Low birth weight and prenatal care in Colombia: a cross-sectional study

Pinzón-Rondón, Ángela María; Gutiérrez-Pinzon, Vivian; Madriñán-Navia, Humberto; Amin, Jennifer; Aguilera-Otalvaro, Paula Andrea; Hoyos-Martínez, Alfonso

doi:10.1186/s12884-015-0541-0

Cited by 31 publications

(20 citation statements)

References 22 publications

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“…Though LBW contributes to 60%to 80% of all neonatal deaths [ 3 , 12 ]; In this study about 7.8% (95%CI = 6.0–9.7% pregnant women gave low birth weight baby. This finding is consistent with other study findings in Ethiopia, 9%in urban population and 11% in the general population [ 2 ], in Ghana (6.1%) [ 13 ], in Colombia (8.7%) [ 14 ], in Mexico (8%) [ 15 ] but is lower than study findings in Angola and (25.9%) [ 16 ], in India (26.8%) [ 17 ].…”

Section: Discussionsupporting

confidence: 92%

Providers adherence to essential contents of antenatal care services increases birth weight in Bahir Dar City Administration, north West Ethiopia: a prospective follow up study

2018

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BackgroundLow birth weight (LBW) is one of the most important factors affecting child morbidity and mortality worldwide. Antenatal care (ANC) is an opportunity for reaching pregnant women with a number of interventions that may be vital to their health and well-being of their infants. However, data on the link between ANC quality and LBW remain limited especially in developing countries. Therefore, this study was aimed at investigating the effect of ANC service quality on birth weight among pregnant women attending ANC at public health facilities of Bahir Dar City Administration, Bahir Dar, Ethiopia using provision of essential services by providers as proxy for quality of care.MethodsNine hundred seventy pregnant women with gestational age ≤ 16 weeks who came for their first ANC visit and selected by systematic sampling were enrolled and followed until delivery. Longitudinal data was collected during consultation with ANC providers using structured observation checklist. Women who gave birth at home and those who deliver a premature or still birth baby were excluded as data on birth weight could not be obtained for home deliveries and as the birth weight of the baby might be affected due to prematurity and still birth. Completed data were obtained from 718 women (since the rest women gave birth at home, we could not obtain birth weight data and we exclude them from analysis). The overall ANC service was considered as acceptable quality if women received ≥75th percentile of the essential ANC services. Generalized Estimating Equation was carried out to identify predictors of birth weight by controlling the cluster effect among women who received ANC services in the same facility.ResultsThe prevalence of low birth weight (< 2500 g) was 7.8% (95%CI = 6.0%, 9.7%) with 1.4% versus 10.5% among those who received acceptable and not acceptable quality ANC services respectively, P-value< 0.001. Maternal nutritional advice, iron-folic acid supplementation, tetanus toxoid vaccination, maternal educational status, parity and age were determinants for birth weight.Conclusion and recommendationThe study showed that access to quality ANC services led to good birth weight outcome. Strengthening adherence of providers to essential components of antenatal care through regular monitoring and need based capacity building is very important for reducing the risk of low birth weight.

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Section: Discussionsupporting

confidence: 92%

Providers adherence to essential contents of antenatal care services increases birth weight in Bahir Dar City Administration, north West Ethiopia: a prospective follow up study

2018

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“…is systematic review and meta-analysis were carried out to assess the pooled prevalence of low birth weight and its determinant factors in Ethiopia. e weight of the newborn at birth is considered as the most important factor related to perinatal and infant morbidity and mortality [52,53]. Low birth weight babies are almost 20 times more likely to die compared to normal birth weight babies [1].…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Determinants of Low Birth Weight in Ethiopia: A Systematic Review and Meta-Analysis

