 6.7; P<0. 01; OR = 2.4; 1.1, 5.1). Mothers without formal education were 4 times more likely to give birth to LBW neonates than those who had attained higher education (OR= 3.6; 2.2, 5.9). There was a linear decrease in low birth weights of newborns as fraternal educational level increased (χ 2 for linear trend = 42.7; P< 0.01). There was no statistically significant difference among parents' occupations regarding LBW of their newborns. Unmarried mothers were more likely to give birth to LBW neonates as compared to their married counterparts (OR = 1.65; 1.2, 2.2) and the difference was statistically significant (χ 2 =13.0, P< 0.01). Hypertension, pre-eclampsia and eclampsia disease complex had the highest prevalence (46.67%) and population attributable fraction of low birth weight (PAF = 25.2%; CI= 22.0-27.6). Bleeding and schistosomiasis had the same prevalence (33.33%) of LBW babies. Other complications and diseases which contributed to high prevalence of LBW included anaemia (25%), thromboembolic diseases (20%), tuberculosis (17%) and malaria (14.8%). Prevalence of LBW was high in women with premature rupture of membrane (38%), placenta previa (17%) and abruption of placenta (15.5%). LBW was strongly associated with gestational age below 37 weeks (OR = 2; CI=1.5, 2.8) contributing to 42% of LBW deliveries in the study population (PAF = 42.4%: 25, 55). Pregnant women with malnutrition (BMI<18) gave the highest proportions 17% of LBW children followed by underweight (BMI; 18-22) who gave 15.5% of LBW neonates. There was a statistical significant difference between the proportions of LBW infants from mothers who did not receive antenatal care (28.6%) and those who attended for the services (13.8%) (χ 2 = 8.8; P= 0.01). There is need of increasing promotion of reproductive health services in relation to safe motherhood at community level in order to reduce risk factors of LBW.

Research paper thumbnail of Risk factors associated with low birth weight of neonates among pregnant women deliveries in maternity of SOS and Benadir Hospitals

Benadir University, 2015

Low birth weight (LBW) is a major determinant of morbidity, mortality and disability in newborn a... more Low birth weight (LBW) is a major determinant of morbidity, mortality and disability in newborn and childhood and has a long-term impact on health outcomes in adult life. It results in substantial costs to the health sector and imposes a significant burden on society as a whole. This study sought to determine risk factors associated with LBW deliveries in SOS and Benadir Maternity Hospitals, Mogadishu, Somalia. It focused on LBW and maternal socio-demographic characteristics, lifestyle and medical factors. This was a cross-sectional study which comprised of 211 women who delivered at SOS and Benadir Maternity Hospitals between1st Feb- 31st July 2015.
Non probability, convenience sampling was used to select the study participants; face to face interviews using semi-structured questionnaires were used for data collection. The prevalence of LBW was 11.85%. There was no significant association between low birth weight and the socio-demographic factors except the educational level of primary school and below which was significantly associated with low birth weight (OR=3.24,P=0.025). There was a significant association between LBW and A child born to a mother who used to consume less than three meals per day during pregnancy (OR= 2.13, p=0.034),Non prenatal clinic attendance (OR= 3.37, p<0.002),, gestational age (<37wks) (OR= 28.28, p<0.001), multiple gestation(OR= 1.87, p<0.02), hypertension (OR= 2.79, p<0.001), abdominal pain (OR= 2.03, p<0.03), lower backache (OR=1.97, p=0.02).
The prevalence of LBW in SOS and Benadir Maternity Hospitals (11.85%) was low compared to the previous prevalence rates that have been reported in Kenya. Since most of LBW deliveries in SOS and Benadir Maternity Hospitals were due to preterm delivery, it implies that if proper and timely diagnosis as well as treatment of causes of premature delivery undertaken, the prevalence can be reduced. Therefore, it is important to upscale antenatal clinic services especially on reproductive health education. There is also need to educate pregnant women on signs and symptoms that could predict adverse pregnancy outcomes.

