Determinants of low birth weight among live birth newborns delivered at public hospitals in Gamo Gofa Zone, South Ethiopia: Unmatched case control study

Mingude, Alemu Basazin; Gebretsadik, Woiynshet; Misker, Dresilgn; Woldeamanuel, Gashaw Garedew

doi:10.1177/2050312120940544

Cited by 17 publications

(28 citation statements)

References 31 publications

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“…This study has identified some socio-demographic, socio-economic, obstetric and lifestyle-related factors that are associated with the delivery of LBW babies in the study area. Earlier studies from across Africa have reported some association between the delivery of LBW babies and several maternal socio-demographic, socio-economic, obstetric and medical factors [15][16][17]. In our current study, mothers who were unemployed were found to have a two-fold odds of giving birth to a LBW baby.…”

Section: Discussionsupporting

confidence: 48%

Determinants of low birth weight deliveries at five referral hospitals in Western Area Urban district, Sierra Leone

Kargbo

Nyarko²,

Sackey

et al. 2021

Ital J Pediatr

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Background Low birth weight (LBW) contributes significantly to infant and child mortality. Each year, about 20 1million deliveries are LBW with 96.5% occurring in developing countries. Whiles the incidence of LBW is reducing in other districts of Sierra Leone, it has been reported to be increasing in the Western Area Urban district. Determining the risk factors in a specific geographic area is important for identifying mothers at risk and thereby for planning and taking appropriate action. The current study sought to identify factors associated with LBW deliveries in the Western Area Urban district of Sierra Leone. Methods A hospital-based unmatched 1:2 case-control study was conducted among mothers who delivered live singleton babies from November, 2019 to February, 2020 in five referral health facilities. Mothers were conveniently sampled and sequentially enrolled into the study after delivery. Their antenatal care cards were reviewed and a pre-tested questionnaire administered to the mothers. Data analysis was done using Stata 15.0 and association between maternal socio-demographic, socio-economic, obstetric and lifestyle factors and LBW assessed using bivariable and multivariable logistic regression analyses. Results A total of 438 mothers (146 cases and 292 controls), mean age: 24.2 (±5.8) and 26.1 (±5.5) years for cases and controls respectively participated in the study. Multivariable analysis revealed that being unemployed (AoR = 2.52, 95% CI 1.16–5.49, p = 0.020), having anaemia during pregnancy (AoR = 3.88, 95% CI 1.90–7.90, p < 0.001), having less than 2 years inter-pregnancy interval (AoR = 2.53, 95% CI 1.11–5.73, p = 0.026), and smoking cigarettes during pregnancy (AoR = 4.36, 95% CI 1.94–9.80, p < 0.001) were significantly associated with having LBW babies. Conclusion Factors associated with LBW identified were unemployment, anaemia during pregnancy, < 2 years inter-pregnancy interval and cigarette smoking during pregnancy. Health care providers should screen and sensitize mothers on the risk factors of LBW during antenatal sessions.

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Section: Discussionsupporting

confidence: 48%

Determinants of low birth weight deliveries at five referral hospitals in Western Area Urban district, Sierra Leone

Kargbo

Nyarko²,

Sackey

et al. 2021

Ital J Pediatr

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“…The mothers who did not receive nutrition counseling during pregnancy had higher risk to deliver low birth weight babies compared to their counterparts. This nding was consistent with other studies done in Ethiopia (9)(10)(11)the reason might be nutritional counseling improve their feeding behavior and enhance their nutritional status which may help mothers to decrease risk of delivering low birth weight babies.…”

Section: Discussionsupporting

confidence: 91%

Determinants of low birth weight in dire-dawa city public health facility eastern Ethiopia -unmatched case-control study