Katiso

Kassa

Fekadu

et al. 2020

Advances in Public Health

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Introduction. Low birth weight (LBW) is the most significant risk factor for neonatal and infant mortality. It is one of the major public health problems in developing countries. Although there are various studies on low birth weight, findings were inconsistent and inconclusive. Therefore, this study was conducted to estimate the national-pooled prevalence of low birth weight and its associated factors in Ethiopia. Method. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was followed. This meta-analysis employed a review of both published and unpublished studies conducted in Ethiopia. The databases used were PubMed, Google Scholar, CINAHL, and African Journals Online. Relevant search terms for prevalence and determinants of LBW were used to retrieve articles. The meta-analysis was conducted using STATA 14 software. Forest plots were used to present the findings. The Cochran Q test and I2 test statistics were used to test heterogeneity across studies. Egger’s test was used to assess the publication bias of included studies. The pooled prevalence and the odds ratios (OR) with 95% confidence intervals (CI) were computed and were presented using forest plots. Results. A total of 28 studies, 50,110 newborn babies, were included in this meta-analysis. The pooled prevalence of LBW in Ethiopia was 14.1% (95% CI = 11.2, 17.1). Higher variation in the prevalence of LBW in different regions across the country was observed. Significant association of LBW with sex of the newborn baby, higher odds among female babies (OR = 1.5 (95% CI = 1.2, 1.7)), prematurity (OR = 4.7 (95% CI = 1.5, 14.5)), not attending prenatal care (OR = 1.7 (95% CI = 1.4, 2.2)), pregnancy-induced hypertension (OR = 6.7 (95% CI = 3.5, 12.9)), and newborn babies whose mothers were from rural areas (OR = 1.8 (95% CI = 1.2, 2.6) were the factors associated with low birth weight. Conclusions. The prevalence of LBW in Ethiopia was high. LBW was associated with several maternal and newborn characteristics. The large disparity of LBW among the different regions in the country needs targeted intervention in areas with higher prevalence. Particular emphasis should be given to mothers residing in rural areas. Community-based programs are important to increase the use of prenatal care.

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“…Numerous observational studies have demonstrated that the adequacy of ANC contents (such as the number of ANC visits adjusted to gestational age, completeness of care, or quality of prenatal examinations) were associated with LBW and many other pregnancy outcomes [11, 14, 31]. The study examined the association of ANC checklist items as recommended by the WHO (maternal weight measurement, blood pressure measurement, blood testing, urine testing, fundal height measurement and ultrasound scan) in relation to LBW incidence [32].…”

Section: Discussionmentioning

confidence: 99%

“…Many studies in developing countries have provided evidence that the improvement of quality antenatal care (ANC) can significantly mitigate the incidence of LBW. Quality ANC includes accessibility to ANC, the number of ANC visits, and the content of ANC [11–14]. To improve residential health care, a nationwide basic public health service has been provided by the Chinese government since 2009.…”

Section: Introductionmentioning

confidence: 99%

Quality antenatal care protects against low birth weight in 42 poor counties of Western China

Zhou

Wang

Huang³

et al. 2019

PLoS ONE

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Limited data exist related to low birth weight (LBW) incidence and risk factors in Western China. This paper aims to assess LBW and its relationship with antenatal care (ANC) in the poor counties of Western China. A community-based study in rural Western China was conducted in 2011. A kernel distribution was used to estimate the adjusted LBW incidence, and associations between LBW and socio-demographic or maternal factors were examined using multilevel logistic regression. Among 8,964 participants, 65.7% were weighed at birth. Crude LBW incidence was 6.6% and the adjusted rate was 9.3%. The study revealed that risk factors of LBW are being female, raised within a minority group, and with a family income below the national poverty line. For maternal risk factors, LBW was positively associated with not attending at least five or eight ANC visits, not receiving any ANC during the first trimester, and not having access to assess certain ANC content (weight, blood pressure, blood test, urine test, B-scan ultrasound, and folic acid supplement). There is urgent need to promote quality ANC in poor and rural areas of Western China and to prioritize vulnerable women and children who will benefit from quality ANC.

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Low birth weight and prenatal care in Colombia: a cross-sectional study

Cited by 31 publications

References 22 publications

Providers adherence to essential contents of antenatal care services increases birth weight in Bahir Dar City Administration, north West Ethiopia: a prospective follow up study

Providers adherence to essential contents of antenatal care services increases birth weight in Bahir Dar City Administration, north West Ethiopia: a prospective follow up study

Prevalence and Determinants of Low Birth Weight in Ethiopia: A Systematic Review and Meta-Analysis

Quality antenatal care protects against low birth weight in 42 poor counties of Western China

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