Research paper thumbnail of Risk factors associated with low birth weight of neonates among pregnant women deliveries in maternity of SOS and Benadir Hospitals

Research paper thumbnail of Risk factors associated with low birth weight of neonates among pregnant women deliveries in maternity of SOS and Benadir Hospitals

A thesis submitted in partial fulfillment of MBchB degree offered by Benadir University faculty of Medicine and Surgery’’

ABSTRACT Low birth weight (LBW) is a major determinant of morbidity, mortality and disability in ... more ABSTRACT
Low birth weight (LBW) is a major determinant of morbidity, mortality and disability in newborn and childhood and has a long-term impact on health outcomes in adult life. It results in substantial costs to the health sector and imposes a significant burden on society as a whole. This study sought to determine risk factors associated with LBW deliveries in SOS and Benadir Maternity Hospitals, Mogadishu, Somalia. It focused on LBW and maternal socio-demographic characteristics, lifestyle and medical factors. This was a cross-sectional study which comprised of 211 women who delivered at SOS and Benadir Maternity Hospitals between1st Feb- 31st July 2015.
Non probability, convenience sampling was used to select the study participants; face to face interviews using semi-structured questionnaires were used for data collection. The prevalence of LBW was 11.85%. There was no significant association between low birth weight and the socio-demographic factors except the educational level of primary school and below which was significantly associated with low birth weight (OR=3.24,P=0.025). There was a significant association between LBW and A child born to a mother who used to consume less than three meals per day during pregnancy (OR= 2.13, p=0.034),Non prenatal clinic attendance (OR= 3.37, p<0.002),, gestational age (<37wks) (OR= 28.28, p<0.001), multiple gestation(OR= 1.87, p<0.02), hypertension (OR= 2.79, p<0.001), abdominal pain (OR= 2.03, p<0.03), lower backache (OR=1.97, p=0.02).
The prevalence of LBW in SOS and Benadir Maternity Hospitals (11.85%) was low compared to the previous prevalence rates that have been reported in Kenya. Since most of LBW deliveries in SOS and Benadir Maternity Hospitals were due to preterm delivery, it implies that if proper and timely diagnosis as well as treatment of causes of premature delivery undertaken, the prevalence can be reduced. Therefore, it is important to upscale antenatal clinic services especially on reproductive health education. There is also need to educate pregnant women on signs and symptoms that could predict adverse pregnancy outcomes.

Research paper thumbnail of Risk factors associated with low birth weight of neonates among pregnant women attending a referral hospital in northern Tanzania

Tanzania Journal of Health Research, 2008

According to the World Health Organization low birth weight (LBW) babies are those born with less... more According to the World Health Organization low birth weight (LBW) babies are those born with less than 2500g. A descriptive retrospective cross-sectional study using existing data from a one-year (2001) block of birth registers of 3464 pregnant women was done at Kilimanjaro Christian Medical Centre in Moshi, Tanzania. The objective was to determine factors associated with LBW and their contribution to the problem. Out of 648 pregnant women who were tested for HIV infection 59 (9.1%) were positive for the infection. Twelve (20.3%) of HIV positive women gave birth to LBW neonates. HIV positive women were twice more likely to give birth to LBW infants than HIV negative ones (χ 2 = 6.7; P<0. 01; OR = 2.4; 1.1, 5.1). Mothers without formal education were 4 times more likely to give birth to LBW neonates than those who had attained higher education (OR= 3.6; 2.2, 5.9). There was a linear decrease in low birth weights of newborns as fraternal educational level increased (χ 2 for linear trend = 42.7; P< 0.01). There was no statistically significant difference among parents' occupations regarding LBW of their newborns. Unmarried mothers were more likely to give birth to LBW neonates as compared to their married counterparts (OR = 1.65; 1.2, 2.2) and the difference was statistically significant (χ 2 =13.0, P< 0.01). Hypertension, pre-eclampsia and eclampsia disease complex had the highest prevalence (46.67%) and population attributable fraction of low birth weight (PAF = 25.2%; CI= 22.0-27.6). Bleeding and schistosomiasis had the same prevalence (33.33%) of LBW babies. Other complications and diseases which contributed to high prevalence of LBW included anaemia (25%), thromboembolic diseases (20%), tuberculosis (17%) and malaria (14.8%). Prevalence of LBW was high in women with premature rupture of membrane (38%), placenta previa (17%) and abruption of placenta (15.5%). LBW was strongly associated with gestational age below 37 weeks (OR = 2; CI=1.5, 2.8) contributing to 42% of LBW deliveries in the study population (PAF = 42.4%: 25, 55). Pregnant women with malnutrition (BMI<18) gave the highest proportions 17% of LBW children followed by underweight (BMI; 18-22) who gave 15.5% of LBW neonates. There was a statistical significant difference between the proportions of LBW infants from mothers who did not receive antenatal care (28.6%) and those who attended for the services (13.8%) (χ 2 = 8.8; P= 0.01). There is need of increasing promotion of reproductive health services in relation to safe motherhood at community level in order to reduce risk factors of LBW.