Morbidity and outcome of low birthweight babies of adolescent mothers at Kenyatta National Hospital, Nairobi (original) (raw)
2021
Low Birth Weight (LBW) is defined by the World Health Organization as weight at birth less than 2,500g. LBW continues to be a significant public health problem globally and is associated with a range of both short and long term consequences. The purpose of this study was to investigate the prevalence and determine probable factors associated with LBW at the Kapsabet Referral Hospital in Nandi County, Kenya.This study adopted a hospital based cross-sectional study design. A total of one hundred and seventyeight (178) mothers were selected using the simple random sampling method. A researcher administered semi-structured questionnaire was the main tool for data collection. Data was analyzed using the Epi Info version 3.3.2. A probability value of <0.05 was considered significant. Prevalence of LBW was found to be 16.6%. About two thirds (59.5%) of the mothers were between 20-29 years. The mean birth weight of the infants was 2728±351 grams. Fifty two percent (52.1%) were female infants while forty seven percent (47.9%) were male. The following factors were significantly associated with LBW: sex of infant (OR=2.34, 95% C.I.=2.45-13.50), age of the mother at child birth (OR=3.41, 95% C.I. =1.53-13.43), education level of the mother (OR=2.95, 95% C.I. = 1.43-12.45), LBW delivery in a previous birth (OR=2.75, 95% C.I. =2.45-12.23), premature births (OR=1.78, 95% C.I. =1.89-13.67) and the nutrition status of the mother at child birth (OR= 3.37, 95% C.I. = 2.56-12.97). Independent predictors of LBW were gestational age, mode of delivery, pregnancy complications and iron & folic acid supplementation during pregnancy. Prevalence of LBW in this hospital was higher than the national prevalence and therefore urgent mitigation measures are necessary to tackle this problem.
2022
Methodology: Cross sectional convergent design was employed. The target group composed of mothers who delivered in the hospital during the study period (July-August, 2019). A sample was obtained from all willing mothers. Sample size was determined using the Cochran formula assuming a proportion (p) of 16.4% of low birth weight. Desired sample size was 210 mothers which was adjusted to 215 participants. Independent variables included: medical equipment and supplies, medical personnel and accessibility of health facility. Dependent variable was LBW which was classified further as very LBW, extremely LBW. The primary focus was first to identify LBW which was then categorized according to the standard classification. Quantitative and qualitative data were collected and analyzed using logistic regression and NVivo respectively. Findings: Accessibility to a health facility OR= 0.45, p=0.04, CL [0.21-0.97] was associated with very low birth weight. The mothers (FGDs) indicated that there were challenges at the laboratory; some health workers were not good; and ANC counselling sessions were inadequate. Health workers who were Key Informants (KI) reported inadequacy of resources and suggested campaigns to reach mothers in order to attend ANC early and a provision of a preconception centre at the Hospital. Unique contribution to theory, practice and policy: Inaccessibility of a health facility by pregnant mothers is a risk factor for very low birth weight neonates. ANC guidelines to be revised to cater for the concerns of mothers. Preconception centres should be established in hospitals.
2018
Purpose: Low birth weight (LBW) is weight at birth of less than 2500gms regardless of the gestational age. Low birth weight is the leading cause of infants and child mortality. Most neonates / infants spend most of their weeks/ months in hospitals. Globally 20 million LBW babies are born every year throughout the world. Reports indicate that an estimated 14 % of neonates are born with LBW while the burden is estimated to be 16% in Kenya. The Objective of this study was to determine factors influencing low birth weight (LBW) and associated health outcomes associated among Mother-Neonate pairs at Coast General Hospital Mombasa County. Methods: A descriptive cross-sectional study was used to collect data on socio-demographic/socioeconomic characteristics, birth weight, and mothers’ knowledge as a predictor of health outcomes among neonates. A total of 525 mothers who had delivered at Coast general hospital Mombasa County during the study period of 8months from August 2015 to March 2016...
