Determinants of low birth weight in the health district of Bounkiling in Senegal (original) (raw)
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BMC Pregnancy and Childbirth, 2022
Background: Low birth weight (LBW) is a major factor of neonate mortality that particularly affects developing countries. However, the scarcity of data to support decision making to reduce LBW occurrence is a major obstacle in sub-Saharan Africa. The aim of this research was to determine the prevalence and associated factors of LBW at the Yako health district in a rural area of Burkina Faso. Methods: A cross sectional survey was conducted at four peripheral health centers among mothers and their newly delivered babies. The mothers' socio-demographic and obstetrical characteristics were collected by face-to-face interview or by review of antenatal care books. Maternal malaria was tested by standard microscopy and neonates' birth weights were documented. Multivariate logistic regression was used to determine factors associated with LBW. A p-value < 0.05 was considered statistically significant. Results: Of 600 neonates examined, the prevalence of low birth weight was 11.0%. Adjustment for socio-demographic characteristic, medical conditions, obstetrical history, malaria prevention measures by multivariate logistic regression found that being a primigravid mother (aOR = 1.8, [95% CI: 1.1-3.0]), the presence of malaria infection (aOR = 1.9, [95% CI: 1.1-3.5]), the uptake of less than three doses of sulfadoxine-pyrimethamine for the intermittent preventive treatment of malaria in pregnancy (IPTp-SP) (aOR = 2.2, [95% CI: 1.3-3.9]), the presence of maternal fever at the time of delivery (aOR = 2.8, [95% CI: 1.5-5.3]) and being a female neonate (aOR = 1.9, [95% CI: 1.1-3.3]) were independently associated with an increased risk of LBW occurrence. The number of antenatal visits performed by the mother during her pregnancy did not provide any direct protection for low birth weight. Conclusion: The prevalence of LBW remained high in the study area. Maternal malaria, fever and low uptake of sulfadoxine-pyrimethamine doses were significantly associated with LBW and should be adequately addressed by public health interventions.
2021
Background:-Low Birth Weight (LBW) is one of the leading public health problems in developing countries including Ethiopia. Worldwide, more than 20 million infants born low birth weight every year. Of which about 13% to 15% occur in Sub-Saharan Africa. Thus, knowing clear picture of the risk factors of LBW in the study area is essential. Therefore, this study was conducted to identify determinants of LBW in all public health facilities in dire dawa city administration eastern Ethiopia.Methods: Unmatched case-control study was employed from 1 June to 1 august the data were collected using structured and pretested interviewer administered questionnaire in all public health facilities in study areas. Consecutive sampling technique was used to select cases and controls respectively. Data were entered in to Epi-data software in version 3:1 and exported to SPSS version 23. Variables having with P-value <0.25 in the binary logistic regression were entered in to multivariate logistic reg...
Risk factors for low birth weight in Bale zone hospitals, South-East Ethiopia : a case–control study
BMC Pregnancy and Childbirth, 2015
Background: Low birth weight (LBW) is closely associated with foetal and neonatal mortality and morbidity, inhibite growth and cognitive development and resulted chronic diseases later in life. Many factors affect foetal growth and thus, the birth weight. These factors operate to various extents in different environments and cultures. The prevalence of low birth weight in the study area is the highest in the country. To the investigator's knowledge in Bale Zone, no study has yet been done to elucidate the risk factors for low birth weight using case control study design. This study was aimed to identify the risk factors of low birth weight in Bale zone hospitals. Methods: A case-control study design was applied from April 1st to August 30th, 2013. A total of 387 mothers (136 cases and 272 controls) were interviewed using structured and pretested questionnaire by trained data collectors working in delivery ward. For each case, two consecutive controls were included in the study. All cases and controls were mothers with singleton birth, full term babies, no diabetes mellitus and no hypertensive. The data were entered and analyzed using SPSS version 16.0 statistical package. The association between the independent variables and dependent variable (birth weight) was evaluated through bivariate and multiple logistic regression analyses. Result: Maternal age at delivery <20 years (adjusted odds ratio (AOR) = 3; 95 % confidence interval (CI) = 1.65-5.73), monthly income <26 United States Dollarr (USD) (AOR = 3.8; 95 % CI = 1.54-9.41), lack of formal education (AOR = 6; 95 % CI = 1.34-26.90), being merchant (AOR = 0.1; 95 %CI = 0.02-0.52) and residing in rural area (AOR = 2.1; 95 % CI = 1.04-4.33) were socioeconomic variables associated with low birth weight. Maternal risk factors like occurrence of health problems during pregnancy (AOR = 6.3; 95 % CI = 2.75-14.48), maternal body mass index <18 kg/m2 (AOR = 6.7; 95 % CI = 1.21-37.14), maternal height <1.5m (AOR = 3.7; 95 % CI = 1.22-11.28), inter-pregnancy interval <2 years (AOR = 3; 95 % CI = 1.58-6.31], absence of antenatal care (OR = 2.9; 95 % CI = 1.23-6.94) and history of khat chewing (AOR = 6.4; 95 % CI = 2.42-17.10) and environmental factors such as using firewood for cooking (AOR = 2.7; 95 % CI = 1.01-7.17), using kerosene for cooking (AOR = 8.9; 95 % CI = 2.54-31.11), wash hands with water only (AOR = 2.2; 95 % CI = 1.30-3.90) and not having separate kitchen room (AOR = 2.6; 95 % CI = 1.36-4.85) were associated with low birth weight. Conclusion: Women who residing in rural area, faced health problems during current pregnancy, had no antenatal care follow-up and use firewood as energy source were found to be more likely to give low birth weight babies. Improving a mother's awareness and practice for a healthy pregnancy needs to be emphasized to reverse LBW related problems.
