Developmental Outcomes of Preterm and Low Birth Weight Toddlers and Term Peers in Rwanda

Ahishakiye, Alain; Abimana, Marie Claire; Beck, Kathryn; Miller, Ann C.; Betancourt, Theresa S.; Magge, Hema; Mutaganzwa, Christine; Kirk, Catherine M.

doi:10.5334/aogh.2629

Cited by 24 publications

(31 citation statements)

References 39 publications

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“…Even so, the important stunting (WHZ scores lower than − 2) observed in both the LBW and NBW group at birth and up to 12 months of age suggests that nutrition and feeding practices are a challenge in Haiti. This was described previously in Haiti and was thought to be due to a breakdown in the parent-child relationship [30]. Stunting has been repeatedly shown to be a risk factor for delayed neurodevelopment.…”

Section: Discussionmentioning

confidence: 74%

Growth and neurodevelopment in low birth weight versus normal birth weight infants from birth to 24 months, born in an obstetric emergency hospital in Haiti, a prospective cohort study

Hilaire¹,

Andrianou

Lenglet

et al. 2021

BMC Pediatr

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Background Low birthweight (LBW) infants are at higher risk of mortality and morbidity (growth, chronic disease and neurological problems) during their life. Due to the high incidence of (pre-) eclampsia in Haiti, LBW infants are common. We assessed the anthropometric growth (weight and length) and neurodevelopmental delay in LBW and normal birthweight (NBW) infants born at an obstetric emergency hospital in Port au Prince, Haiti, between 2014 and 2017. Methods Infants were followed at discharge and 3, 6, 12, 15, 18, 21 and 24 months of corrected gestational age. At each visit they underwent a physical checkup (weight, length, physical abnormalities, identification of morbidities). At 6, 12, 18 and 24 months they underwent a neurodevelopmental assessment using the Bayley Scale III (motor, cognitive and communication skills). We modelled the trajectories between birth and 24 months of age of NBW compared to LBW infants for weight, length, and raw scores for Bayley III assessments using mixed linear models. Results In total 500 LBW and 210 NBW infants were recruited of which 333 (46.7%) were followed up for 24 months (127 NBW; 60.5% and 206 LBW; 41.2%) and 150 died (LBW = 137 and NBW = 13). LBW and NBW babies gained a mean 15.8 g and 11.4 g per kg of weight from discharge per day respectively. The speed of weight gain decreased rapidly after 3 months in both groups. Both groups grow rapidly up to 6 months of age. LBW grew more than the NBW group during this period (22.8 cm vs. 21.1 cm). Both groups had WHZ scores <− 2 up to 15 months. At 24 months NBW babies scored significantly higher on the Bayley scales for gross motor, cognitive and receptive and expressive communication skills. There was no difference between the groups for fine motor skills. Conclusion LBW babies that survive neonatal care in urban Haiti and live up to 24 months of age, perform similar to their NBW for weight, length and fine motor skills. LBW babies are delayed in gross motor, cognitive and communication skills development. Further research on the clinical significance of these findings and long term implications of this neurodevelopmental delay is needed.

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Section: Discussionmentioning

confidence: 74%

Growth and neurodevelopment in low birth weight versus normal birth weight infants from birth to 24 months, born in an obstetric emergency hospital in Haiti, a prospective cohort study

Hilaire¹,

Andrianou

Lenglet

et al. 2021

BMC Pediatr

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“…LBW is one of the most important predictors of nutrition, health and survival of infants (2). LBW is also an important biomarker of adverse health and development problems in early and later life, including delays in cognitive and behavioural development, growth retardation, neurological problems in childhood, and many chronic diseases (2,(4)(5)(6)(7). Babies with LBW have a 5-30 times higher risk of dying during infancy than normal birth weight (≥ 2500 g) babies (2).…”

Section: Introductionmentioning

confidence: 99%

“…LBW can be a consequence of preterm birth (i.e. birth before 37 completed weeks of pregnancy), or intrauterine growth restriction, each of which is influenced by many factors related to the mother, the infant, the physical environment or genetics (2,4,5,7). However, the pattern of risk factors for LBW and their relative contribution vary from one setting to another.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and risk factors for low birth weight in Jordan and its association with under-five mortality: a population-based analysis

Islam¹,

Ababneh²,

Akter³

et al. 2020

East Mediterr Health J.

