Determinants of Low Birth Weight among Mothers Who Gave Birth in Debremarkos Referral Hospital, Debremarkos Town, East Gojam, Amhara Region, Ethiopia

Gebrehawerya, Tewelde; Gebreslasie, Kahsay Zenebe; Admasu, Endeshaw; Gebremedhin, Merhawi

doi:10.4172/2572-4983.1000145

Cited by 11 publications

(28 citation statements)

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“…This study indicated that the maternal history of pregnancy-induced hypertension was found to be an independent factor contributing to low birth weight where the probability of having pregnancy-induced hypertension was higher among mothers of the cases than among mothers of the controls as compared to not having pregnancy-induced hypertension. This finding is in line with studies conducted Journal of Pregnancy in Ethiopia, Malaysia, Nepal, and Gambia [25,26,28,37,38]. This might be because blood vessel constriction reduces oxygen and nutrient perfusion to the placenta which leads to an increased risk of intrauterine growth restriction which leads to undernutrition which in turn exposes babies to low birth weight [3,20].…”

Section: Discussionsupporting

confidence: 83%

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Determinants of Low Birth Weight among Newborns Delivered at Public Hospitals in Sidama Zone, South Ethiopia: Unmatched Case-Control Study

Bekela¹,

Shimbre

Fikadu

et al. 2020

Journal of Pregnancy

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Low birth weight is a global public health problem having various severe and life-threatening health effects. The World Health Organization is working to reduce the prevalence of low birth weight to 30% by the year 2025. Pinpointing the determinants of low birth weight at different scenarios is crucial to reduce the rate of low birth weight in low-income countries which consist of 96.5% of global low birth weight newborns. Thus, the aim of this study was to assess determinants of low birth weight in Sidama Zone public hospitals of South Ethiopia. An institution-based case-control study was conducted from March 1 to May 5, 2019, in Sidama Zone public hospitals. Data were collected from 354 mother-neonate samples with 118 of them having newborns with birth weight<2500 g (cases) and 236 of them having birth weight≥2500 g (controls) using a pretested, interviewer-administered structured questionnaire and medical record review. The odds of being rural dweller women was 3.51 times higher among cases (low birth weight babies) than among controls (normal birth weight babies) as compared to being urban dweller women (AOR=3.51, 95% CI (1.91-6.45)). The likelihood of initiating antenatal care late was 3.22 times more among cases than among controls when compared with timely initiation of antenatal care (AOR=3.22, 95% CI (1.47-7.14)). The probability of having pregnancy-induced hypertension was 4.49 times higher among mothers of the cases than among mothers of the controls as compared to not having pregnancy-induced hypertension (AOR=4.49, 95% CI (1.94-10.38)). The odds of not taking iron and folic acid during pregnancy was 3.92 times higher among mothers of the cases than mothers of the controls when compared with taking iron and folic acid (AOR=3.92, 95% CI (1.80-8.50)). The likelihood of having Mid-Upper Arm Circumference MUAC<23 cm was 4.27 times higher among mothers of the cases than among mothers of the controls as compared to having MUAC≥23 cm (AOR=4.27, 95% CI (2.24-8.12)). The probability of having inadequate dietary diversity was 3.75 times higher among cases than among controls as compared to having adequate dietary diversity (AOR=3.75, 95% CI (1.64-8.57)). Interventions targeting the aversion of low birth weight should focus on promotion of iron-folic acid supplementation and dietary diversification through timely initiation of antenatal care.

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Section: Discussionsupporting

confidence: 83%

“…Existing evidences from different parts of the world showed that the causes of low birth weight have been broadly grouped into individual-related, provider-related, and health service-related factors [16,[23][24][25][26][27][28].…”

Section: Introductionmentioning

confidence: 99%

Determinants of Low Birth Weight among Newborns Delivered at Public Hospitals in Sidama Zone, South Ethiopia: Unmatched Case-Control Study

Bekela¹,

Shimbre

Fikadu

et al. 2020

Journal of Pregnancy

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“…[7][8][9] Several studies have shown that LBW was significantly associated with maternal residence, marital status, age at first pregnancy, bad obstetrics history, maternal nutritional status, inter-pregnancy interval, antenatal care (ANC) follow-up, pregnancy-induced hypertension, anemia at pregnancy, chat chewing, and cigarette smoking. [10][11][12] Study on determinant factors of LBW is important for planning child health care services and to improve the survival of LBW babies. However, there are only few published studies in Ethiopia on the assessment of LBW 13 and there is paucity of information related to the determining factors of LBW.…”

Section: Introductionmentioning

confidence: 99%

“…Several studies have shown that LBW was significantly associated with maternal residence, marital status, age at first pregnancy, bad obstetrics history, maternal nutritional status, inter-pregnancy interval, antenatal care (ANC) follow-up, pregnancy-induced hypertension, anemia at pregnancy, chat chewing, and cigarette smoking. 10 – 12 …”

