Factors associated with low birth weight among babies born at Hawassa University Comprehensive Specialized Hospital, Hawassa, Ethiopia

Siyoum, Melese; Melese, Teshome

doi:10.1186/s13052-019-0637-7

Cited by 26 publications

(27 citation statements)

References 19 publications

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“…Mothers who did not receive iron supplements during pregnancy were more likely to have LBW babies. Our result is consistent with some previous studies conducted in Ethiopia [ 10 , 43 ] and Nepal [ 44 ] that showed that by supplementing mothers with iron and other micronutrients, the risk of LBW could be reduced. This is sufficient evidence to support the fact that iron folic acid supplementation is associated with normal birthweight [ 45 ].…”

Section: Discussionsupporting

confidence: 93%

Level of physical activity and other maternal characteristics during the third trimester of pregnancy and its association with birthweight at term in South Ethiopia: A prospective cohort study

et al. 2020

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Birthweight continues to be the leading infant health indicator and the main focus of infant health policy. Low birthweight babies are at a higher risk of mortality and morbidity in most low-income countries. However, the physical activity level of pregnant women and its association with low birthweight is not well studied in Ethiopia. To address the above gap, we aimed to examine the maternal physical activity level and other characteristics during the third trimester and its association with birthweight at term in South Ethiopia. A community-based prospective cohort study was conducted among 247 randomly selected women in their third trimester of pregnancy. We measured the physical activity level using the Global Physical Activity Questionnaire, which included the type and level of various categories of activities. Anthropometric measurements of mothers were taken following standard procedures, and birthweight was recorded within 72 hours of delivery. To identify the effect of physical activity level and other maternal characteristics on low birthweight, we performed a multivariable logistic regression analysis. Overall, 111 (47.2%) mothers were engaged in vigorous physical activities during third trimester. The incidence of low birthweight was 21.6% and 9.68% among newborns of mothers who engaged in vigorous and moderate or low physical activity, respectively. The incidence of low birthweight at term was significantly associated with vigorous physical activity [adjusted odds ratio (AOR) = 2.48; 95% confidence interval (CI): 1.01–6.09], prolonged standing [AOR = 3.37; 95% CI: 1.14–9.93], and squatting [AOR = 2.61; 95% CI: 1.04–6.54)] during the third trimester of pregnancy. The vast majority of pregnant women were engaged in vigorous physical activities in their third trimester. Engagement in vigorous physical activity, standing for longer hours, and squatting were the major contributors to low birthweight at term. Hence, focused counseling should be conducted to reduce vigorous physical activity, standing, and squatting during the third trimester among pregnant women.

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Section: Discussionsupporting

confidence: 93%

Level of physical activity and other maternal characteristics during the third trimester of pregnancy and its association with birthweight at term in South Ethiopia: A prospective cohort study

et al. 2020

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“…Poor maternal diet is one of the several contributing factors to LBW [15][16][17][18]. Women who did not take an adequate meal during pregnancy were more likely to have LBW neonate than their counterparts [19][20][21][22][23].…”

Section: Introductionmentioning

confidence: 99%

“…Factors associated with low birth weight were having unemployed mother, lack of antenatal care visit, having unintended pregnancy, rural residence, birth interval less than 2 years, previous history of having low birth weight baby, maternal undernutrition, lack of nutrition counseling, not taking an additional meal during pregnancy, pregnancy complication, not taking an iron supplement and preterm delivery [ 7 , 15 – 17 ].…”

Section: Introductionmentioning

confidence: 99%

“…High prevalence of LBW related to inadequate nutrient intakes of pregnant women warrant the importance of implementing preventive strategies to reduce low birth weight. Moreover, previous researchers in Ethiopia suggested enhancing nutrition education during pregnancy [ 16 , 17 ] as has potential to reduce the incidence of LBW [ 29 , 30 ].…”

Section: Introductionmentioning

confidence: 99%

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Effects of guided counseling during pregnancy on birth weight of newborns in West Gojjam Zone, Ethiopia: a cluster-randomized controlled trial