2018
Background: Low birth weight refers to new borns weighting less than 2.5 kg at birth. In November 2017, the WHO reported a global prevalence of 15.5% with 96.5% of these cases happening in developing countries. Whilst this is a global canker, the risk factors differ from locality to locality. This study aims at determining which maternal factors explains low birth weight baby delivery in the Lower Manya Krobo Municipality.Methods: The chi-square test for independence was used to test for independence. The binary logistic model is fitted for the associated factors. The receiver operating characteristic (ROC) is used to classify unbiased estimators.Results: ANC (yes β= -2.769 sig.=0.000); Alcohol (none β=-1.479 sig.=0.000, occasionally β= −2.043 sig.=0.000); Age (<20years β=0.178 sig. =0.676, 20 to 25years β= -1.487 sig.=0.000, 26 to 30 β= -0.941 sig.=0.086); Education level (None β=2.778 sig. =0.000, primary β=3.090 sig.=0.000, JHS β=1.913 sig.=0.002, SHS/Secondary β=1.951 sig.=0...
PONS - medicinski casopis
Objective. The study is aimed to assess the determinants of low birth weight among term neonates born in the health facilities of Kambata Tembaro Zone, Ethiopia. Methods. An Institution-based case control study was conducted. Term neonates born with birth weight less than 2500.00 g (LBW) were grouped into cases, and those term neonates with weight greater or equal to 2500.00 g were grouped as controls. A total of 282 participants (57 cases and 225 controls) were included with controls to cases ratio of 4:1. Binary logistic regression was done to get candidate variables. An adjusted odd ratio (aOR) was estimated from multivariable analysis with corresponding confidence interval to assess the strength of the association and statistical significance between the independent and the outcome variable. Results. A total of 282 term neonates (57 cases and 225 controls) comprised the study participants. The mean birth weight of the neonates was 2041.23 g (standard deviation-SD 339.00) for cases and 376.00 g (438.572) for controls. Among mothers of neonates 38 (66.7%) cases' and 146 (64.9%) controls' were age > 24 years old. Household food insecurity (aOR=6.74; 95% confidence interval-CI 2.78-16.36), gender of neonates (aOR=2.74, 1.24-6.05), iron supplementation (aOR=9.71, 3.51-26.88), additional food during pregnancy (aOR=5.49, 2.49-12.11) and anemia (aOR=3.51, 1.56-7.85) were significantly associated with LBW at term. Conclusion. Neonatal, maternal and dietary factors are mutually associated with low birth weight among term neonates included in our study.
Pediatric Health, Medicine and Therapeutics
Background: Birth weight predicts the infant's future health, growth, and viability. It is a good summary measure of many public health problems that include long-term maternal malnutrition, and poor health care during pregnancy. In developing countries, a birth weight below 2500 g is the leading cause of infant and child mortality. In Ethiopia, LBW had more than 13% prevalence. Determinants of low birth weight were yet to be completely understood. Therefore, this study investigates the predictors of low birth weight. Objective: To identify determinants of low birth weight among newborns delivered at Addis Ababa public hospitals, 2019. Methods: Institution-based unmatched case-control study was conducted among 279 (93 cases and 186 controls) newborns delivered from March 15 to April 30, 2019, in Addis Ababa public hospitals. Consecutive and systematic random sampling were employed to select cases and controls, respectively. Data were collected by interview using structured and pretested questionnaire. Finally, data were entered using Epi-data 4.2 and analysed using SPSS version 25. Factors having P-value < 0.25 in the bivariable logistic regression model were entered into a multivariable logistic regression model. Statistical significance was declared at P-value ≤ 0.05. Results: From 279 selected participants, 270 new-borns (90 cases and 180 controls) participated. In logistic regression model, significant association was found with gestational hypertension [AOR 3.7 (95% CI 1.6-8.7)], maternal height [AOR 5.7 (95% CI 1.7-19.7)], incomplete antenatal visit [AOR 6.7 (95% CI 3.2-15.3)], and low maternal educational status [AOR 3.8 (95% CI 1.3-10.9)]. Conclusion: Predictors of low birth weight were maternal height <155 cm, complications during pregnancy, gestational hypertension, and incomplete Antenatal visit, and low maternal education. Stakeholders would better work together to reduce low birth weight by preparing appropriate intervention and monitoring policy.
