Tendances évolutives de la mortalité néonatale des nouveau-nés de moins de 1500g de 1998 à 2013 au centre hospitalier d’Essos, Yaoundé, Cameroun

Nlend, Anne Esther Njom; Zeudja, Cécile; Ndiang, Suzie Tetang; Motaze, Annie Nga; Ngassam, L.; Nsoa, L.

doi:10.1016/j.arcped.2016.06.001

Cited by 2 publications

(1 citation statement)

References 15 publications

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“…The study by Mukherjee S et al, in India between 2014 and 2016 showed that high birth weight is statistically associated with surviva. 7 Similarly, the study by Kabilan S et al between 2016 and 2017, a mortality rate of 100% was observed for VLBWs with a birth weight of less than 750 g compared with 16.66% for those with a birth weight between 1.251 g and 1.500 g. 8 Larroque B et al, showed that low birth weight was associated with an increased risk of mortality. 9 Worldwide, low birth weight is a major indirect cause of death.…”

Section: Early Outcomementioning

confidence: 91%

Nutritional management of very low birth weight at a hospital center of Antananarivo

Ranosiarisoa¹,

Ramananirina²,

Tsifiregna

et al. 2019

Int J Reprod Contracept Obstet Gynecol

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Background: Very low birth weight (VLBW) new-borns represent vulnerable group. The lower the birth weight, the higher the mortality rate. The objective of this study was to describe the nutritional management of VLBW new-borns and to determine their hospital outcome.Methods: A retrospective cohort study was carried out during 24 months in a hospital center of Antananarivo. All newborns weighing less than 1500 g at birth and admitted to neonatal resuscitation service were included.Results: Of the 577 newborns admitted during this period, 48 were retained as very low birth weight. All had less than to 37 gestational age. New-borns less than or equal to 32 gestational age had a 4.02-fold risk of dying. VLBW with a birth weight less than 1,000 g were 2.12 times more likely to die than those between 1,000 and 1,499 g. The use of artificial milk was neither associated with the onset of digestive intolerance nor associated with VLBW early outcome.Conclusions: Hospital nutritional management of VLBW requires specific and delicate care. Breast milk is ideal for the newborn. But if it is not available immediately, the alternative that is not disadvantageous is artificial milk.

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Section: Early Outcomementioning

confidence: 91%

Nutritional management of very low birth weight at a hospital center of Antananarivo

Ranosiarisoa¹,

Ramananirina²,

Tsifiregna

et al. 2019

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

show abstract

Impact of Low Birth Weight on Early Vascular Aging and Cardiometabolic Phenotypes in Later Life Among Cameroonian Adults

Lemogoum

Borne

Hermans

et al. 2020

IJN

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Background Evidence suggests that low birth weight (LBW) is associated with increased cardiovascular and metabolic risk in adulthood, including increased arterial stiffness, a marker of early vascular aging (EVA) assessable by pulse wave velocity (PWV), obesity and glucose homeostasis abnormalities. The present study aimed to explore the late impact of LBW on PWV and cardiometabolic phenotypes among young adult Cameroonians. Methods The study evaluated 120 subjects (mean age: 26 ± 5 years; 54% male sex) at the Cameroon Heart Institute, Douala, Cameroon, between January and June 2018. Birth weight (BW) and gestational age, sociodemographic, anthropometrics and fasting capillary blood glucose were recorded in all participants. Blood pressure (BP) and PWV were measured using an automatic oscillometric device (Mobil-O-Graph®). Multiple-adjusted linear regression was used to determine predictive factors for PWV. For assessment of potential impact of BW on EVA, PWV was adjusted for age, sex, body mass index (BMI) and mean arterial pressure (MAP). Results 28 participants (23.3%) of the study sample had LBW (<3000g). There was no gender difference between LBW or normal birth weight patients (NBW; controls). Age- and MAP-adjusted PWV (aPWV) were higher in women with LBW compared to NBW (5.6 m/s and 5.3 m/s respectively, P = 0.038). In men, aPWV was similar in LBW and NBW. In this study population, aPWV was higher (on average +15 cm/s) in LBW than in controls, although the difference was not statistically significant (P=0.083). Multivariate regression analysis showed age, male sex, BMI and MAP were independent determinants of PWV, but not LBW. Compared to NBW controls, the prevalence of overweight/obesity, impaired glucose homeostasis and diabetes was higher in LBW: 42.9% vs 37%; 10.7% vs 3.3%, and 3.6 % vs 1.1%, respectively. Moreover, compared with controls, LBW individuals who were overweight/obese in adulthood had a much higher mean fasting capillary glucose (1.54 ±0.17 g/l vs 0.87 ±0.11 g/l in NBW, p=0.003). Conclusion This study suggests that although LBW is associated with increased aortic stiffness in young adulthood, mainly in women, the association was predominantly driven by aging, MAP, BMI and male sex. In adulthood, LBW subjects exhibited higher obesity indices and altered glucose homeostasis.

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Tendances évolutives de la mortalité néonatale des nouveau-nés de moins de 1500g de 1998 à 2013 au centre hospitalier d’Essos, Yaoundé, Cameroun

Cited by 2 publications

References 15 publications

Nutritional management of very low birth weight at a hospital center of Antananarivo

Nutritional management of very low birth weight at a hospital center of Antananarivo

Impact of Low Birth Weight on Early Vascular Aging and Cardiometabolic Phenotypes in Later Life Among Cameroonian Adults

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