2020

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Background The high proportion of birth weight in Ethiopia is hypothesized to be due to inadequate maternal diet which is associated with poor nutrition education during pregnancy. There was no study that evaluated the effect of nutrition education on birth weight in the study area. This study aimed to assess the effects (overall, direct and indirect effects) of guided counseling on the birth weight of neonates. Methods A two-arm parallel cluster randomized controlled community trial was conducted from May 1, 2018, to April 30, 2019, in West Gojjam Zone, Northwest Ethiopia. At the baseline, 346 pregnant women in the 11 intervention clusters and 348 pregnant women in the 11 control clusters were recruited. However, birth weight was measured from 258 and 272 newborns in the intervention and control groups, respectively. In the intervention group, counseling was given monthly for four consecutive months in the participant’s homes. Besides, leaflets with key counseling messages were distributed to each woman in the intervention arm. Pregnant women who attended routine nutrition education given by the health system were recruited as control. Dietary practice, nutritional status, and birth weight were the primary, secondary and tertiary outcomes of this intervention. Data were collected using a structured data collection tool. Birth weight was measured within 48 h after birth. Independent sample t-test, linear mixed-effects model, and path analysis were fitted to assess effects of the intervention. Results The intra-cluster correlation coefficient was 0.095. The average birth weight of newborns in the intervention group was 0.257 kg higher compared with their counterparts in the control arm (β = 0.257, P < 0.001). The direct effect of this intervention on birth weight was 0.17 (β = 0.17, P<0.001 ) whereas the indirect effect of this intervention was 0.08 (β = 0.08, P<0.001 ). Conclusion Counseling using the health belief model and the theory of planned behavior has a positive effect on improving birth weight. The findings suggest the need for enhancing nutrition education of pregnant women through the application of theories to improve birth weight. Trial registration Clinical Trials.gov NCT03627156, “Retrospectively registered Jun, 13, 2018”.

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“…Globally, 15 to 20% of total births are LBW representing about 20 million births a year [8]. About 96.5% of LBW deliveries in 2019 occurred in developing countries; accounting for 60-80% of neonatal deaths [4].…”

Section: Introductionmentioning

confidence: 99%

Determinants of Low Birth Weight Deliveries: an Unmatched Case-control Study in Five Referral Hospitals in Western Area Urban District, Sierra Leone

Kargbo¹,

Nyarko²,

Sackey³

et al. 2021

Preprint

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Background: Each year, about 20 million deliveries are Low Birth Weight (LBW) with 96.5% occurring in developing countries. The prevalence of LBW in Sierra Leone is about 7% while the Western Area Urban (WAU) district reports 17.5%. This study sought to determine factors associated with LBW deliveries in five referral hospitals in the WAU district, Sierra Leone.Methods: A hospital-based unmatched 1:2 case-control study was conducted among mothers who delivered live singleton babies from November, 2019 to February, 2020 in five referral facilities. Antenatal care cards of mothers were reviewed and a pre-tested questionnaire also administered to them. The association between maternal socio-demographic, socio-economic, obstetric and lifestyle factors and LBW was assessed using bivariable and multivariable logistic regression analyses. Results: A total of 438 mothers (146 cases and 292 controls), mean age: 24.2 (±5.8) and 26.1 (±5.5) years for cases and controls respectively participated in the study. Among mothers, 36.9 % (162/438) had no formal education, 25.8% (113/438) were unemployed and 29.7% (130/438) were unmarried. Multivariable analysis revealed that being unemployed (AoR = 2.52, 95% CI 1.16 - 5.49, p = 0.020), having anaemia during pregnancy (AoR = 3.88, 95% CI 1.90-7.90, p < 0.001), having less than two years inter-pregnancy interval (AoR = 2.53, 95% CI 1.11-5.73, p = 0.026), and smoking cigarettes during pregnancy (AoR = 4.36, 95% CI 1.94-9.80, p <0.001) were significantly associated with having LBW babies.Conclusion: Factors associated with LBW identified were unemployment, anaemia during pregnancy, < 2 years inter-pregnancy interval and cigarette smoking during pregnancy. Health care providers should screen and sensitize mothers on the risk factors of LBW during antenatal sessions.

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Factors associated with low birth weight among babies born at Hawassa University Comprehensive Specialized Hospital, Hawassa, Ethiopia

Cited by 26 publications

References 19 publications

Level of physical activity and other maternal characteristics during the third trimester of pregnancy and its association with birthweight at term in South Ethiopia: A prospective cohort study

Level of physical activity and other maternal characteristics during the third trimester of pregnancy and its association with birthweight at term in South Ethiopia: A prospective cohort study

Effects of guided counseling during pregnancy on birth weight of newborns in West Gojjam Zone, Ethiopia: a cluster-randomized controlled trial

Determinants of Low Birth Weight Deliveries: an Unmatched Case-control Study in Five Referral Hospitals in Western Area Urban District, Sierra Leone

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