scholarly journals SOCIO DEMOGRAPHIC AND SOCIO ECONOMIC FACTORS ASSOCIATED WITH ADVERSE BIRTH OUTCOMES AMONG NEONATES IN KAJIADO COUNTY REFERRAL HOSPITAL

2021 ◽  
Vol 6 (1) ◽  
pp. 10-22
Author(s):  
Boniface Mwai ◽  
Gideon Kikuvi ◽  
Dennis Magu
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Preterm Births ◽  
Referral Hospital ◽  
Systematic Sampling ◽  
Economic Factors ◽  
Adverse Birth Outcomes ◽  
Factors Associated ◽  
Independent Variables ◽  
Socio Economic Factors

Purpose: The purpose of this study was to determine socio demographic and socio economic factors associated with adverse birth outcomes among neonates in Kajiado County Referral Hospital. Materials and Methods: Cross sectional study design was used. The study population was women admitted in post-natal ward at Kajiado county Referral Hospital having delivered within 48 hours. Systematic sampling was used to select the women admitted in post-natal ward. A total of 163 study participants were recruited through systematic sampling. Semi-structured questionnaires were used to collect data from the respondents. Data was analyzed using SPSS version 20. Pearson chi-square test was used to determine the significance of association between each outcome variable and the independent variables. Odds ratio (OR) and 95% CI were used to estimate the strength of association. The threshold for significance was set at P<0.05 at all levels of analyses. Summary statistic of independent variables was presented using frequency tables, pie charts, percentages and graphs. Results: The study found out that teenage pregnancy (giving birth at age ≤19 years) was significantly associated with preterm births and low birth weight. Neonates who were born by teenage mothers had higher odds of being preterm and low birth weight than those whose mothers were of  higher ages .Neonates born to mothers who were single had higher odds of low birth weight and preterm births compared to those born to married mothers. Neonates whose mothers resided in rural area had higher odds of having low birth weight and preterm birth compared to the urban dwellers. Unique contribution to theory, practice and policy: The study recommends that there is need of prevention of teenage pregnancies. This can be achieved by including sexuality and health education in the new competence based curriculum, development of laws with stiffer penalties for punishing those responsible for impregnating teenage girls. The study also recommended the empowerment of girl child through access to education, sensitizing the community against retrogressive cultural practices that lead to early pregnancies such as early marriages.

scholarly journals Stunting at birth and associated factors among newborns delivered at the University of Gondar Comprehensive Specialized Referral Hospital

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245528
Author(s):  
Almaz Tefera Gonete ◽  
Bogale Kassahun ◽  
Eskedar Getie Mekonnen ◽  
Wubet Worku Takele
Keyword(s):  
Logistic Regression ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Short Stature ◽  
Odds Ratio ◽  
Associated Factors ◽  
Adjusted Odds Ratio ◽  
Referral Hospital ◽  
Factors Associated ◽  
The University

Background Stunting at birth is a chronic form of undernutrition majorly attributable to poor prenatal nutrition, which could persist in children’s later life and impact their physical and cognitive health. Although multiple studies have been conducted in Ethiopia to show the magnitude of stunting and factors, all are concentrated on children aged between 6 to 59 months. Therefore, this study was done to determine the prevalence and associated factors of stunting at birth among newborns delivered at the University of Gondar Comprehensive Specialized Referral Hospital, Northwest, Ethiopia. Methods An institution-based cross-sectional study was conducted from February 26th to April 25th/2020. A systematic random sampling technique was used, to select a total of 422 newborn-mother pairs. The binary logistic regression was employed to identify factors associated with stunting and all independent variables were entered into the multivariable logistic regression model to adjust for confounders. Variables that had significant association were identified based on p-value < 0.05 and the adjusted odds ratio with its respective 95% confidence interval was applied to determine the strength as well as the direction of the association. Results About 30.5% (95% CI: 26.3%, 35.1%) of newborns were stunted at birth. Being male [Adjusted odds ratio (AOR) = 2.9(1.62, 5.21)], newborns conceived in Kiremt(rainy season) [AOR = 2.7(1.49, 4.97)], being low birth weight [AOR = 3.1(1.64, 6.06)] were factors associated with stunting at birth. Likewise, newborns born to short stature mothers [AOR = 2.8(1.21, 6.62)] and chronically malnourished mothers [AOR = 15.3(8.12, 29.1)] were at greater risk of being stunted. Conclusion Just under a third of newborns are stunted at birth, implying a pressing public health problem. Newborns born to chronically malnourished and short stature mothers were more stunted. Besides, stunting was prevalently observed among male neonates, newborns conceived in Kiremet, and being low birth weight. Thus, policymakers and nutrition programmers should work on preventing maternal undernutrition through nutrition education to reduce the burden of low birth weight and stunting. Further, paying due attention to newborns conceived in Kiremet season to improve nutritional status is recommended.

scholarly journals Risk Factors of Low Birth Weight Baby: A Review

2017 ◽  
Vol 12 (1) ◽  
pp. 40-46
Author(s):  
Poly Begum ◽  
Md Kamrul Hassan ◽  
Aloke Kumar Saha ◽  
Tahmina Akter ◽  
Mahmuda Afrin
Keyword(s):  
Risk Factors ◽  
Developing Countries ◽  
Birth Weight ◽  
Infant Mortality ◽  
Low Birth Weight ◽  
Developed Countries ◽  
Economic Factors ◽  
The Developed Countries ◽  
Socio Economic Factors ◽  
Medical Risks

