Factors Associated with Preterm Birth and Low Birth Weight in Abu Dhabi, the United Arab Emirates

Taha, Zainab; Hassan, Ahmed; Wikkeling-Scott, Ludmilla; Papandreou, Dimitrios

doi:10.3390/ijerph17041382

Cited by 58 publications

(65 citation statements)

References 44 publications

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“…In this study, the odds of delivering a LBW baby was signi cantly high among women who delivered their babies through CS compared to those with vaginal deliveries. This nding resonates with a studies conducted in the United Arab Emirates (27) and China (32). Some studies have reported an epidemic of CS which these studies have found to increase adverse birth outcomes such as LBW and preterm delivery (33,34).…”

Section: Discussionsupporting

confidence: 83%

“…The prevalence of LBW in this study is also higher than what was reported in the United Arab Emirates. That study reported a prevalence of 9.4% (27). This could be attributed to geographical differences in study sites.…”

Section: Discussionmentioning

confidence: 76%

“…Taha and friends These studies reported teenage mothers have an increased risk of delivering LBW babies compared to older women (16,17,27). However, this nding was inconsistent with those found by (19) and (18) who reported older women have an increased risk of LBW as compared to younger women.…”

Section: Discussionmentioning

confidence: 90%

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Determinants of Low birthweight and Preterm Delivery in the Volta Region of Ghana: Evidence from birth records

Axame¹,

Binka²,

Kweku³

2020

Preprint

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Abstract Background:Low birthweight and preterm delivery are birth outcomes that can predict the survival, development and long-term health outcomes of newborns. Though advances in medical research have improved birth outcomes these birth outcomes still remain issues of public health concern. This study assessed the determinants of low birthweight and preterm delivery in the Volta region of Ghana.Methods:This retrospective cross-sectional study analyzed data from 680 birth records of all deliveries between October and December, 2018 at the Ho Teaching Hospital in the Volta Region of Ghana. Univariate and multivariate logistic regression models were used to predict determinants of low birthweight and preterm delivery using Stata MP/16.0.Results:Overall, the prevalence of low birthweight was 12.9% and that of preterm delivery was 14.1%. Increasing maternal age (AOR: 0.52; 95% CI: 0.28-0.98), multiparity (AOR: 0.54; 95% CI: 0.30-0.94) and increasing doses of Sulphadoxine pyrimethamine (AOR: 0.43; 95% CI: 0.22-0.84) significantly reduced the odds of low birthweight. However, delivery through caesarean section (AOR: 1.94; 95% CI: 0.1.16-3.27) and hypertension (AOR: 2.06; 95% CI: 1.27-03.33) significantly increased the likelihood of low birthweight. Increasing number of antenatal care visits (AOR: 0.38; 95% CI: 0.18-0.80) and doses of Sulphadoxine pyrimethamine (AOR: 0.43; 95% CI: 0.19-0.97) were significantly associated with decreased odds of preterm delivery while delivery through caesarean section increased the odds of preterm delivery by 2 folds (AOR: 2.14; 95% CI: 1.15-3.99). Conclusion:This study shows maternal age, parity, number of ANC visits, hypertension, SP/IPTp and caesarean section were independent determinants of low birthweight and preterm delivery. These findings add up to literature on the determinants of these adverse birth outcomes particularly in resource-limited environments. Furthermore, this study could serve as a foundation for further research in the study area and for developing public health interventions geared towards reducing the risk and complications of these birth outcomes.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 76%

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Determinants of Low birthweight and Preterm Delivery in the Volta Region of Ghana: Evidence from birth records

Axame¹,

Binka²,

Kweku³

2020

Preprint

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“…This is relatively higher than what is reported from other lowincome countries. 31 Of notice, two-thirds of the preterm infants in our cohort were born at late preterm gestation. The increasing rate of late preterm delivery is consistent with other reports.…”

Section: Resultsmentioning

confidence: 81%

<p>Indications and Clinical Profile of Neonatal Admissions: A Cross-Sectional Descriptive Analysis from a Single Academic Center in Jordan</p>