PLOS ONE, 2018
To examine the social, economic and demographic factors that determine low birth weight in the two Kassena Nankana districts of the Upper East region of Ghana. Methods Cross-sectional data was collected from January 2009 to December 2011 using the Navrongo Health and Demographic Surveillance System which monitors routine health and demographic outcomes in the study area. Data on foetal characteristics such as birth weight, and sex and maternal age, parity, maternal education, marital status, ethnicity, religious affiliation and socioeconomic characteristics were collected and described. Tests of means, proportions and Chi-squares are employed in bivariate analysis, and adjusted logistic regression models fitted to control for potential confounding variables. All tests were twosided and test of significance was set at p-value of < 0.05. Results There were 8,263 live births (44.9% females) with an overall average birth weight of 2.85 kg (2.9 kg for males and 2.8 kg for females). The average maternal age was 28 years, median parity 2, maternal literacy rate was about 70% and 83% of mothers were married. The prevalence of low birth weight was 13.8% 95%CI [13.10, 14.6] and more in female babies than in males (15.5% vs 12.2%; p<0.0001). Determinants of low birth-weight after controlling for confounding factors were sex of neonate (OR = 1.32, 95%CI [1.14,1.52]; p<0.0001), maternal age (p = 0.004), and mothers who are not married (OR = 1.44 [1.19, 1.74]; p<0.0001). Conclusion Female neonates in this population were likely to present with low birth weight and maternal factors such as younger age, lower socioeconomic status and single parenthood were
African Journal of Food, Agriculture, Nutrition and Development, 2010
The birth of a child all over the world often comes with joy. Birthweight is a strong predictor of an individual baby's survival and a person's personality. It is one of the key indicators of the health and viability of the newborn infant. It is desired that birthweight should be in the range of 2.5 kg to 4.0 kg. Low birthweight has been defined by the World Health Organization (WHO) as weight at birth less than 2.5 kg. This study seeks to evaluate some of the factors that affect birthweight in the Upper East Region of Ghana. One hundred mothers with singleton live births were sampled and interviewed at birth maternity blocks of Bolgatanga Regional Hospital, Bolgatanga and War Memorial hospital, Navrongo. The factors considered include: gestational age, gestational weight gain, maternal educational level, parity, cigarette smoking habits, type of fuel used for cooking, maternal drinking habits, type of physical exercise undertaken, period of rest during pregnancy, and fundal height. The average birthweight of infants born in the Upper East Region was 2.98±0.53 kg. Correlating the variables, it was observed that most of the above-mentioned factors correlated linearly but insignificantly (p > 0.05) with birthweight. Results of multiple regressions conducted established that maternal educational level significantly determines birthweight (β = 0.34, p = 0.001). Within the limits of this research, maternal educational level contributed significantly in predicting birthweight in the region followed by duration of rest during pregnancy, pre-pregnancy weight, income level, and type of fuel used for cooking. The type of fuel used for cooking in the region contributed to low birthweight infants (β = -0.06, p = 0.567). The estimated weight gain during pregnancy and healthy lifestyle recorded in this study could be responsible for the attainment of appropriate birthweight specified by WHO. It is recommended that education of the girl-child should be taken seriously in the region.
Journal of Life Science and Biomedicine
Introduction. Low birth weight (LBW) is a major public health problem, in both developed and developing countries, due to its magnitude and strong association with infant morbidity and mortality. Aim. To estimate the prevalence of low birth weight and identify associated factors in children under five years old. Methods. This is a cross-sectional study carried out in 8 villages in the commune of Pissila in north-central Burkina Faso, involving 262 mother-child pairs. The factors associated with low birth weight were identified according to the odds ratio (OR) raw and the 95% confidence interval (95% CI) in the bivariate analysis and according to the adjusted OR in the multivariate analysis. Sociodemographic characteristics, reproductive history, previous morbidity and factors related to prenatal care were studied. Results. A total of 262 children with birth weights based on official documents were involved in this study. The proportion of low birth weight children was estimated at 1...