Low birth weight among adolescents at Cape Coast Metropolitan Hospital of Ghana

Afriyie, James; Bedu-Addo, Kweku; Asiamah, Ernest Amponsah; Boateng, Solomon Twum

doi:10.18203/2320-1770.ijrcog20164321

Cited by 5 publications

(6 citation statements)

References 11 publications

(22 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In Ghana, some studies have investigated the relationship between socio-economic characteristics (Afriyie et al, 2016;Prah et al, 2016), maternal risk factors (Fosu et al, 2013), the effects of single nutrients (Amegah et al, 2017) and food groups during pregnancy with LBW. However, data on the relationship between DDS and dietary patterns during pregnancy have received little attention (Saaka, 2012;Abubakari and Jahn, 2016).…”

Section: Introductionmentioning

confidence: 99%

Maternal dietary diversity and pattern during pregnancy is associated with low infant birth weight in the Cape Coast metropolitan hospital, Ghana: A hospital based cross-sectional study

Quansah

Boateng

2020

Heliyon

View full text Add to dashboard Cite

Background: This study investigated the associations between mother's dietary diversity score and dietary patterns during pregnancy and the odds of low birth weight at the Cape Coast Metropolitan Hospital in Ghana. Methods: Mothers attending the postnatal clinic from January to August 2016 at the Cape Coast Metropolitan Hospital were included. Dietary information during pregnancy was assessed with a food frequency questionnaire. In reference to the women's dietary diversity score, women were categorized into low, medium or high dietary diversity score groups. The primary outcome was low birth weight and was defined as weight <2500 g at birth. Factor analysis was conducted to identify maternal dietary patterns and a multivariable logistic regression analysis was used to determine the associations between dietary diversity score and dietary patterns with low birth weight. Results: The prevalence of low birth weight in infants was 43.8% (95% CI ¼ 39%-49%). After adjusting for covariates, the odds of low birth weight was four times higher in the low dietary diversity score group compared to the high dietary diversity score group (odds ratio [OR] ¼ 4.29, 95% confidence interval [CI], 1.24-6.48). Three dietary patterns namely "Western", "Traditional" and "Healthy", which explained 58.23% of the total variance in food intake were identified. The subjects in the highest quartiles of "healthy" and "traditional" dietary pattern scores had significantly lower odds of low birth weight (healthy: OR ¼ 0.23, 95% CI, 0.19-0.39, P trend <0.0001; traditional: OR ¼ 0.14, 95% CI, 0.06-0.35, P trend <0.0001, respectively) compared to those in the lowest quartiles of dietary pattern score. Conclusion: Low dietary diversity score during pregnancy was associated with higher odds of infant low birth weight whereas dietary patterns considered as "healthy" and "traditional" during pregnancy were associated with lower odds of infant low birth weight. Findings of this study suggests that higher dietary diversity and "healthy" and "traditional" dietary patterns during pregnancy may be protective of LBW in the study area.

show abstract

Section: Introductionmentioning

confidence: 99%

Maternal dietary diversity and pattern during pregnancy is associated with low infant birth weight in the Cape Coast metropolitan hospital, Ghana: A hospital based cross-sectional study

Quansah

Boateng

2020

Heliyon

View full text Add to dashboard Cite

show abstract

“…Compared with other studies around the world, our findings regarding LBW and PTB were higher ( 32 , 50 ) but lower from other results ( 51 , 52 ) . Within Ghana, a study in Cape Coast reported a similar LBW prevalence of 14⋅3 % among pregnant adolescents ( 36 ) .…”

Section: Discussionmentioning

confidence: 92%

“…Studies among pregnant adolescents have reported a high risk for adverse birth outcomes, such as preterm, fetal death or LBW ( 31 – 35 ) . Furthermore, findings have reported an even higher risk for unfavourable birth outcomes in much younger adolescents ( 36 , 37 ) . The WHO ( 38 ) reported an estimation of 12⋅8 million births (44 births per 1000 adolescent girls) of teenage girls between 15 and 19 years in 2018, with the highest occurrence in low-income countries (8 times higher), compared with high-income countries.…”

Section: Introductionmentioning

confidence: 99%

Predictors of adverse birth outcomes among pregnant adolescents in Ashanti Region, Ghana