Badal¹,

Ibrahim²,

Abdiwahab³

et al. 2021

Preprint

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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 regression model. Statistical significance was considered at P.value <0.05. Results: -A total of 292 mothers with their respective newborns (73 cases and 219 controls) were included the study, mothers not having nutritional counseling (AOR= 3.13, 1.59--6.16),not consuming additional meal (AOR=2.37, 1.26--4.44),not having iron supplementation (AOR=2.21, 1.14--4.29),mothers being anemic (AOR=3.51, 1.64--7.53),and undernourished mothers (AOR=4.83, 2.49--9.38) were significantly associated with the low birth weight in this study.Conclusion: Poor nutrition related activities interims of nutritional counseling, iron supplementation, maternal feeding especially during pregnancy and others were the main problems identified in this study. Therefore, Government and non-governmental NGOs would work together to reduce LBW by establishing appropriate intervention, awareness creation and behaviors change communication (BCC) and development of effective strategy and policy to improve maternal nutritional status and prevent maternal anemia are curtail. In addition, a large scale studies with strong study design like cohort and experimental needs to be conducted.

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“…Earlier studies from across Africa have reported some association between the delivery of LBW babies and several maternal socio-demographic, socio-economic, obstetric and medical factors [12][13][14]. In our current study, mothers who were unemployed were found to have a two-fold odds of giving birth to a LBW baby.…”

Section: Discussionsupporting

confidence: 48%

“…This might be as a result of insu cient replacement of maternal nutrients used-up during the previous pregnancy and this may lead to reduced foetal development. A similar observation made in South Ethiopia by Mingude, et al [13] has been explained on the basis that, the short interpregnancy interval is not able to allow the mother enough time to recover from the nutritional burden and stress of the previous pregnancy, resulting in maternal nutrition depletion. The short inter-pregnancy interval is also associated with maternal iron and folic acid depletion [15].…”

Section: Discussionmentioning

confidence: 59%

Determinants of Low Birth Weight Deliveries: an Unmatched Case-control Study in Five Referral Hospitals in Western Area Urban District, Sierra Leone

Kargbo¹,

Nyarko²,

Sackey³

et al. 2021

Preprint

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Background: Each year, about 20 million deliveries are Low Birth Weight (LBW) with 96.5% occurring in developing countries. The prevalence of LBW in Sierra Leone is about 7% while the Western Area Urban (WAU) district reports 17.5%. This study sought to determine factors associated with LBW deliveries in five referral hospitals in the WAU district, Sierra Leone.Methods: A hospital-based unmatched 1:2 case-control study was conducted among mothers who delivered live singleton babies from November, 2019 to February, 2020 in five referral facilities. Antenatal care cards of mothers were reviewed and a pre-tested questionnaire also administered to them. The association between maternal socio-demographic, socio-economic, obstetric and lifestyle factors and LBW was assessed using bivariable and multivariable logistic regression analyses. Results: A total of 438 mothers (146 cases and 292 controls), mean age: 24.2 (±5.8) and 26.1 (±5.5) years for cases and controls respectively participated in the study. Among mothers, 36.9 % (162/438) had no formal education, 25.8% (113/438) were unemployed and 29.7% (130/438) were unmarried. Multivariable analysis revealed that being unemployed (AoR = 2.52, 95% CI 1.16 - 5.49, p = 0.020), having anaemia during pregnancy (AoR = 3.88, 95% CI 1.90-7.90, p < 0.001), having less than two years inter-pregnancy interval (AoR = 2.53, 95% CI 1.11-5.73, p = 0.026), and smoking cigarettes during pregnancy (AoR = 4.36, 95% CI 1.94-9.80, p <0.001) were significantly associated with having LBW babies.Conclusion: Factors associated with LBW identified were unemployment, anaemia during pregnancy, < 2 years inter-pregnancy interval and cigarette smoking during pregnancy. Health care providers should screen and sensitize mothers on the risk factors of LBW during antenatal sessions.

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Determinants of low birth weight among live birth newborns delivered at public hospitals in Gamo Gofa Zone, South Ethiopia: Unmatched case control study

Cited by 17 publications

References 31 publications

Determinants of low birth weight deliveries at five referral hospitals in Western Area Urban district, Sierra Leone

Determinants of low birth weight deliveries at five referral hospitals in Western Area Urban district, Sierra Leone

Determinants of low birth weight in dire-dawa city public health facility eastern Ethiopia -unmatched case-control study

Determinants of Low Birth Weight Deliveries: an Unmatched Case-control Study in Five Referral Hospitals in Western Area Urban District, Sierra Leone

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