Study on the Influence of Pregnancy-Induced Hypertension on Neonatal Birth Weight

Lei, Fangliang; Liu, Danmeng; Shen, Yuan Li; Zhang, Lili; Li, Shanshan; Liu, Xin; Shi, Guoshuai; Li, Jiamei; Zhao, Yaling; Kang, Yijun; Dang, Shaonong; Yan, Hong

doi:10.1136/jim-2017-000626

Cited by 21 publications

(18 citation statements)

References 28 publications

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“…The placenta provides blood and essential nutrients from the mother to the foetus for optimal growth and development (50). Thus, pregnancy induced hypertension increases the risk of poor foetal nutrition hence poor foetal growth leading to LBW (49,53).…”

Section: Discussionmentioning

confidence: 99%

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: 99%

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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“…The present cross-sectional study indicated that PIH had an effect on neonatal birth weight. 10 In a study conducted by Chaitanya et al, a hospital based prospective study comprising 790 pregnant women visiting the obstetrics clinic for a routine antenatal checkup and genito-urinary infections. Rates of preterm birth and low birth weight in the study population were 7.6%, 11.4% respectively.…”

Section: Discussionmentioning

confidence: 99%

A prospective study on the effects and prevalence of maternal, fetal and placental risk factors on low birth weight neonates

Jayaseelan

Sivaprakasam

Palanisamy

2018

Int J Contemp Pediatr

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Background: Maternal, foetal and placental risk factors have a causative effect in the prematurity and failure to thrive in the early infantile period. Timely diagnosis helps in the anticipation of complications specific to risk factors and managing by impairing their harmful effects on the growth and development of the baby.Methods: The study was conducted prospectively in Department of Paediatrics, Rajah Muthiah Medical College and Hospital, Chidambaram from January 2018 to June 2018. 361 Low birth weight babies were included. Neonates (n=361) weighing less than 2.5 kilograms with parental informed consent are included, whereas those with severe congenital anomaly, systemic disease or infection were excluded from the study. Various known maternal, placental and foetal risk factors are observed during the course of the study. The gestational age of the neonates was estimated using modified Dubowitz scoring. Other factors like mode of delivery of the babies were also noted. Statistical analysis (descriptive statistics) was done by using Microsoft Word 2010.Results: Out of 1040 babies born from January to July 2018, 341 babies weight less than 2.5 kg. Out of which 162 (44.88%) babies were born preterm. Of the full term births 52% were low birth weights The risk factors of the neonates are not mutually exclusive. In the present study 28 maternal risk factors were studied. The prevalence of maternal, fetal and placental risk factors was 85.32%, 74.79% and 6.65% respectively.Conclusions: Period prevalence of low birth weight babies and prematurity is 34.71% and 15.58% respectively. Risk factors are not independent to each other with maternal and foetal risk factors have almost have an effect on nearly three fourths of low birth weight neonates.

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“…2845 PIH women were included. These PIH women are at a higher risk of attaining low birth weight when compared with antenatal mothers who don't have gestational hypertension (10) . In a study conducted by Chaitanya et al, 709 antenatal mothers with risk factor of dental infections and genitourinary infections were included.…”

Section: Discussionmentioning

confidence: 99%

A Prospective study on the effects & prevalence of maternal, fetal & placental risk factors on low birth weight neonates

Chidambaranathan¹

2018

jmscr

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Background: Maternal, foetal and placental risk factors have a causative effect in the prematurity and failure to thrive in the early infantile period. Timely diagnosis helps in the anticipation of complications specific to risk factors and managing by impairing their harmful effects on the growth and development of the baby. Methods: The study was conducted prospectively from January 2018 to July 2018. Neonates (n=361) weighting less than 2.5 kilograms were observed for risk factors and maturity estimation by Dubowitz scoring. Results: Out of 1040 babies born from January to July 2018, 341 babies weight less than 2.5 kg. Out of which 162 (44.88%) babies were born preterm. Of the full term births 52% were low birth weightsThe risk factors of the neonates are not mutually exclusive. In the present study 28 maternal risk factors were studied. The prevalence of maternal, fetal and placental risk factors was 85.32%, 74.79% and 6.65% respectively. Discussion: India tops the list of 10 nations contributing around 60% of premature deliveries. Previous preterm delivery, periodontitis, oligohydramnios, gestational diabetes mellitus and maternal short stature were risk factors for pre-term birth, while periodontitis, gestational hypertension and genital infection during the later stages of pregnancy were the independent risk factors for low birth weight. Conclusion: Period prevalence of low birth weight babies and prematurity is 34.71% and 15.58% respectively. Risk factors are not independent to each other with maternal and foetal risk factors have almost have an effect on nearly three fourths of low birth weight neonates.

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Study on the Influence of Pregnancy-Induced Hypertension on Neonatal Birth Weight

Cited by 21 publications

References 28 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

A prospective study on the effects and prevalence of maternal, fetal and placental risk factors on low birth weight neonates

A Prospective study on the effects & prevalence of maternal, fetal & placental risk factors on low birth weight neonates

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