Relative impact of pre-eclampsia on birth weight in a low resource setting: A prospective cohort study

Nakimuli, Annettee; Starling, Jennifer E.; Nakubulwa, Sarah; Namagembe, Imelda; Sekikubo, Musa; Nakabembe, Eve; Scott, James G.; Moffett, Ashley; Aiken, Catherine

doi:10.1016/j.preghy.2020.04.002

Cited by 23 publications

(32 citation statements)

References 22 publications

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“…Meanwhile, the limitation is that because this is a cross-sectional study, the authors cannot confirm a temporal relationship between exposure and outcome variables. Another limitation is that it did not investigate some of the known risk factors from previous studies for LBW, including dietary and nutritional factors 42,43 , genetic factors, and [44][45][46] , as well as pollution and environmental factors 47,48 . This limitation is more due to limited secondary data from the 2017 IDHS.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Socioeconomic Disparities of Low Birth Weight in Rural Indonesia

Laksono

Wulandari

Matahari

2020

Preprint

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Background: Poverty is estimated to increase a mother's chances of giving birth to a low birth weight baby (LBW). Objective: This study aimed to analyze the socioeconomic disparities of LBW in rural Indonesia.Methods: Mother aged 15-49 years old who had given birth in the last 5 years in rural Indonesia was used as the unit of analysis. With stratification and multistage random sampling found 19,283 mothers were sampled. The variables analyzed included LBW, socioeconomic, age, marital, education, employment, and antenatal care (ANC). The binary logistic regression test was used at the final stage to determine the existence of disparities.Results: The results show that the mother with the poorer wealth status was 0.686 times more likely than the poorest mother to give birth to an LBW baby. Mothers with middle wealth status were 0.688 times more likely than the poorest mothers to give birth to LBW babies. Mothers with richer wealth status were 0.621 times more likely than the poorest mothers to give birth to LBW babies. Finally, the richest mothers were 0.452 times more likely than the poorest mothers to give birth to LBW babies. The results of this analysis inform that the better the socioeconomic of mothers, the lower the likelihood of giving birth to LBW babies. Apart from socioeconomics, the analysis also found two other predictors of LBW in rural Indonesia, namely education level and ANC visits.Conclusion: It was concluded that there were socioeconomic disparities of LBW in rural Indonesia.

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Section: Strengths and Limitationsmentioning

confidence: 99%

Socioeconomic Disparities of Low Birth Weight in Rural Indonesia

Laksono

Wulandari

Matahari

2020

Preprint

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“…A study in Uganda and cohort study in Sweden also found a correlation between preeclampsia and lower birth weight/height. 26,27 These findings might be due to inadequate maternal perfusion of placental villi, local placental hypoxia, and impaired fetal growth resulted from shallow cytotrophoblast invasion of the uterus in preeclamptic women. 28 An insignificant association between anemia and preeclampsia using the Chi-square test method (p=0.712) is shown in (Table 2).…”

Section: Discussionmentioning

confidence: 99%

Association between anemia and preeclampsia: a case control study in Gorontalo region, Indonesia

Nanda¹,

Semarawisma²

2021

Int J Res Med Sci

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Background: Preeclampsia is one of the most common health problems in pregnancy that relates to several risk factors leading to an increase in maternal and perinatal mortality. The risk factors for preeclampsia include maternal age ≥35 years old, primigravida, chronic hypertension, obesity, and history of preeclampsia. However, studies investigating anemia as a risk factor for preeclampsia were still limited and showed conflicting results. This study aims to investigate the association between anemia and preeclampsia.Methods: A case-control study was conducted in the department of obstetrics and gynecology Dr. M. M. Dunda public hospital, Indonesia, from December 2020 to May 2021. Secondary data was collected in singleton pregnancy patients aged <35 years, admitted from 2016 to 2020. The number of patients used in this study was 264 consisting of 132 preeclampsia and 132 healthy women. Patient basic characteristics, obstetrics status, urinalysis, and complete blood count were collected and analysed using SPSS 25 for Mac. Kolmogorov-Smirnov test was done to examine data distribution. Chi-square was used to analyse the association between anemia and preeclampsia, p<0.05 is considered to be statistically significant.Results: BMI was found significantly higher in preeclampsia group (p<0.000), and infants born to mothers with preeclampsia had lower birth weight and height compared to the control group with p-value respectively p<0.032 and p<0.001. There was no significant association between anemia and pre-eclampsia (p=0.712; p>0.05).Conclusions: Preeclampsia is significantly associated with higher maternal BMI and lower birth weight/height. However, no association was identified between anemia and preeclampsia.

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“…The Mulago-Kawempe National Referral Site is the tertiary referral center for obstetrics in Uganda with between 25,000 and 32,000 deliveries per year. 19 The center is one of the busiest maternity units in Africa and offers comprehensive obstetrics and gynecology services round the clock. The average number of maternal deaths at the center per year is approximately 136 to 140.…”

Section: Methodsmentioning

confidence: 99%