Association between Maternal High-Risk Fertility Behavior and Childhood Morbidity in Bangladesh: A Nationally Representative Cross-Sectional Survey

Rahman, Mosiur; Hosen, Alamgeer; Khan, Mobarak Hossain

doi:10.4269/ajtmh.19-0221

Cited by 28 publications

(57 citation statements)

References 45 publications

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“…This study shows that a number of maternal high-risk fertility behaviours such as, young maternal age when giving birth (<18 years) and birth interval <24 months, are significantly increasing the risk of LBW in newborns 49 that has also been shown in other research projects. 17 28 50 Childbirth in adolescence is detrimental for child health due to maternal socioeconomic factors, immature behaviour and biological factors as women have comparatively underdeveloped reproductive systems.…”

Section: Discussionsupporting

confidence: 75%

Exploring the association between adverse maternal circumstances and low birth weight in neonates: a nationwide population-based study in Bangladesh

et al. 2020

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ObjectiveThis study is concerned with helping to improve the health and care of newborn babies in Bangladesh by exploring adverse maternal circumstances and assessing whether these are contributing towards low birth weight (LBW) in neonates.Study designs and settingsData were drawn and analysed from the Bangladesh Demographic and Health Survey, 2014. Any association between LBW and adverse maternal circumstances were assessed using a Chi-square test with determinants of LBW identified by multivariate logistic regression analysis.ParticipantsThe study is based on 4728 children aged below 5 years and born to women from selected households.ResultsThe rate of LBW was around 19.9% (199 per 1000 live births) with the highest level found in the Sylhet region (26.2%). The rate was even higher in rural areas (20.8%) and among illiterate mothers (26.6%). Several adverse maternal circumstances of the women included in the survey were found to be significant for increasing the likelihood of giving birth to LBW babies. These circumstances included the women being underweight (adjusted odds ratio (AOR) 1.26, 95% CI 1.06 to 1.49); having unwanted births (AOR 1.22, 95% CI 1.03 to 1.44); had previous pregnancies terminated (AOR 1.28, 95% CI 1.05 to 1.57); were victims of intimate partner violence (AOR 1.23, 95% CI 1.05 to 1.45) and taking antenatal care <4 times (AOR 1.23, 95% CI 1.03 to 1.48). Other important risk factors that were revealed included age at birth <18 years (AOR 1.42, 95% CI 1.11 to 1.83) and intervals between the number of births <24 months (AOR 1.25, 95% CI 1.01 to 1.55). When taking multiple fertility behaviours together such as, the ages of the women at birth (<18 years with interval <24 months (AOR 1.26, 95% CI 1.02 to 1.57) and birth order (>3 with interval <24 months (AOR 1.68, 95% CI 1.18 to 2.37), then the risk of having LBW babies significantly increased.ConclusionThis study finds that adverse maternal circumstances combined with high-risk fertility behaviours are significantly associated with LBW in neonates. This situation could severely impede progress in Bangladesh towards achieving the sustainable development goal concerned with the healthcare of newborns.

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Section: Discussionsupporting

confidence: 75%

Exploring the association between adverse maternal circumstances and low birth weight in neonates: a nationwide population-based study in Bangladesh

et al. 2020

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“…Our ndings showed that the higher the number of HrBBs engaged by infants' mothers, the higher the likelihood of the infant mortality. A similar study conducted in Nigeria substantiates this nding [10]. A multi-national study also found that the more birth risks a child faces, the higher the risk of dying [9].…”

Section: Discussionsupporting

confidence: 52%

“…High-risk Birth Behaviours (HrBBs) in the context of this study was de ned in terms of three preventable characteristics, namely; mother's age at delivery which can either be too young (less than 18 years) or too old (greater than 35 years), shorter or longer birth interval, and a high parity [9,10]. These characteristics have been a major public health challenge to child survival in developing countries particularly Nigeria where little or no efforts are put in place to improve the health status of children.…”

