Wealth Status, Mid Upper Arm Circumference (MUAC) and Antenatal Care (ANC) Are Determinants for Low Birth Weight in Kersa, Ethiopia

Abstract

BackgroundLow Birth Weight (LBW) is one of the major risk factor for death in early life. However, little is known about predictors of LBW in sub-Saharan Africa. Therefore, the aim of this study was to measure the incidence and determinants of LBW in a rural population of Ethiopia.MethodsAn observational cohort study on pregnant women was conducted from December 2009 to November 2010. During the study period 1295 live birth were registered and the weights of 956 children were measured within 24 hours after birth. Socio-demographic, economic, maternal and organizational factors were considered as a predicators of LBW, defined as birth weight below 2500g. Logistic regression was used to analyze the data, odds ratio (OR) and confidence intervals (CI) are reported.ResultThe incidence of LBW was 28.3%. It is significantly associated with poverty [OR 2.1; 95% CI: 1.42, 3.05], maternal Mid Upper Arm Circumference (MUAC) less than 23 cm [OR 1.6; 95% CI: 1.19, 2.19], not attending ANC [OR 1.6; 95% CI: 1.12, 2.28], mother’s experience of physical violence during pregnancy [OR 1.7; 95% CI: 1.12, 2.48], and longer time to walk to health facility [OR 1.6; 95% CI: 1.11, 2.40].Conclusion and RecommendationThe incidence of LBW was high in Kersa. Babies born to women who were poor, undernourished, experienced physical violence during pregnancy and who had poor access to health services were more likely to be LBW in this part of the country.In this largely poor community where ANC coverage is low, to reduce the incidence of LBW, it is essential to improve access for maternal health care. The involvement of husbands and the community at large to seek collective action on LBW is essential.

Biopsychosocial and Economic Determinants of Low Birth Weight in Jambi, South Sumatera: Path Analysis

“…Hasil penelitian ini didukung oleh hasil penelitian Sebayang et al (2012), Assefa et al (2012), Khayati et al (2016), Yuliati et al (2016), yang menemukan bawah ibu yang memiliki LiLA < 23.5 cm berisiko meningkatkan kelahiran bayi berat lahir rendah. Terdapat pengaruh positif LiLA Ibu secara langsung yang signifikan secara statistik antara terhadap berat badan lahir (Nurmayanti et al, 2017), dengan demikian LiLA Ibu ≥ 23.5 cm memberikan efek protektif terhadap kejadian bayi berat lahir rendah (Nurahmawati et al, 2017).…”

“…Status ekonomi rendah berisiko meningkatkan kejadian bayi berat lahir rendah (Assefa et al, 2012;Pramono dan Paramita, 2015;Mahumud et al, 2017;Shrestha et al, 2016;Taywade dan Pisudde, 2017). Hasil penelitian ini juga sejalan dengan Nurahmawati et al (2017), yang menemukan pendapatan tinggi meningkatkan status gizi (LiLA Ibu ≥ 23.5 cm) yang secara tidak langsung menurunkan risiko kejadian bayi berat lahir rendah.…”

Knowledge, Attitude and Practice of Kangaroo Mother Care by Postnatal Mothers who Gave Birth to Preterm and Low Birth Weight Babies in Public Hospitals, Eastern Ethiopia

“…It was reported 28.3% in Kersa district, Oromia region, eastern Ethiopia [6], and 22.5% in Jimma zone, Southwest Ethiopia [7], 17.4% in Gonder, northern Ethiopia [8]. On the other hand, in-depth analysis of the Ethiopian Demographic and Health survey 2011 indicated that 29.1% of Ethiopian babies were reported small at birth [9].…”

Anemia and Nutritional Status as Dominant Factor of the Event Low Birth Weight in Indonesia: A Systematic Review

“…Repeated pregnancies will affect the circulation of nutrients from the mother to fetus where the amount of nutrients will be reduced compared with previous pregnancies. This condition is risk of experiencing barriers and development fetal (Assefa, 2012).…”