Low birthweight delivery: Prevalence and associated factors as seen at a tertiary health facility

Ugboma, H; Onyearugha, Chukwuemeka Ngozi

doi:10.4103/1119-3077.110145

Cited by 15 publications

(21 citation statements)

References 11 publications

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“…This finding agreed with previous reports, in which most of the indicators were associated with mother’s age and inter-pregnancy intervals [23,24]. The mother’s economic situation has not been reported as an associated factor.…”

Section: Discussionsupporting

confidence: 92%

Equity in use of maternal health services in Western Rural China: a survey from Shaanxi province

Yuan

Yan

Klemetti

et al. 2014

BMC Health Serv Res

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BackgroundThe 20th century was marked by a significant improvement in worldwide human health and access to healthcare. However, these improvements were not completely or uniformly distributed among, or even within, nations. This study was designed to assess the use of maternal health services by pregnant women in China, with a focus on the inequity related to family income level.MethodsTwo population-based cross-sectional surveys were carried out in the Zhenan and Lantian counties in March 2007 and from December 2008 to March 2009. A total of 2562 women completed the questionnaires, including 948 who were pregnant in 2006 and 1614 from 2008–2009. The concentration index (CI) was calculated and used to analyze the parameters of maternal health care in the two counties surveyed.ResultsThe responses in both 2006 and 2008–2009 indicated a bias towards higher (rich) economic statuses for the use of maternal and child health services. The CI of ‘delivery at health facility’ was 0.0206 (95% confidence interval between 0.0114 and 0.0299) for 2006 and 0.0053 (95% confidence interval between 0.0015 and 0.0091) for 2008, which represented a statistically significant inequity for women of lower (poor) economic statuses. Similar CI was observed in ‘receiving antenatal care within 12 weeks’ for 2006 (CI2006 = 0.0956, 95% confidence interval between 0.0516 and 0.1396). The CIs of ‘postnatal visit’ and ‘postnatal visit >3-times’ was positive (except for 2006), indicating that the poor used postnatal care less than the non-poor. In 2008, poor women had C-sections more often than non-poor women (CI2008 = −0.0629, 95% confidence interval between-0.1165 and −0.0093), but such a difference was not observed in 2006.ConclusionsIn 2006 and 2008, the use of maternal health services in western rural China was significantly unequal between pregnant women of poor and non-poor economic statuses. Financial support that enables poorer pregnant women to use health services will be beneficial. Utilization of maternal healthcare services can be improved if out-of-pocket expenses can be minimized.

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Section: Discussionsupporting

confidence: 92%

Equity in use of maternal health services in Western Rural China: a survey from Shaanxi province

Yuan

Yan

Klemetti

et al. 2014

BMC Health Serv Res

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“…The difference was not significant. This is same with the findings observed by Ugboma and Onyearugha [19] and Ezugwu et al [21]. In the low birth weight category, males and females did not have a significant difference in their mean weight.…”

Section: Low Birth Weight Babiessupporting

confidence: 92%

“…Swende found the mean birth weight to be 3.08 kg in Makurdi [23] while Adimorah et al found it to be 3.17 kg among Igbos in Nigeria [24]. All these values are lower than the one in the present study probably because preterm deliveries were excluded since preterm delivery as noted by Ugboma and Onyearugha, is a significant factor in low birth weight [19].…”

Section: Discussioncontrasting

confidence: 64%

“…Intrauterine growth retardation (IUGR) occurs when the fetus for any reason fails to get enough nutrients for its development. Some of the known reasons are hypertension, anaemia and malaria in pregnancy [19,20,21]. When the intrauterine environment is conducive and there is a good supply of nutrients across the normal feto-placental membrane, fetal growth and weight gain may then depend on the genetic factors [22].…”

Section: Introductionmentioning

confidence: 99%

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Statistical Analysis of Birth Weight and Gender of Newborn Infants

Onyekwelu¹,

Nwankwo

Oyeka

2018

AJPR

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Introduction: Birth weight is an important determinant of infant morbidity and mortality. Its effect extends upto adult life and may explain some non-communicable diseases that may occur in adult life. In general, males weigh more than females. Birth weight is categorised into three levels, viz., low, normal and high. This study analysed the relationship between gender and the categories of birth weights. Materials and Methods: Data on babies’ gender and birth weights from 961 term life deliveries in a private general practice hospital were analysed. Test on equality of the mean weight of males and females at the three categorical levels were done using z test and t-tests, as necessary. Results: Mean birth weight was found to be 3.30 ± 0.495 kg. Males weighed significantly heavier than females at mean weights of 3.343 ± 0.495 kg and 3.258 ± 0.490 kg, respectively. In the low birth weight category, males weighed 1.844 ± 0.297 kg and females weighed 1.992 ± 0.397 kg. There was no significant difference. Similarly, the mean weight of males and females in the high birth weight category were 4.462 ± 0.343 kg and 4.342 ± 0.219 kg, respectively with no significant difference. In the normal weight category, males weighed significantly more than the females with the mean weight of 3.30 ± 0.359 kg and 3.248 ± 0.392 kg, respectively. Conclusion: Male babies weighed more than female babies only in the normal birth weight category. The factor that selectively affected the birth weight of male babies must be acting under the category of normal birth weight only. More studies are necessary to identify the factors and the reasons, for which they act only at the level of the normal birth weight.

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“…In this study, there was a significant, strong, positive correlation between birth weight and maternal and cord zinc concentrations, as found in a previous study [40]. A short inter-pregnancy interval is a risk factor for developing LBW [41-43]. Nevertheless, this factor was not significant in our study.…”

Section: Discussionsupporting

confidence: 77%

Zinc and copper levels in low birth weight deliveries in Medani Hospital, Sudan

et al. 2014

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BackgroundLow birth weight (LBW) is a worldwide health problem, especially in developing countries. We conducted a case–control study at Medani Hospital, Sudan. Cases were women who delivered a LBW (<2500 g) newborn and consecutive women who delivered a normal weight (>2500 g) newborn were controls. Questionnaires were used to collect clinical data. Zinc and copper levels were measured by an atomic absorption spectrophotometer.FindingsThe two groups (50 in each arm) were well matched in their basic characteristics. Median (25–75th interquartile range) maternal zinc (62.9 [36.3–96.8] vs. 96.2 [84.6–125.7] μg/dl; P <0.001) and copper (81.6 [23.7–167.5] vs. 139.8 [31.9–186.2] μg/dl; P = 0.04) levels were significantly lower in cases than in controls. Cord copper levels in cases were significantly lower than those in controls (108 [55.1–157.9] vs. 147.5 [84.5–185.2] μg/dl; P = 0.02). There were significant direct correlations between birth weight and maternal copper levels and maternal and cord zinc levels.ConclusionsMaternal zinc and copper levels, as well as cord copper levels, are lower in LBW newborns than in those with normal weight.

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Low birthweight delivery: Prevalence and associated factors as seen at a tertiary health facility

Abstract: Most LBW babies were preterm delivered by low parity parturient aged 25-35 years with short inter-pregnancy intervals. Effective family planning and antenatal services provided particularly for these categories of potential parturient could help to curb the incidence.

Cited by 15 publications

References 11 publications

Equity in use of maternal health services in Western Rural China: a survey from Shaanxi province

Equity in use of maternal health services in Western Rural China: a survey from Shaanxi province

Statistical Analysis of Birth Weight and Gender of Newborn Infants

Zinc and copper levels in low birth weight deliveries in Medani Hospital, Sudan

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