Low birth weight (LBW) is one of the main predictors of infant mortality. The global incidence of LBW is around 17%, although estimates vary from 19% in the developing countries like Bangladesh to 5-7% in the developed countries. About one third of delivery is low birth weight. LBW is generally associated with situations in which uterine malnutrition is produced due to alterations in placental circulation. There are many known risk factors, the most important of which are socio-economic factors, medical risks before or during gestation and maternal lifestyles. However, although interventions exist to prevent many of these factors before and during pregnancy, the incidence of LBW has not decreased.Faridpur Med. Coll. J. Jan 2017;12(1): 40-46

scholarly journals Mass incarceration and public health: the association between black jail incarceration and adverse birth outcomes among black women in Louisiana

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Lauren Dyer ◽  
Rachel Hardeman ◽  
Dovile Vilda ◽  
Katherine Theall ◽  
Maeve Wallace
Keyword(s):  
Birth Weight ◽  
Preterm Birth ◽  
Black Women ◽  
Low Birth Weight ◽  
Racial Disparities ◽  
Population Health ◽  
Birth Outcomes ◽  
Mass Incarceration ◽  
Interquartile Range ◽  
Adverse Birth Outcomes

Abstract Background A growing body of evidence is beginning to highlight how mass incarceration shapes inequalities in population health. Non-Hispanic blacks are disproportionately affected by incarceration and criminal law enforcement, an enduring legacy of a racially-biased criminal justice system with broad health implications for black families and communities. Louisiana has consistently maintained one of the highest rates of black incarceration in the nation. Concurrently, large racial disparities in population health persist. Methods We conducted a cross-sectional analysis of all births among non-Hispanic black women in Louisiana in 2014 to identify associations between parish-level (county equivalent) prevalence of jail incarceration within the black population and adverse birth outcomes (N = 23,954). We fit a log-Poisson model with generalized estimating equations to approximate the relative risk of preterm birth and low birth weight associated with an interquartile range increase in incarceration, controlling for confounders. In sensitivity analyses, we additionally adjusted for the parish-level index crime prevalence and analyzed regression models wherein white incarceration was used to predict the risk of adverse birth outcomes in order to quantify the degree to which mass incarceration may harm health above and beyond living in a high crime area. Results There was a significant 3% higher risk of preterm birth among black women associated with an interquartile range increase in the parish-level incarceration prevalence of black individuals, independent of other factors. Adjusting for the prevalence of index crimes did not substantively change the results of the models. Conclusion Due to the positive significant associations between the prevalence of black individuals incarcerated in Louisiana jails and estimated risk of preterm birth, mass incarceration may be an underlying cause of the persistent inequities in reproductive health outcomes experienced by black women in Louisiana. Not only are there economic and social impacts stemming from mass incarceration, but there may also be implications for population health and health inequities, including the persistence of racial disparities in preterm birth and low birth weight.

Maternal, neonatal and socio-economic factors associated with intellectual development among children from a coal mining region in Brazil

2021 ◽  
Author(s):  
Marcela Dupont-Soares ◽  
Marina dos Santos ◽  
Edariane Menestrino Garcia ◽  
Maria Cristina Flores Soares ◽  
Ana Luiza Muccillo-Baisch ◽  
...  
Keyword(s):  
Coal Mining ◽  
Intellectual Development ◽  
Economic Factors ◽  
Factors Associated ◽  
Mining Region ◽  
Socio Economic Factors

scholarly journals Investigation of Metronidazole Use during Pregnancy and Adverse Birth Outcomes

2012 ◽  
Vol 56 (9) ◽  
pp. 4800-4805 ◽  
Author(s):  
Catherine A. Koss ◽  
Dana C. Baras ◽  
Sandra D. Lane ◽  
Richard Aubry ◽  
Michele Marcus ◽  
...  
Keyword(s):  
New York ◽  
Birth Weight ◽  
Preterm Birth ◽  
Low Birth Weight ◽  
Congenital Anomalies ◽  
New York State ◽  
Multivariable Analysis ◽  
Preterm Births ◽  
First Trimester ◽  
First Trimester Of Pregnancy

ABSTRACTTo assess whether treatment with metronidazole during pregnancy is associated with preterm birth, low birth weight, or major congenital anomalies, we conducted chart reviews and an analysis of electronic data from a cohort of women delivering at an urban New York State hospital. Of 2,829 singleton/mother pairs, 922 (32.6%) mothers were treated with metronidazole for clinical indications, 348 (12.3%) during the first trimester of pregnancy and 553 (19.5%) in the second or third trimester. There were 333 (11.8%) preterm births, 262 (9.3%) infants of low birth weight, and 52 infants (1.8%) with congenital anomalies. In multivariable analysis, no association was found between metronidazole treatment and preterm birth (odds ratio [OR], 1.02 [95% confidence interval [CI], 0.80 to 1.32]), low birth weight (OR, 1.05 [95% CI, 0.77 to 1.43]), or treatment in the first trimester and congenital anomalies (OR, 0.86 [0.30 to 2.45]). We found no association between metronidazole treatment during the first or later trimesters of pregnancy and preterm birth, low birth weight, or congenital anomalies.

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