Section: Introductionmentioning

confidence: 99%

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

et al. 2020

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Background: Birth weight is one of the major determinants of perinatal survival, infant morbidity, and mortality. There are only few published reports on assessment of low birth weight in Ethiopia and the determinants of low birth weight have not been well characterized. Objective: The aim of this study was to assess determinants of low birth weight among live birth newborns delivered at public hospitals in Gamo Gofa Zone, South Ethiopia. Methods: Institution-based case control study was conducted from February 25 to April 25, 2018 and consecutively selected 60 cases and 240 controls were enrolled in this study. The data were collected using face-to-face interview and review of medical records. Moreover, we have measured the newborns’ birth weight using a standard weight scale and mother’s mid-upper arm circumference using a standard World Health Organization mid-upper arm circumference measuring tape. Statistical analysis of the data was done using SPSS version 21. Results: A total of 300 newborns were included in the study. Late antenatal care booking (adjusted odds ratio = 1.87, confidence interval = [1.32–2.6]), birth interval <2 years (adjusted odds ratio = 0.385, confidence interval = [0.176–0.83]), anemia (adjusted odds ratio = 4.4, confidence interval = [1.84–10.5]), mid-upper arm circumference <23 cm (adjusted odds ratio = 7.99, confidence interval = [3.5–20.3]), nutritional counseling (adjusted odds ratio = 5.85, confidence interval = [2.14–14.8]), and husband smoking (adjusted odds ratio = 4.73; confidence interval = [1.42–15.7]) were found to be determinant factors of low birth weight. Conclusion: Most of the determining factors of low birth weight were preventable. Therefore, clinical and public health interventions should target on those determinant factors to prevent its adverse effects.

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“…In Ethiopia, several individual studies were done and reported inconsistent findings in the relationship between PIH and LBW, except one review published in 2019 which didn't include all currently available researches on association of PIH and LBW (studies done after the previous review) [30]. Accordingly, the prevalence of LBW among PIH women ranges from 9.8% [31] to 64.4% [32]. In addition, the odds of developing LBW among women who had PIH range from 1.31 to 10.33 [20,33].…”

Section: Introductionmentioning

confidence: 99%

The impact of pregnancy induced hypertension on low birth weight in Ethiopia: systematic review and meta-analysis

2020

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Background Even though neonatal mortality reduction is the major goal needed to be achieved by 2030, it is still unacceptably high especially in Ethiopia. In the other hand, low birth weight is the major cause of neonatal mortality and morbidity. More than 10 millions of low birth weight infants occurred as a result of pregnancy induced hypertension. However, in Ethiopia the association between low birth weight and pregnancy induced hypertension was represented with un-updated, inconclusive and different studies. Therefore, this review aimed to estimate the overall pooled impact of pregnancy induced hypertension on low birth weight and its association in Ethiopia. Methods articles searched on PubMed/Medline, EMBASE, CINAHL, Cochrane library, Google, Google Scholar and local shelves. Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) was applied for critical appraisal. The I2 statistic was computed to check the presence of heterogeneity. Publication bias was evaluated using funnel plot asymmetry and Egger’s test. A random effect model was used to estimate the pooled prevalence of low birth weight. Result From the total 131 identified original articles, 25 were eligible and included for the final analysis. The overall pooled prevalence of low birth weight among women who had pregnancy induced hypertension in Ethiopia was 39.7% (95% CI: 33.3, 46.2). But, I2 statistic estimation evidenced significant heterogeneity across included studies (I2 = 89.4, p < 0.001). In addition, the odds of having low birth weight newborns among women who had pregnancy induced hypertension was 3.89 times higher compared to their counterparts (OR = 3.89, 95% CI: 2.66, 5.69). Conclusion The pooled prevalence of low birth weight among women who had pregnancy induced hypertension was more than two times higher than the pooled estimate of low birth weight among all reproductive aged women. The odds of low birth weight also increased nearly four times among women with pregnancy induced hypertension than normotensive women. Therefore, health policies which provide better and quality antenatal care with more oriented on importance of early detection and management of pregnancy induced hypertension should be implemented.

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Determinants of Low Birth Weight among Mothers Who Gave Birth in Debremarkos Referral Hospital, Debremarkos Town, East Gojam, Amhara Region, Ethiopia

Cited by 11 publications

References 0 publications

Determinants of Low Birth Weight among Newborns Delivered at Public Hospitals in Sidama Zone, South Ethiopia: Unmatched Case-Control Study

Determinants of Low Birth Weight among Newborns Delivered at Public Hospitals in Sidama Zone, South Ethiopia: Unmatched Case-Control Study

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

The impact of pregnancy induced hypertension on low birth weight in Ethiopia: systematic review and meta-analysis

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