Section: Introductionmentioning

confidence: 99%

Preventable Multiple High-Risk Birth Behaviour and Infant Survival in Nigeria

Salawu

Afolabi

Gbadebo

et al. 2020

Preprint

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Background Globally, infant mortality has reduced considerably but has remained unacceptably high in sub-Saharan Africa, especially Nigeria where infant mortality rate is 67/1000 live births. To facilitate infant mortality reduction in Nigeria, an understanding of the synergistic effect of bio-demographic characteristics of mothers known as High Risk Birth Behaviours (HrBBs) is important. We therefore investigated the influence of HrBBs on infant survival in Nigeria.MethodsThis cross-sectional study design utilized data from the 2018 round of Nigerian Demographic Health Survey. The study participants were a representative sample of women of reproductive age (n=21350) who had given birth within the 5 years preceding the survey. HrBBs was measured through integration of information on maternal age at child’s birth, parity, and preceding birth interval with respect to the most recent child. The HrBBs was categorized as none, single and multiple. Data were analysed using descriptive statistics, Log-rank test and Cox proportional hazard model (α =0.05). Results The mean age of the women was 29.7 ± 7.2 and 4.1% had experienced infant death. Infant mortality was highest among women with multiple HrBBs (5.1%). Being a male, having small size at birth, failure to receive tetanus injection, non-use of contraceptives and living in the core-north (North West and North East) predisposed children to higher risk of dying before 12 months of age. The hazard ratio of infant mortality was significantly higher among infants of mothers in multiple HrBBs category (aHR=1.67; CI: 1.33-2.09) compared to their counterparts with no HrBBs. Conclusion Multiple HrBBs increase the chances of dying among infants in Nigeria. Screening women for HrBBs for special health attention during pregnancy, birth and postnatal period will alleviate infant death in Nigeria.

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“…High-risk Birth Behaviours (HrBBs) in the context of this study was defined in terms of three preventable characteristics, namely; mother’s age at delivery which can either be too young (less than 18 years) or too old (greater than 35 years), shorter or longer birth interval, and a high parity [ 9 , 10 ]. These characteristics have been a major public health challenge to child survival in developing countries particularly Nigeria where little or no efforts are put in place to improve the health status of children.…”

Section: Introductionmentioning

confidence: 99%

Preventable multiple high-risk birth behaviour and infant survival in Nigeria

Salawu

Afolabi

Gbadebo

et al. 2021

BMC Pregnancy Childbirth

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Background Globally, infant mortality has declined considerably but has remained unacceptably high in sub-Saharan Africa, especially Nigeria where infant mortality rate is 67/1000 live births. To facilitate infant mortality reduction in Nigeria, an understanding of the synergistic effect of bio-demographic characteristics of mothers known as High Risk Birth Behaviours (HrBBs) is important. We therefore investigated the influence of HrBBs on infant survival in Nigeria. Methods This cross-sectional study design utilized data from the 2018 round of Nigerian Demographic Health Survey. The study participants were a representative sample of women of reproductive age (n = 21,350) who had given birth within the 5 years preceding the survey. HrBBs was measured through integration of information on maternal age at child’s birth, parity, and preceding birth interval with respect to the most recent child. The HrBBs was categorized as none, single and multiple. Data were analysed using descriptive statistics, Log-rank test and Cox proportional hazard model (α =0.05). Results The mean age of the women was 29.7 ± 7.2 and 4.1% had experienced infant death. Infant mortality was highest among women with multiple HrBBs (5.1%). Being a male, having small size at birth, failure to receive tetanus injection, non-use of contraceptives and living in the core-north (North West and North East) predisposed children to higher risk of dying before 12 months of age. The hazard ratio of infant mortality was significantly higher among infants of mothers in multiple HrBBs category (aHR = 1.66; CI: 1.33–2.06) compared to their counterparts with no HrBBs. Conclusion Multiple HrBBs increase the chances of dying among infants in Nigeria. Screening women for HrBBs for special health attention during pregnancy, birth and postnatal period will alleviate infant death in Nigeria.

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Association between Maternal High-Risk Fertility Behavior and Childhood Morbidity in Bangladesh: A Nationally Representative Cross-Sectional Survey

Cited by 28 publications

References 45 publications

Exploring the association between adverse maternal circumstances and low birth weight in neonates: a nationwide population-based study in Bangladesh

Exploring the association between adverse maternal circumstances and low birth weight in neonates: a nationwide population-based study in Bangladesh

Preventable Multiple High-Risk Birth Behaviour and Infant Survival in Nigeria

Preventable multiple high-risk birth behaviour and infant survival in Nigeria

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