scholarly journals Assessment of Low Birth Weight and Associated Factors Among Neonates in Butajira General Hospital, South Ethiopia, Cross Sectional Study, 2019

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Tigistu Toru ◽  
Walellign Anmut

Background. Low birth weight is defined as when a newborn weighs less than 2,500 grams within an hour of birth. Globally, it has been known that around 15.5% of newborns were below the normal level of weight at their birth and 95% of these infants lived in developing countries. The main objective of this study was to assess the prevalence and associated factors of low birth weight among newborns delivered at Butajira General Hospital, Southwest Ethiopia. Methods. An institutional-based cross-sectional study design was employed. All 196 paired study participants (newborn-mother) who were born on a one-month duration of the data collection period were included in the study. A pretested questionnaire was used to gather pertinent information about mother and newborn along with measuring newborn birth weight. Result. Majority of mothers 175 (92.1%) were aged between 20 and 34 years, and 186 (97.9%) were married. About 169 (88.9%) were protestant religion followers. This study showed that the magnitude of low birth weight among study participants was 12.5%, and factors such as maternal medical complication during pregnancy, maternal MUAC less than 23 cm, and birth interval less than 24 months were significantly associated with low birth. Conclusion. The study finding indicated that a significant number of newborns measured underweight which is below the normal level of weight at birth. The study identified factors such as maternal medical condition during pregnancy, maternal MUAC less than 23 cm, and birth interval less than 24 months. Based on study findings, we recommend health care officials, policymakers, key persons in the family, and volunteers to work on nutritional values particularly during pregnancy and before pregnancy. Spacing of birth is crucial to have healthy baby and healthy family even healthy society at large, so attention should be paid on family planning utilization.

2021 ◽  
Vol 8 ◽  
pp. 2333794X2110196
Author(s):  
Sitotaw Molla Mekonnen ◽  
Daniel Mengistu Bekele ◽  
Fikrtemariam Abebe Fenta ◽  
Addisu Dabi Wake

Necrotizing enterocolitis (NEC) remains to be the most critical and frequent gastrointestinal disorder understood in neonatal intensive care units (NICU). The presented study was intended to assess the prevalence of NEC and associated factors among enteral Fed preterm and low birth weight neonates. Institution based retrospective cross-sectional study was conducted on 350 enteral Fed preterm and low birth weight neonates who were admitted at selected public hospitals of Addis Ababa from March 25/2020 to May 10/2020. The data were collected through neonates’ medical record chart review. A total of 350 participants were enrolled in to the study with the response rate of 99.43%. One hundred eighty-four (52.6%) of them were male. The majority 123 (35.1%) of them were (32 + 1 to 34) weeks gestational age. The prevalence of NEC was (25.4%) (n = 89, [95% CI; 21.1, 30.0]). Being ≤28 weeks gestational age (AOR = 3.94, 95% CI [2.67, 9.97]), being (28 + 1 to 32 weeks) gestational age (AOR = 3.65, 95% CI [2.21, 8.31]), birth weight of 1000 to 1499 g (AOR = 2.29, 95% CI [1.22, 4.33]), APGAR score ≤3 (AOR = 2.34, 95% CI [1.32, 4.16]), prolonged labor (AOR = 2.21, 95% CI [1.35, 6.38]), maternal chronic disease particularly hypertension (AOR = 3.2, 95% CI [1.70, 5.90]), chorioamnionitis (AOR = 4.8, 95% CI [3.9, 13]), failure to breath/resuscitated (AOR = 2.1, 95% CI [1.7, 4.4]), CPAP ventilation (AOR = 3.7, 95% CI [1.50, 12.70]), mixed milk (AOR = 3.58, 95% CI [2.16, 9.32]) were factors significantly associated with NEC. Finally, the prevalence of NEC in the study area was high. So that, initiating the programs that could minimize this problem is required to avoid the substantial morbidity and mortality associated with NEC.


2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Alekaw Sema ◽  
Firehiwot Tesfaye ◽  
Yalelet Belay ◽  
Bezabh Amsalu ◽  
Desalegn Bekele ◽  
...  