Khasawneh¹,

Sindiani²,

Rawabdeh³

et al. 2020

JMDH

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Purpose: To review the indications and clinical profile of neonatal admissions at King Abdullah University Hospital in Jordan. Materials and Methods: We conducted a cross-sectional review of all neonates admitted to the neonatal intensive care unit between September 2016 and September 2018. Collected data include demographic characteristics, indications for admission, morbidities and mortality, and discharge outcomes. Findings were reported among term and preterm infants. Results: A total of 1444 infants were admitted during the study period of whom 1332 (92.2%) were inborn and 612 (42.4%) were term neonates. Of the 832 preterm infants, 545 were late preterm (34-36 6/7 gestation) and 125 had very low birth weight (˂ 1500 grams); 925 (64%) were born by cesarean section. Respiratory failure of the newborn (41.2%) and prematurity (33.3%) were the main indications for admission among the whole cohort. Maternal prolonged premature rupture of membranes (PROM) was observed in nearly half the admissions of term infants. Hypoxic ischemic encephalopathy (3.2% vs 0.7%, p 0.01) and congenital anomalies (5% vs 1.2%, p 0.03) were more common in term infants. The rate of bronchopulmonary dysplasia was 39% among <28-week and 28% among <32-week premature infants. Sepsis was encountered in 59 infants. The overall mortality rate was 3.8%. Prematurity was the main predisposing factor for mortality (Adjusted OR: 9.9, 95% CI: 3.5, 27.6). Conclusion: The majority of neonatal admissions at our institution are term and late preterm infants delivered by cesarean section. Prematurity, respiratory failure of the newborn, and suspected sepsis due to maternal PROM are the leading causes of admission. The mortality rate is within WHO target to achieve Sustainable Development Goal 3. Populationbased studies are needed to make better conclusions that represent the whole Jordanian population. A revisit for the indications of cesarean deliveries may help to improve the neonatal outcomes.

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“…In a multi-center prospective study conducted by Abdel Razeq et al involving 18 hospitals in Jordan and published in 2017, the rate of prematurity among singleton pregnancies was 5.8% with 85% being delivered after 32-week gestation [ 5 ]. Data from single-center studies showed a prematurity rate of 6.5% in Saudi Arabia, 6% in United Arab Emirates, and 9.7% in Oman [ 6 , 23 ]. The higher rate in our study could be attributed to the fact that our center is the main referral institution in North of Jordan where most high-risk pregnancies, including multiple gestations, are transferred for obstetric care and delivery.…”

Section: Discussionmentioning

confidence: 99%

Assessment and comparison of mortality and short-term outcomes among premature infants before and after 32-week gestation: A cross-sectional analysis

Khasawneh

Khriesat

2020

Annals of Medicine and Surgery

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Background Prematurity is a major cause of neonatal morbidity and mortality. The aim of this study is to assess the rate of prematurity and determine the mortality rate and short-term outcomes among premature infants admitted at King Abdullah University Hospital (KAUH) in Jordan. Materials and methods A retrospective cross-sectional review of all premature infants admitted at KAUH between August 2016 and August 2018 was conducted. Collected data include characteristics, medical interventions, morbidities, mortality, and discharge outcomes. Included infants were divided into two groups: less than 32-week gestation (group 1) and ≥32-week gestation (group 2). The outcomes were compared between both groups and reported accordingly. Results Out of 7020 newborns, 1102 were delivered before 37-week gestation, representing a prematurity rate of 15.7%. The mean gestational age and birth weight were 33.8 weeks and 2116 grams respectively. Group 1 comprised 13%. Late preterm infants (gestational age 34 to 36 6/7 weeks) accounted for 74%. The mortality rate was 4.6%. More infants died from group 1 (29% vs. 1.5%, p < 0.05). Group 1 infants had higher rates of respiratory distress syndrome (92% vs. 30%), bronchopulmonary dysplasia (28.4% vs. 1.1%), severe intraventricular hemorrhage (5.9% vs. 0.1%), high-stage retinopathy of prematurity (6.6% vs. 0.2%), necrotizing enterocolitis (9.2% vs. 0%), and sepsis (18.4% vs. 2.1%). At discharge, there was a significant difference in the length of stay, corrected gestational age, and weight in favor of group 2 (p < 0.05). Conclusions Although high rate of prematurity was observed, the majority were late preterm with reassuring outcomes. Compared with >32-week infants, the mortality and short-term complications were more frequent among those born before 32 weeks. Still, the overall mortality rate and risk of morbidities were reasonable. Population-based analysis of the risk factors among the more vulnerable very preterm and extremely premature infants is recommended to better understand the outcomes.

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Factors Associated with Preterm Birth and Low Birth Weight in Abu Dhabi, the United Arab Emirates

Cited by 58 publications

References 44 publications

Determinants of Low birthweight and Preterm Delivery in the Volta Region of Ghana: Evidence from birth records

Determinants of Low birthweight and Preterm Delivery in the Volta Region of Ghana: Evidence from birth records

<p>Indications and Clinical Profile of Neonatal Admissions: A Cross-Sectional Descriptive Analysis from a Single Academic Center in Jordan</p>

Assessment and comparison of mortality and short-term outcomes among premature infants before and after 32-week gestation: A cross-sectional analysis

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