et al. 2021

View full text Add to dashboard Cite

Adolescent pregnancy is associated with adverse birth outcomes. However, the determinants of these outcomes are understudied. The present study sought to identify the predictors of adverse birth outcomes among pregnant adolescents in Ghana. In this prospective health centre-based study, 416 pregnant adolescents, aged 13–19 years old, were followed, and 270 birth outcomes were evaluated. We collected data on socio-demographic variables, eating behaviour, household hunger scale (HHS), lived poverty index (LPI) and compliance to antenatal interventions. The prevalence of low birth weight (LBW) and preterm births (PTB) were 15⋅2 and 12⋅5 %, respectively. Pregnant adolescents with no formal education (AOR 9⋅0; P = 0⋅004; 95 % CI 2⋅1, 39⋅8), those who experienced illness (AOR 3⋅0; P = 0⋅011; 95 % CI 1⋅3, 7⋅0), those who experienced hunger (OR 2⋅9; P = 0⋅010; 95 % CI 1⋅3, 6⋅5) and those with high LPI (OR 2⋅5; P = 0⋅014; 95 % CI 1⋅2, 5⋅3) presented increased odds of delivering preterm babies compared with those who have had secondary education, did not experience any illness, were not hungry or having low LPI, respectively. Pregnant adolescents who used insecticide-treated net (ITN) (AOR 0⋅4; P = 0⋅013; 95 % CI 0⋅2, 0⋅9) presented reduced odds LBW children; while those who experienced illness (AOR 2⋅7; P = 0⋅020; 95 % CI 1⋅2, 6⋅0), poorer pregnant adolescents (OR 2⋅5; P = 0⋅014; 95 % CI 1⋅1, 4⋅8) and those who experienced hunger (AOR 3⋅0; P = 0⋅028; 95 % CI 1⋅1, 8⋅1) presented increased odds of LBW children compared with those who used ITN, were not ill, were not poor or did not experience hunger. Adverse birth outcomes were associated with ANC compliance and socioeconomic factors of the pregnant adolescents. Hence, strengthening antenatal uptake and compliance by pregnant adolescents, promoting their livelihood and socioeconomic status, and interventions to prevent teenage pregnancies are strongly recommended.

show abstract

“…Also, gestational age attained can predict birth weight in adolescent pregnancy. Studies have predicted that maternal gestational age and weight status are associated with birth weight [46][47][48][49].…”

Section: Discussionmentioning

confidence: 99%

Nutritional status and birth outcomes among pregnant teenagers in Ghana

Annan

Apprey

Asamoah-Boakye

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Inadequate nutritional status during pregnancy can lead to adverse birth outcomes but this is more so for pregnant adolescents as they require nutrients to meet their needs for growth and that of the foetus. The study examined the relationship between nutritional status and birth outcomes among Ghanaian teenagers in rural and urban districts of the Ashanti Region, Ghana.Methods In this prospective cohort study, 416 pregnant teenagers recruited at hospitals/health centres during antenatal care were followed until delivery. Data on weight, height (for body mass index), mid-upper arm circumference (MUAC), and nutrients intake using a repeated 24-hour dietary recall were determined. Blood samples were also taken and analysed for haemoglobin (Hb), serum levels of ferritin, prealbumin, vitamin A, total antioxidant capacity (TAC), C-reactive protein (CRP), and zinc protoporphyrin (ZPP). Birth weight, gestational age at birth, type of delivery, and outcome of delivery were collected as each teenager gave birth. Data were analysed using Chi-square (Fisher’s exact) analysis, t-test, two-way ANOVA and multiple linear regression. Results: 15.9% had low birth weight, 12.5% had preterm birth, 11.5% had a postpartum haemorrhage, and 3.1% neonatal deaths. Majority of the participants had inadequate intakes of energy (81.4%), protein (77.2%), vitamins A (97.1%) and E (97.7%), calcium (99.8%), iron (97.6%), folate (93.0%), zinc (83.7%), riboflavin (88.4%), thiamin (74.4%), and fiber (74.4%) intakes. Anaemia and wasting prevalence were 57.1% and 27.8%. Between-subject effects determined using Generalized Linear Modelling indicated MUAC (p=0.058), and gestational age at delivery (p=0.023) significantly affected birth weight. A multiple linear regression analysis indicated MUAC (β=0.283, p=0.002), BMI (β=0.221, p=0.015), gestational age (β=0.285, p<0.001), and ZPP (β=0.131, p=0.057) were significantly associated with birth weight (F(23, 223), P=0.008, R2=1.941).Conclusions: Inadequate nutrients intake, anaemia, and LBW were found in these pregnant teenagers. Maternal MUAC, gestational age, and serum ZPP were associated with birth weight. Interventions for improving the nutritional status of teenagers before and during pregnancy are urgently needed to reduce the risk of adverse birth outcomes.

show abstract

Low birth weight among adolescents at Cape Coast Metropolitan Hospital of Ghana

Cited by 5 publications

References 11 publications

Maternal dietary diversity and pattern during pregnancy is associated with low infant birth weight in the Cape Coast metropolitan hospital, Ghana: A hospital based cross-sectional study

Maternal dietary diversity and pattern during pregnancy is associated with low infant birth weight in the Cape Coast metropolitan hospital, Ghana: A hospital based cross-sectional study

Predictors of adverse birth outcomes among pregnant adolescents in Ashanti Region, Ghana

Nutritional status and birth outcomes among pregnant teenagers in Ghana

Contact Info

Product

Resources

About