Background. Low Birth Weight (LBW) is a serious public health concern in low- and middle-income countries. Globally, 20 million, an estimated 15% to 20% of babies were born with LBW, and, of these, 13% were in sub-Saharan Africa. Although the World Health Assembly targeted to reduce LBW by 30% by the end of 2025, little has been done on and known about LBW. To meet the goal successfully and efficiently, more research studies on the problem are vital. Hence, the aim of this study was to determine the prevalence and the associated factors of LBW in Dire Dawa city, eastern Ethiopia. Objective. The purpose of this study was to assess the prevalence and the associated factors of low birth weight in Dire Dawa City, eastern Ethiopia, 2017. Method. A cross-sectional study designed was conducted, and using a systematic sampling technique, 431 mothers who gave birth in the public hospitals in Dire Dawa city from July 01 to August 30, 2018, were selected. Stillbirth and infants with birth defects were excluded from the study. Well-trained data collectors collected the data using a structured questionnaire which was pretested. The data were analyzed using SPSS Version 22.0. The Adjusted Odds Ratio (AOR) with 95% confidence interval (CI) was applied in multivariate logistic regression models, and p value less than 0.05 was considered as statistical significant. Result. The prevalence of low birth weight was 21%. Not received nutritional counseling during antenatal care (AOR = 2.03, 95% CI: 1.01, 4.06), preterm birth (AOR = 18.48, 95% CI: 6.51, 52.42), maternal smoking (AOR = 3.97, 95% CI: 1.59, 9.88), and height of the mother less than 150 cm (AOR = 3.54, 95% CI: 1.07, 11.76) were significantly associated with Low birth weight. Conclusion. There was a high prevalence of low birth weight in the study area. Effective dietary counseling and additional diet, implementing proven strategies to prevent preterm birth and avoid smoking during pregnancy might decrease the low birth weight and then enhance child survival.


Author(s):  
Sohaib Ashraf ◽  
Muhammad Ahmad Imran ◽  
Hina Mahmood ◽  
Khawar Nawaz ◽  
Tayyab Mughal ◽  
...  

Introduction: Antenatal domestic violence is a global public health and human rights concern. It increases the risk of maternal and fetal morbidity and mortality. Aims & Objectives: To assess the frequency of antenatal domestic violence and associated factors and also to determine effect of domestic violence on fetal outcome. Place and duration of study: This cross sectional study was conducted from January to June 2015 in post-natal wards of department of Gynecology & Obstetrics of six tertiary care hospitals of Lahore. Material & Methods: A total of 255 females admitted in post-natal wards of department of Gynecology & Obstetrics enrolled after proper verbal informed consent. A structured, self-constructed questionnaire was administered on females enrolled consecutively till the desired sample size was complete. Data on domestic violence (verbal or physical), its associated factors, gestational age at birth, mode of delivery and birth weight of the neonate was analyzed on SPSS version 21.0. Results: 22% (55/255) females experienced antenatal domestic violence during current pregnancy and out of 55, 72% faced verbal abuse while 27% experienced physical violence. In total 65/255(26%) w low birth weight neonates were born and out of them 58.18% (32/55) were born to mothers facing violence during pregnancy. Husband was mostly responsible for violence in 49% of cases. Antenatal domestic violence was significantly associated with low birth weight (p=<0.001). Conclusion: Antenatal domestic violence is associated with low birth weight babies. Antenatal domestic violence prevention needs implementation of legislation and changing behaviors of violence in communities so to avoid health implications.


2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Kassahun Fikadu ◽  
Negussie Boti ◽  
Birtukan Tadesse ◽  
Dureti Mesele ◽  
Emenet Aschenaki ◽  
...  