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Background: Low birth weight (< 2.5 kg) is an important indicator of health and development of infants throughout their life. Aims: This study aimed to determine the prevalence and risk factors for low birth weight in Jordan and its association with under-5 mortality. Methods: In this secondary analysis, data were extracted from the 2012 Jordan Population and Family Health Survey for 9734 live births born in the 5 years preceding the survey and for which birth weight was reported. Data were collected on child and maternal characteristics. Multivariable regression analysis was used to determine the significant risk factors for low birth weight and mortality. Results: Of the 9734 births analysed, 13.8% were low birth weight and 1.3% were very low birth weight. Mother's age (< 30 and ≥ 35 years), education (less than higher education), birth interval (< 24 months and first birth), unplanned pregnancy, household wealth status (poorest and richest), consanguinity, residence (central and south regions of Jordan), female sex, birth order (1 and ≥ 6), twin birth and maternal smoking during pregnancy were significant risk factors for low birth weight. The risk of death under 5 years of age was 4.8 times higher in children with low birth weight than children with normal birth weight. Conclusions: The high rate of low birth weight and its increasing rate in Jordan is a challenge for public health. Preventing low birth weight neonates and increasing their survival need to be prioritized in the national health strategy. Special care needs to be taken for the high-risk groups identified in this study.

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“…Globally, prematurity related complications remain the leading cause of under-five mortality [2]. Not only does prematurity lead to mortality, but it has also been shown to be a driver of many health problems such as developmental delay and Low Birth Weight (LBW) [3,4].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of and socioeconomic gradient in low birth weight in Ethiopia: further analysis of the 2016 demographic and health survey data

Shibre

Tamire

2020

BMC Pregnancy Childbirth

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Background Evidence suggests appearance of socioeconomic gradient in the probability of low birth weight (LBW). Such evidence, however, is scanty in Ethiopia. The study aimed to examine the prevalence of and socioeconomic gradient in LBW in Ethiopia. Method Data for the study were drawn from the Ethiopia Demographic and Health Survey conducted in 2016. The 2016 EDHS is the fourth wave in the series of nationally representative household surveys carried out in the country to deliver up-to-date health and demographic indicators for the Ethiopian population. Women aged 15 to 49 years were the main focus of the survey, with data also gathered from men aged 15 to 59 years and under five children. The study pursued complex sampling strategy to draw samples representative at national as well as at urban and rural levels. The data are available to the public domain and were accessed from the MEASURE DHS following registration. Multivariable logistic regression model and marginal standardization were used to estimate socioeconomic gradient in the probability of LBW. We performed sensitivity analysis to evaluate variation of LBW according to different categories of socioeconomic position. Maternal education and household wealth were used as measures of the socioeconomic position in the study. Results 13.2% (95% confidence interval = 10.73, 15.65) of births were complicated by LBW. The findings showed that socioeconomic gradient was evident between maternal education and LBW; as education increases from no education to secondary education, the probability of occurrence of LBW consistently declined. However, no gradient in LBW was detected for household wealth. Conclusions We have identified education gradient in LBW, with the highest burden of LBW occurring among the non-educated women. To redress the observed education disparity in LBW, targeted interventions need to be implemented with greater emphasis placed on illiterate women.

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Developmental Outcomes of Preterm and Low Birth Weight Toddlers and Term Peers in Rwanda

Cited by 24 publications

References 39 publications

Growth and neurodevelopment in low birth weight versus normal birth weight infants from birth to 24 months, born in an obstetric emergency hospital in Haiti, a prospective cohort study

Growth and neurodevelopment in low birth weight versus normal birth weight infants from birth to 24 months, born in an obstetric emergency hospital in Haiti, a prospective cohort study

Prevalence and risk factors for low birth weight in Jordan and its association with under-five mortality: a population-based analysis

Prevalence of and socioeconomic gradient in low birth weight in Ethiopia: further analysis of the 2016 demographic and health survey data

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