East African Journal of Health and Science
Background: Low birth weight (LBW) is a serious public health problem, especially in developing countries. Globally, 15.5% of all births are born LBW and 95.6% of them are in developing countries. In Kenya, 8% of babies are born LBW and at Jaramogi Oginga Odinga Teaching and Referral Hospital (JOOTRH), it is 11.1%. Despite several efforts such as antenatal care services put in place to improve the quality of maternal and child health, the rates of LBW are still high. LBW is a major cause of mortality and morbidity in infants. Objective: The objective of this study was to assess obstetric determinants of the birth weight status of babies born at JOOTRH, Kenya. Materials and Methods: This was a cross-sectional study with a sample size of 131 babies plus their mothers from a total population of 538 deliveries during the study period. Systematic random sampling was used to select the respondents. Data was collected using a questionnaire and record review checklist. Data analysis was don...
Birth weight is the weight of a new born baby taken after birth within one hour following delivery. Low birth weight is a baby whose birth weight is less than 25000gms (who). Low birth causes a public health challenge as most neonates and infants spend their time in hospital due to health related problems. It will be adescriptive cross sectional study. The general objective will be to investigate factors contributing to low birth weight among women of reproductive age. The study justification is in line with millenium development goal no.4. Achieving the WHO reducing the low birth weight babies by at least 30%by 2025. Achieving the vision 2030
Factors Affecting Birth Weight at Kenyatta Hospital in Nairobi County
2014
This cross-sectional study sought to identify the various factors responsible for low birth weight in Nairobi County. Three hundred and one pregnant mothers, who had booked for antenatal care in Kenyatta hospital which is Nairobi County, were studied for age, residence, occupation, medical condition, folic intake, iron, delivery mode, age of the spouse and other characteristics. Data was collected by use of questionnaires and was later analyzed using descriptive and inferential statistical analysis tools. The mean maternal age was 26.45 years (range 16-46 years). 15.0% of women were married at the time of delivery and 85% were separated\divorced. 23.6% of the women had attained primary level of education, 40.2% secondary and 35.9% tertiary. 49.2% booked antenatal care (ancbooking) at <16 weeks gestation period and 50.8% booked the same at >28 weeks of their gestation period. Most women came from urban i.e. 90.7% and only 6.3% came from rural area.71.5% of the mothers were unem...
East African Medical Journal, 2004
National Hospital (KNH) has previously been found to be high. Other centres have shown that even with lack of neonatal intensive care facilities, selective interventions can be implemented that improve neonatal survival rates. It is important to identify those factors at KNH that when selectively modified, will improve the quality of care hence survival rates. Objective: To quantify the morbidity and mortality of LBW infants in KNH. To audit the quality of care and identify factors that can be selectively modified to improve the quality of care and improve the currently low survival rates. Design: Retrospective study utilising case notes. Setting: New born unit, Kenyatta National Hospital, Nairobi.
Burden and factors responsible for neonatal morbidity among Low-Birth-Weight infants in Kenya
Kenya, like the rest of Sub-Saharan Africa and many other developing countries in the world, has made progress in improving newborn health, but did not meet the millennium development goal four for child health. Neonatal morbidity and mortality remains unacceptably high. The objectives of this study were to estimate the burden on neonatal morbidity and determine the socioeconomic and proximate factors responsible for neonatal morbidity in Kenya. A cohort study was carried out at Pumwani maternity hospital, Thika Level 5 hospital and Machakos Level 5 hospital with a sample of 343 stable LBW (2000g) infants. Informed by the concepts of Mosley and Chen (1984) analytical framework, several socioeconomic and proximate factors of neonatal morbidity and mortality were examined. Cross tabulations and multiple logistic regression analyses were done to determine the relationships between these factors and neonatal morbidity. The burden of neonatal morbidity was high, 61.5% (N=343) of the low-birth-weight infants. Micronutrient use, lower birth weight, pregnancy history, infant sex being male, birth complications and source of water as rivers, well and ponds were factors responsible for neonatal morbidity. Stakeholders should develop programs that address these factors to improve newborn health among birth-weight infants.