Background. Episiotomy is the most common obstetric procedure, performed when the clinical circumstances place the patient at a high risk of high-degree laceration. However, episiotomy should be done with judicious indication to lower perineal laceration with fewer complications. Despite its adverse effects, the magnitude of episiotomy is increasing due to different factors. Therefore, this study is aimed at determining the recent magnitude of episiotomy and at identifying associated factors among women who gave delivery in Arba Minch General Hospital, Southern Ethiopia. Methods. An institution-based cross-sectional study was conducted from December 15, 2018, to January 30, 2019. A systematic random sampling technique was used to select study participants. A semistructured questionnaire was used to collect data. This was supplemented with a review of the labor and delivery records. Binary and multivariable logistic regression analyses were performed to identify factors associated with the magnitude of episiotomy. P value ≤ 0.05 was used to determine the level of statistically significant variables. Results. The magnitude of episiotomy was found to be 272 (68.0%) with 95%CI=64.0‐72.5. Women who attended secondary education [AOR=10.24, 95%CI=2.81‐37.34], women who attended college and above [AOR=4.61, 95%CI=1.27‐16.71], birth weight≥3000 g [AOR=4.84, 95%CI=2.66‐8.82], primipara [AOR=4.13, 95%CI=2.40‐7.12], being housewife occupants [AOR=3.43, 95%CI=1.20‐9.98], married women [AOR=2.86, 95%CI=1.40‐5.84], and body mass index<25 kg/m2 [AOR=2.85, 95%CI=1.50‐5.44] were independent variables found to have significant association with episiotomy. Conclusion. The magnitude of episiotomy was 68.0% which is higher than the recommended practice by WHO (10%). The study participants’ occupational status, marital status, educational status, parity, birth weight, and BMI were significantly associated with the magnitude of episiotomy in the study area. Therefore, to reduce the rate of episiotomy, it is better to have periodic training for birth attendants regarding the indication of episiotomy.


2021 ◽  
Author(s):  
Huixia Li ◽  
Shan Yuan ◽  
Hualing Fang ◽  
Guangwen Huang ◽  
Qun Huang ◽  
...  

Abstract Background The existing epidemiological data cannot represent the situation of malnutrition among Chinese children, particularly those in rural China. Hence, in this community-based cross-sectional study, the prevalence and associated factors of stunting, underweight and wasting among children (age < 6 years) from rural Hunan Province were analyzed. Methods Totally 5529 children aged 0 to 71 months and their caregivers were randomly chosen by multistage stratified cluster sampling from 72 villages from rural Hunan, which covered 24 towns in 12 counties. Data about the children and their mothers, caregivers and family conditions was acquired using unified questionnaire, and the length/height and weight of each child were measured using unified instruments. The prevalence of malnutrition among children were evaluated using the length/height for age, weight for age, weight for length/height, and body mass index for age z scores, which were computed according to the 2006 and 2007 WHO Child Growth Standards. Results The prevalence of stunting, underweight, and wasting among the 5529 children are 4.4% (241), 3.9% (217), and 4.0% (221), respectively. The significant associated factors on higher risks of malnutrition in the children are low birth weight, maternal gestational weight gain < 10 kg (stunting); low birth weight, maternal gestational weight gain < 10 kg, ethnicity of caregivers being minority (underweight); low birth weight, ethnicity of caregivers being minority (wasting). High education level of caregivers and high family food expenditure are common protective factors for all three types of malnutrition, except that high family food expenditure is not protective for wasting. Conclusions The prevalence of stunting, underweight and wasting is low among rural children under age of 6 years in Hunan. As for the measures, the gestational care and reasonable diet of mothers should be strengthened, and nutritional deficiency during pregnancy be avoided, which will prevent low birth weight. Education about nutrition must be promoted among minorities.


BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e045892
Author(s):  
Solomon Feleke ◽  
Gudina Egata ◽  
Firehiwot Mesfin ◽  
Gizachew Yilak ◽  
Abebaw Molla

ObjectiveThe study aimed to assess the prevalence of stunting, wasting, underweight and associated factors in orphaned children under 5 years old.DesignA cross-sectional study.SettingGambella City, Ethiopia.ParticipantsA sample of 419 under 5 orphaned children included in the study. Eligible households with orphans had selected using a systematic random sampling method. The lottery method was used when more than one eligible study participants live in the household. An OR with 95% CI was performed to measure the strength of association between each dependent variable and independent variables. Variables with p<0.05 were declared statistically significant.Primary outcomeThe main outcome of this study was the prevalence of undernutrition among orphaned under 5 and its associated factors.ResultsPrevalence of stunting, wasting and underweight in orphan children under 5 were 12.2%, 37.8% and 21.7%, respectively. The prevalnce of wasting peaks among age group of 36–47 months (42.5%), whereas underweight peaks in 48–59 months (27.7%). Food insecurity, wealth index, family size, vitamin A supplementation, diarrhoea, fever 2 weeks before the survey, children under 5 and parents’ death were associated with undernutrition.ConclusionThe prevalence of stunting, wasting and underweight among orphan children under 5 was significantly high. Multisectoral collaborative efforts towards access to health services, improving income-generating activities, micronutrient supplementation and social support and protection targeting orphan and vulnerable populations have to be built up.


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