Maternal Age, Low Birth Weight and Early Neonatal Death in Tertiary Hospital in the Volta Region of Ghana

Afeke, Innocent; Mac-Ankrah, Lennox; Jamfaru, Ibrahim; Amegan-Aho, Kokou Hefoume; Mbroh, Hintermann Kobina; Lokpo, Sylvester Yao; Obum, Edem; Geni, Delali; Adu-Amankwaah, Joseph; Orish, Verner N.

doi:10.4236/ojped.2017.74029

Cited by 6 publications

(6 citation statements)

References 12 publications

(15 reference statements)

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“…We found that nearly 10% of the infants born within the study period had birth weights below 2.5kg (LBW). Further analysis revealed that the odds LBW were higher among babies born to teenage mothers (age less than 20 years) and low among babies of mothers older than 30 years albeit not significant, which agrees well with several other studies [23, 27–33] including findings of the 2010 Ghana Demographic and Health Survey [4]. This may be due to poor socioeconomic status, maternal malnutrition, and inadequate antenatal care of teenage mothers as these factors have been reported to influence birth weight of babies born to teenage mothers in low-and-middle-income countries [34–36].…”

Section: Discussionsupporting

confidence: 92%

Maternal obstetric and socio-demographic determinants of low birth weight: a retrospective cross-sectional study in Ghana

Mohammed¹,

Bonsing

Yakubu

et al. 2019

Reprod Health

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Background Birth weight is an important predictor of early neonatal mortality, morbidity, and long-term health outcomes. Annually, approximately 20 million babies are born globally with weights less than 2.5kg. In sub-Saharan Africa, the prevalence of LBW is around 13 to 15 percent. In Ghana, 10% of babies born in 2014 were with LBW. The aim of this study was to identify maternal socio-demographic and obstetric risk factors associated with the birth weight of newborns in the Sunyani Municipality of Ghana. Methods This retrospective cross-sectional study analysed data from 931 birth records of all deliveries between January 1 and December 31, 2017, at the Sunyani Municipal Hospital in the Brong-Ahafo Region of Ghana. Univariate and multivariable logistic regression models were fitted to estimate the effect of maternal factors on low birth weight. Results We found that the mean age of the participants and the mean gestational age at birth were 27.21(SD = 5.50) years and 37.95(SD = 1.85) weeks respectively. Nearly 10% of the infants born within the study period had birth weights below 2.5kg. The findings revealed that the odds of delivering LBW baby were significantly high (OR 1.77, 95%CI 1.14-2.76) among urban dwellers. However, mothers who attended or completed secondary or higher education were 63% (95% CI 0.20–0.78) less likely to give birth to a LBW baby when compared with uneducated mothers. We found that the odds of LBW significantly decreased with every one-week increase in gestational age (OR 0.67 95%CI 0.59-0.76) and significantly increased with increasing parity (OR 1.43 95%CI 1.21-1.70). Further, the likelihood of delivering LBW baby decreased with every additional ANC visit (OR 0.78 95%CI 0.67-0.90) and with every additional gram of haemoglobin (OR 0.78 95%CI 0.63-0.95). Conclusion The evidence from this study suggests that maternal educational level, residence, haemoglobin level, parity, number of ANC visits, and gestational age are independent predictors of low birth weight. The current findings add substantially to the growing literature on the influence of maternal socio-demographic and obstetric factors on LBW in resource-constrained settings and provide empirical data for clinical and public health interventions aimed at reducing low birth weight and its associated complications.

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Section: Discussionsupporting

confidence: 92%

Maternal obstetric and socio-demographic determinants of low birth weight: a retrospective cross-sectional study in Ghana

Mohammed¹,

Bonsing

Yakubu

et al. 2019

Reprod Health

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“…As the gestational age increases by one week, the newborn is more likely to survive during the early neonatal period. This finding corresponds well with studies conducted in Ethiopia (Gondar, Addis Ababa, Jimma, Durame, and Mekelle) [ 62 – 67 ], Ghana [ 68 ], China [ 27 ], and Brazil [ 69 ]. The possible reason might be the fact that gestational age is strongly related to fetal maturity.…”

