Factors influencing pregnancy outcomes in Morogoro Municipality, Tanzania

Mosha, Theobald C.E.; Philemon, Napendaeli

doi:10.4314/thrb.v12i4.51795

Cited by 29 publications

(39 citation statements)

References 21 publications

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“…The low birth weight rate in this study is by far low compared to the previous studies in Ethiopia where the prevalence of low birth weight ranges from 15 to 20% of all births worldwide to 17.1% in Gondor to 22.5% in Jimma zone health facilities (Resolution World Health Assembly (WHA), 2012; World Health Organization (WHO) 2014; Berihun et al, 2012). On the other hand the 3224.6 ±438.5 mean birth weight of the newborn in this study is higher compared to previous studies 2976 ± 476 g in Gondor and 3094.9 ± 587.6 g in Tigray (Berihun et al, 2012;Tema, 2006;Meresa et al, 2015) and other african country (Mosha and Philemon, 2010). The reason why the mean birth weight is high and the low birth weight is low in this study might be the research is conducted on term pregnancies compared to the other studies where preterms are also included.…”

Section: Discussioncontrasting

confidence: 79%

Maternal dietary and nutritional characteristics as predictor of newborn birth weight in Jimma Town, Southwest Ethiopia, 2017

Goshu¹,

Teshome²,

Abate³

2018

J. Public Health Epidemiol.

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Maternal nutrition plays a major role in influencing fetal growth and birth outcomes. It is a modifiable risk factor which drags a significant public health consideration to avert adverse birth outcomes, specially, in low and middle income countries. Suboptimal dietary and nutritional characteristics and low birth weight are prevalent in the present study setting. This study was conducted to assess the association of maternal dietary and nutritional characteristics and newborn birth weight among pregnant mother who delivered in health institutions. Institution based cross sectional study was conducted among 541 pregnant mothers who delivered in Health Institutions of Jimma Town from March 1st, 2017 to April 30th, 2017. Data were entered into EPI data version 3.1 and analyzed using SPSS for windows, version 20.0; SPSS. Bivariate analysis was used to assess the association between birth weight and list of independent variables and to test significance of the association at p-value <0.25 for multivariable linear regression. Multivariable linear regression model was used to recognize the important predictors by controlling for possible confounding variables and statistical significance was measured at p-value <0.05. Majority of newborns had normal birth weight (91.0%). The mean birth weight of the newborns was 3224.6 ± 438.5 grams while low birth weight was 2%. In Multivariable linear regression analyses, birth weight was found to have increased by 13.5 grams (β=13.5, P=0.04), for every centimeter increment in maternal mid-upper arm circumference (MUAC). Similarly, with each increase in parity of the mother an increase in birth weight increased by 96.81 grams (β=96.81, P=0.01) was observed. Wealth index was also found to have a positive association with birth weight (β=49.04, P=0.01). Maternal MUAC, parity and wealth index were found to have a positive association with birth weight. Intervention directed on nutrition of pregnant mothers through nutrition counseling should be the major priority in addition to economic measure.

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Section: Discussioncontrasting

confidence: 79%

Maternal dietary and nutritional characteristics as predictor of newborn birth weight in Jimma Town, Southwest Ethiopia, 2017

Goshu¹,

Teshome²,

Abate³

2018

J. Public Health Epidemiol.

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“…Other studies showed higher proportions of early ANC attendance. 18,20,27 This disparity can be accounted for by difference in study design, time of study and the motivation of the community.…”

Section: Discussionmentioning

confidence: 99%

“…This result concurred with that of previous studies, 10,20 but was contrary to other studies which showed a lower percentage, 18,19,27 and different from that obtained by Halle and colleagues which showed that a higher proportion attended four or more visits in rural population, and even higher in a semi-urban population. 28 Again, this disparity can be accounted for by study design, sample size, study population, location, and time of study.…”

Section: Discussionmentioning

confidence: 99%

“…[13][14][15][16] But less than 30% of women start ANC early (<14 weeks) in South Western Nigeria 9 and in Khartoum, Sudan 17 and some countries in East Africa. [18][19][20] In Buea Health District, Cameroon, only 27.2% of women start ANC in the first trimester because of factors like; poor accessibility of ANC clinics, financial constraints and lack of information on the benefits of ANC.…”

Section: Introductionmentioning

confidence: 99%

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Quality of Antenatal Care and Outcome of Pregnancy in a Semi-Urban Area in Fako Division, Cameroon: A Cross-Sectional Study

Halle-Ekane¹,

Fotabong²,

Njotang³

et al. 2015

Women Health Open J

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“…The low level of women's education as observed in the present study has potential negative and indirect effects on child nutrition, feeding patterns and overall improvement of the socio-economic conditions (Huq & Tasnim, 2008). Low level of education is also associated with indirect effects on the understanding of nutrition and food aspects as well as improvement of socio-economic conditions (Mosha & Philemon, 2010). The Tanzania Health Survey (TDHS, 2010) report showed the likelihood of children being fed appropriately increases with mother's education.…”

Section: Discussionmentioning

confidence: 99%

Feeding practices and nutritional status of infants in Morogoro Municipality, Tanzania

Safari

Kimambo²,

Lwelamira

2013

Tanzania J Hlth Res

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Breast feeding practice especially exclusive breast feeding (EBF) is a major determinant of child growth and development. In Tanzania, most women breastfeed their infants for long periods, but many introduce alternative feeding too early in life. The objective of this study was to determine factors affecting EBF and the relationship between feeding practices and the nutritional status of infants. This crosssectional survey, using a semi-structured questionnaire, was conducted in Morogoro Municipality in Tanzania. The study involved lactating women recruited from five randomly selected health facilities. Demographic, clinical, knowledge and practices related to infant feeding as well as infant anthropometric information were collected. Infant nutritional status was assessed based on weight-for-age, height-for-age and weight-for-height. There were wide variations in knowledge and practice of breastfeeding among women. Majority (92%) of the respondents gave colostrums to infants although more than 50% did not know its benefits. Eight percent of the respondents discarded colostrums on the account that it is not good for their neonates. Only 23.1% of the respondents thought that infants should be breastfed exclusively during the first six months of infancy. Ninety-eight percent of infants < 1 month of age received breast milk only, compared with 28.5% of infants aged 2-3 months and 22.3% among those who were above 3 months of age. No child in the ≥4 months old was exclusively breastfed. Over 80% of the infants had normal weights, 13% were stunted and 8% wasted. EBF was associated with higher scores for height-for-age Z (P<0.05) and weight-for-height Z (P<0.01). Age, education level and occupation of respondents were important predictors of EBF. Overall, breast feeding practices in the study population were largely suboptimal. As a result, considerable proportions of children had poor health indicators. Thus, correct breastfeeding practices should be supported and promoted to improve the well-being of children. _____________________________________________________________________________

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Factors influencing pregnancy outcomes in Morogoro Municipality, Tanzania

Cited by 29 publications

References 21 publications

Maternal dietary and nutritional characteristics as predictor of newborn birth weight in Jimma Town, Southwest Ethiopia, 2017

Maternal dietary and nutritional characteristics as predictor of newborn birth weight in Jimma Town, Southwest Ethiopia, 2017

Quality of Antenatal Care and Outcome of Pregnancy in a Semi-Urban Area in Fako Division, Cameroon: A Cross-Sectional Study

Feeding practices and nutritional status of infants in Morogoro Municipality, Tanzania

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