Maternal factors contributing to low birth weight deliveries in Tshwane District, South Africa

Tshotetsi, Lumbani; Dzikiti, Loveness Nyaradzo; Hajison, Precious; Feresu, Shingairai A.

doi:10.1371/journal.pone.0213058

Cited by 80 publications

(96 citation statements)

References 26 publications

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“…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: Discussionmentioning

confidence: 90%

“…For instance some studies have reported that risk of delivering low birthweight babies among teenage mothers is higher than that of older women (16,17). However, other studies older mothers are more likely to experience these birth outcomes (18,19).…”

Section: Introductionmentioning

confidence: 89%

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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“…Similarly, the study in Ethiopia was carried out in an urban area where the economic level of women tend to be higher than those from the rural area and the impact of better economic status on the prevalence of low birthweight is already described [29,30]. In contrast, rate in excess were reported in South Africa (38.5%) in 2014 [31], and in a study conducted in Zimbabwe (16.7%) [32]. The reason behind this higher prevalence in the South African and Zimbabwean studies could be related to the higher prevalence of human immuno-de ciency virus (HIV) infection [33].…”

Section: Discussionmentioning

confidence: 99%

Maternal Factors of Newborn Low Birthweight in Malaria Endemic Settings of Nanoro, Rural Burkina Faso

Lingani

Zango

Valéa

et al. 2020

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Background. In sub-Saharan Africa, the intermittent preventive treatment of malaria in pregnancy with sulphadoxine pyrimethamine (IPTp-SP) strategy is recommended to limit malaria consequences on birth outcomes. Ten year after IPTp-SP was adopted in Burkina Faso, we assessed the magnitude of low birthweight (LBW) and its maternal factors in Nanoro.Methods. A secondary analysis of data from a cross-sectional study was carried out in women who gave birth at Nanoro peripheral health centers using a binary multivariate logistic regression. Maternal socio-demographic factors, gyneco-obstetrical history and relevant medical characteristics were evaluated to identify associated factors. A p-value less than 0.05 was considered statistically significant.Results. Of 291 delivery records examined, 14 % of women received three or more doses of SP while 80% used bed nets the night before their admission for delivery. Malaria was detected in 36.1% and anemia in 52.9% of women. The average neonate birthweight was 2933 g and 12 % of them were born with a low birthweight. After multivariate analysis, first delivery (OR = 8.84, [95% CI: 3.72-21.01]), and being multiparous with history of stillbirth (OR = 5.03, [95% CI: 1.54-16.40]) were significantly associated with an increased risk of LBW.Conclusion. LBW is still prevalent in rural Nanoro and the uptake of three or more doses of SP for the IPTp was low. In addition, to improving the coverage of IPTp-SP to improve birthweight, an extension of the target of antenatal care to other known causes of LBW including curable sexually transmitted infections may be necessary.

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“…Last, post-strati cation weights were adjusted to the age-sex-race distribution produced by Statistics South Africa based on population estimates. Analyses were based on a dataset with imputation values generated by the NIDS data team (18). All analyses were conducted using Stata 15 (Stata Corporation, College Station, TX).…”

Section: Statistical Analysesmentioning

confidence: 99%

“…Variables associated with stunting and severe stunting were combined in a nal multiple logistic regression model. (17,18).…”

Section: Sample Characteristicsmentioning

confidence: 99%

The relationship between antenatal food insecurity, fetal and postnatal growth: findings from the South African National Income Dynamics Study

Harper

Rothberg

Chirwa

et al. 2020

Preprint

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Background Food insecurity during pregnancy has been associated with adverse child health outcomes including low birthweight and stunting. There are few studies that have examined the relationships between food insecurity and child health outcomes in low and middle income countries. This study aims to fill the gap by examining the relationship between food insecurity, low birthweight and stunting in children using a longitudinal sample of South African women and their children. Methods The primary exposure is a multidimensional, composite measure of household food insecurity that comprises three dimensions and six indicators. The primary outcome is a dichotomous measure of child LBW (≤ 2500 g) The secondary outcome is childhood stunting (height for age ≤2SD of the median) and severe stunting (height for age ≤3SD of the median) in the first five years of life. We used both unadjusted and adjusted regression models. Source data for the analysis came from the population-based, longitudinal data collected for wave one and three of the National Income Dynamics Study (2008 and 2012). Results Birthweight data were available for 1381 children and stunting data were available for 1444 children. The prevalence of LBW in the sample was 13.64%. The prevalence of stunting and severe stunting was 16.46% and 11.87%. The composite measure was not associated with low birthweight but was associated with underweight maternal BMI, a risk factor for low birthweight. Household dietary diversity, food expenditure below the Stats SA poverty line and the composite measure was associated with stunting and severe stunting in bivariate analyses. The measure was associated with severe stunting in the final model. Conclusions The finding that household food insecurity is associated with severe stunting for children in the first five years of life highlights the importance of adequate food and nutrition for vulnerable children in South Africa. Future studies can elucidate the relationship between antenatal food insecurity, low birthweight and other child outcomes. Policy interventions that focus on early childhood growth through alleviating food insecurity and addressing other drivers of malnutrition such as improving maternal education and dietary diversity can break the cycle of poor growth outcomes.

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Maternal factors contributing to low birth weight deliveries in Tshwane District, South Africa

Cited by 80 publications

References 26 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

Maternal Factors of Newborn Low Birthweight in Malaria Endemic Settings of Nanoro, Rural Burkina Faso

The relationship between antenatal food insecurity, fetal and postnatal growth: findings from the South African National Income Dynamics Study

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