Effect of low-cost kitchen with improved cookstove on birthweight of neonates in Shahjadpur, Bangladesh: a cluster-randomised controlled trial

Ahmed, Anisuddin; Rahman, Ahmed Ehsanur; Ahmed, Saifuddin; Rahman, Fariya; Sujan, Hasan Mahmud; Ahmmed, Faisal; Hossain, Aniqa Tasnim; Sayeed, Abu; Hossain, Shahed; Huq, Nafisa Lira; Quaiyum, Mohammad Abdul; Reichenbach, Laura; El Arifeen, Shams

doi:10.1016/j.lansea.2023.100342

The Lancet Regional Health - Southeast Asia

2024

DOI: 10.1016/j.lansea.2023.100342

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Effect of low-cost kitchen with improved cookstove on birthweight of neonates in Shahjadpur, Bangladesh: a cluster-randomised controlled trial

Anisuddin Ahmed,

Ahmed Ehsanur Rahman,

Saifuddin Ahmed

et al.

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Cited by 2 publications

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“…We read the article by Ahmed and colleagues 1 regarding kitchen environment and pregnancy outcomes with great interest. They conducted a cluster-randomised controlled trial for 1267 pregnant women in Bangladesh and found a 37% reduction in the incidence of low birth weight (LBW) in the intervention group with improved cookstove ventilation.…”

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Intervention to kitchen environment for improving birth outcomes

Tsuboi,

Hoy,

Bertram

2024

The Lancet Regional Health - Southeast Asia

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confidence: 99%

“… 3 Since blood pressure measurements were reported by Ahmed and colleagues, we suggest they compare blood CO levels in the intervention and control groups based on blood pressure categories, as shown for other background factors in Table 4 of their research article. 1 …”

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confidence: 99%

Intervention to kitchen environment for improving birth outcomes

Tsuboi,

Hoy,

Bertram

2024

The Lancet Regional Health - Southeast Asia

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Effect of a chimney-fitted improved stove on pregnancy outcomes in Northwest Ethiopia: a randomized controlled trial

Enyew,

Hailu,

Mereta

2024

BMC Pregnancy Childbirth

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Background Exposure to household air pollution during pregnancy has been linked to adverse pregnancy outcomes. Improved stove was implemented in Ethiopia to reduce this exposure and related health problems. However, the effects of improved stove interventions on pregnancy outcomes remains uncertain. Method Individually randomized stove replacement trial was conducted among 422 households in six low-income rural kebeles of Northwestern Ethiopia. Pregnant women without known health conditions were recruited at ≤ 24 weeks gestation and randomized to an intervention or control group with a 1:1 ratio. A baseline survey was collected and a balance test was done. Two-sided independent samples t-test for continuous outcomes and chi-square for categorical variables were used to compare the effect of the intervention between the groups. Mean differences with 95% CIs were calculated and a p-value of < 0.05 was considered statistically significant. Result In this study, the mean birth weight was 3065 g (SD = 453) among the intervention group and not statistically different from 2995 g (SD = 541) of control group. After adjusting for covariates, infants born from intervention group weighed 55 g more [95% CI: − 43 to 170) than infants born from the control group, but the difference was not statistically significant (P = 0.274). The respective percentages for low birth weight were 8% and 10.3% for intervention and control groups respectively (P = 0.346). However, the average gestational age at delivery was higher among improved stove users (38 weeks (SD = 8.2) compared to control groups 36.5 weeks (SD = 9.6) with statistically significant difference at 0.91 weeks (95% CI: 0.52 to 1.30 weeks, p < 0.001). The corresponding difference in risk ratio for preterm birth is 0.94 (95% CI:0.92 to 0.97; p < 0.001). The percentages for maternal complications, stillbirth, and miscarriage in the intervention group were not statistically different from the control group. Conclusions While the increase in average birth weight among babies born to mothers using improved stoves was not statistically significant, babies had a longer gestational age on average, offering valuable health benefits. However, the study didn’t find a significant impact on other pregnancy outcomes like stillbirth, miscarriage, or maternal complications. Trial registration The study was registered at the Pan African Clinical Trial Registry website under the code PACTR202111534227089, (https://pactr.samrc.ac.za/ (Identifier). The first trial registration date was (11/11/2021).

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Effect of low-cost kitchen with improved cookstove on birthweight of neonates in Shahjadpur, Bangladesh: a cluster-randomised controlled trial

Cited by 2 publications

References 42 publications

Intervention to kitchen environment for improving birth outcomes

Intervention to kitchen environment for improving birth outcomes

Effect of a chimney-fitted improved stove on pregnancy outcomes in Northwest Ethiopia: a randomized controlled trial

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