Section: Discussionsupporting

confidence: 91%

Cause and risk factors of early neonatal death in Ethiopia

et al. 2022

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Background Globally, three fourth of neonatal deaths occur during the early neonatal period, this makes it a critical time to reduce the burden of neonatal death. The survival status of a newborn is determined by the individual (neonatal and maternal), and facility-level factors. Several studies were conducted in Ethiopia to assess early neonatal death; however, most of the studies had limited participants and did not well address the two main determinant factors covered in this study. In response to this gap, this study attempted to examine factors related to early neonatal death based on perinatal death surveillance data in consideration of all the possible determinants of early neonatal death. Methods The national perinatal death surveillance data were used for this study. A total of 3814 reviewed perinatal deaths were included in the study. Bayesian multilevel parametric survival analysis was employed to identify factors affecting the survival of newborns during the early neonatal period. Adjusted time ratio (ATR) with 95% Bayesian credible intervals (CrI) was reported and log-likelihood was used for model comparison. Statistical significance was declared based on the non-inclusion of 1.0 in the 95% CrI. Result More than half (52.4%) of early neonatal deaths occurred within the first two days of birth. Per the final model, as gestational age increases by a week the risk of dying during the early neonatal period is reduced by 6% [ATR = 0.94,95%CrI:(0.93–0.96)]. There was an increased risk of death during the early neonatal period among neonates deceased due to birth injury as compared to neonates who died due to infection [ATR = 2.05,95%CrI:(1.30–3.32)]; however, perinates who died due to complication of an intrapartum event had a lower risk of death than perinates who died due to infection [ATR = 0.87,95%CrI:(0.83–0.90)]. As the score of delay one and delay three increases by one unit, the newborn’s likelihood of surviving during the early neonatal period is reduced by 4% [ATR = 1.04,95%CrI:(1.01–1.07)] and 21% [ATR = 1.21,95%CrI:(1.15–1.27)] respectively. Neonates born from mothers living in a rural area had a higher risk of dying during the early neonatal period than their counterparts living in an urban area [ATR = 3.53,95%CrI:(3.34–3.69)]. As compared to neonates treated in a primary health facility, being treated in secondary [ATR = 1.14,95%CrI:(1.02–1.27)] and tertiary level of care [ATR = 1.15,95%CrI:(1.04–1.25)] results in a higher risk of death during the early neonatal period. Conclusion The survival of a newborn during the early neonatal period is determined by both individual (gestational age, cause of death, and delay one) and facility (residence, type of health facility and delay three) level factors. Thus, to have a positive early neonatal outcome, a tailored intervention is needed for the three major causes of death (i.e Infection, birth injury, and complications of the intrapartum period). Furthermore, promoting maternal health, improving the health-seeking behaviour of mothers, strengthening facility readiness, and narrowing down inequalities in service provision are recommended to improve the newborn’s outcomes during the early neonatal period.

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“…The researchers report 18.9% occurrence of preterm delivery in their sample. Further, a study by Afeke et al (17) examined 8,279 delivery records from the pediatrics unit of the Volta Regional Hospital spanning the time periods November 2011 to June 2016 ( 17 ). Low birthweight in the sample was 10.7%; the study showed that preterm babies had a 4% chance of survival within 7 days of birth compared to the 96% survival rate for term babies ( 17 ).…”

Section: Introductionmentioning

confidence: 99%

Women's perspectives on human milk banking in Ghana: results from a cross-sectional study

Obeng

Jackson

Amissah-Essel

et al. 2023

Front. Public Health

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BackgroundAlthough political and academic interest exists in Ghana to include human milk banks (HMB) into current maternal and child health programs, efforts to establish a HMB have not yet been subjected to any real empirical inspection with the view toward implementation. Furthermore, views toward the establishment of a HMB in Ghana have not been assessed among Ghanaian women. The aims of the current study were to examine Ghanaian women's views about HMB, and to investigate women's willingness to donate to a HMB.MethodsQuantitative and qualitative responses were received from Ghanaian females (n = 1,270) aged 18+ years. Excluding outliers and missing data (n = 321), a final sample of 949 was retained for final analysis. Chi-square tests and logistic regression analysis were computed on quantitative data; Thematic analysis was performed on the qualitative responses.ResultsIn our sample, 64.7% of respondents indicated that Ghana is ready for a HMB. The majority (77.2%) were willing to donate milk, and 69.4% believed that donating to the HMB would favor their child. The main concerns for the unwillingness to donate excess milk included: (i) the idea of HMBs as strange/bizarre (n = 47), (ii) fear of infections (n = 15), (iii) religious beliefs (n = 9), and (iv) insufficient information (n = 24). This study serves as the first step toward the development of a HMB in Ghana.ConclusionsOverall, Ghanaian women support the building of a HMB to enhance infant nutrition and reduce childhood morbidity and mortality.

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Maternal Age, Low Birth Weight and Early Neonatal Death in Tertiary Hospital in the Volta Region of Ghana

Cited by 6 publications

References 12 publications

Maternal obstetric and socio-demographic determinants of low birth weight: a retrospective cross-sectional study in Ghana

Maternal obstetric and socio-demographic determinants of low birth weight: a retrospective cross-sectional study in Ghana

Cause and risk factors of early neonatal death in Ethiopia

Women's perspectives on human milk banking in Ghana: results from a cross-sectional study

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