Macrosomia and its predictors in pregnant women with diabetes in Ethiopia

Belay, Demeke Mesfin; Bayih, Wubet Alebachew; Alemu, Abebaw Yeshambel; Sinshaw, Aklilu Endalamaw; Mekonen, Demewoz Kefale; Ayele, Amare Simegn; Aytenew, Tigabu Munye; Aynew, Yeshambaw Eshetie; Hailemichael, Wasihun; Getu, Sisay; Kiros, Mulugeta; Henok, Andualem; Birihan, Binyam Minuye

doi:10.1111/tmi.13684

Cited by 6 publications

(8 citation statements)

References 49 publications

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“…The quality of included studies were appraised using the Joanna Briggs Institute (JBI) critical appraisal checklists for cohort studies [ 37 ]. Accordingly, all eligible studies were critically appraised by two independent reviewers (TMA and SZ) and scored for the validity of their results.…”

Section: Methodsmentioning

confidence: 99%

“…Based on this, among 14 included articles nine studies were scored 9 out of 11 questions 82 %(low risk).Whereas, 4 of them scored 8 out of 11 questions 73 %(low risk) and one study score 7 out of 11 questions(low risk)(S1 checklist). Studies were considered to be low risk when scored 50 % or higher on the quality assessment tools [ 37 ]. Thus, the quality of all the included studies was high.…”

Section: Methodsmentioning

confidence: 99%

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Effects of undernutrition on mortality of HIV-infected children after initiation of antiretroviral therapy in Ethiopia: A systematic review and meta-analysis

Kassaw,

Chekole,

Agimas

et al. 2024

Heliyon

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Effects of undernutrition on mortality of HIV-infected children after initiation of antiretroviral therapy in Ethiopia: A systematic review and meta-analysis

Kassaw,

Chekole,

Agimas

et al. 2024

Heliyon

Self Cite

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“…The Joanna Briggs Institute (JBI) critical appraisal checklists for observational studies were used to determine the quality of the original studies [ 38 ]. Based on this, all the eligible studies were critically appraised by two independent reviewers (YT and GA) and scored for the validity of their results.…”

Section: Methodsmentioning

confidence: 99%

Section: Quality Assessmentmentioning

confidence: 99%

Pooled prevalence and its determinants of stunting among children during their critical period in Ethiopia: A systematic review and meta-analysis

Kassaw,

Kassie,

Kefale

et al. 2023

PLoS ONE

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Background Stunting is a major public health concern, particularly in low and middle-income countries. Globally, nearly 149 million under-five children are suffering from stunting. Despite it can occur in all age groups, the impact is more severe among children age less than 24 months as this period is critical time of very rapid growth and development. Therefore, this review aimed to determine the pooled prevalence and determinants of stunting among children during this critical period in Ethiopia. Methods The literature search was conducted using international electronic data bases (pumed, Google scholar, CINHAL, Hinari, open Google) and the hand search of reference lists of eligible articles. The presence of heterogeneity between studies was evaluated using Cochrane Q-test and I2 test statistics and sensitivity analysis was also checked. Small study effect was checked through graphical and statistical test. Sub-group analysis was performed to handle heterogeneity. Results This study included 14 studies with a total sample size of 8,056 children. The overall pooled estimate of stunting was 35.01(95% CI: 24.73–45.28, I2 = 98.98%) in the country with the highest prevalence in Amhara region. Increased Child’s age (OR = 3.83; 95% CI: 2.47–5.18, I2 = 97.76%), no maternal education (OR = 2.90; 95%CI: 1.59–4.20, I2 = 89.73%), no maternal postnatal follow up (OR = 1.81; 95% CI:1.51–2.10) less than four food diversity of the child (OR = 2.24;95%CI; 1.94–2.55,I2 = 21.55%), low maternal body mass index, failure to colostrum and exclusive breast feeding, two and more under five children in the household and poor wealth index of the family were significant factors of stunting. Conclusion and recommendations The pooled prevalence of stunting among children during their critical time is high. Increased Child’s age, no maternal education and no maternal postnatal follow up, less than four food diversity of the child, low maternal body mass index, failure to colostrum and exclusive breast feeding, two and more under five children in the household and poor wealth index of the family were determinants of stunting. Therefore, providing continuous maternal postnatal follow up, increase awareness of mothers on importance of colostrum and exclusive breast feeding, feeding of children the recommended variety of foods and at large to improve the wealth status of the households are crucial interventions to meet national and international targets of zero stunting in children less than 2 years.

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“…Sixteen met the exclusion criteria (stillbirths), with a total of 519 participants enrolled. Selection of cases and controls Cases (ABO group) were newborns with at least one adverse birth outcome: 1) preterm as defined as a birth that occurred before 37 completed weeks (less than 259 days) of gestation [26]; 2) low birth weight (LBW) as a weight of < 2.5 kg at birth [27,28]; 3) macrosomia as a birth-weight over 4000 g irrespective of gestational age [29]; 4) birth asphyxia as an APGAR score at 5-minutes inferior to seven [30,31]. ; 5) major congenital anomaly as structural changes in one or more parts of the infant's body that are present at birth; and/or 6) probable sepsis defined as having an intrapartum infectious risk with neonatal clinical suspicion of early onset sepsis plus admission to NCU for antibiotic treatment.…”

Section: Methodsmentioning

confidence: 99%

Adverse birth outcomes and associated factors among newborns delivered in a western African country: a case‒control study

Vasconcelos

Sousa²,

Bandeira³

et al. 2022

Preprint

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Background Newborns with one or more adverse birth outcomes (ABOs) are at greater risk of mortality or long-term morbidity with health impacts into adulthood. Hence, identifying ABO-associated factors is crucial for devising comprehensive and relevant interventions. The aim of this study was to identify factors that are associated with the occurrence of ABO – prematurity (PTB), low birth weight (LBW), macrosomia, congenital anomalies, asphyxia, and sepsis - among babies delivered at the only hospital of Sao Tome & Principe (STP), a resource-constrained sub-Saharan Western African country. Methods Hospital-based unmatched case-control study conducted in STP among newborns from randomly selected mothers from July 2016 to November 2018. Newborns with one or more ABO (gestational age <37 weeks, LBW < 2.5 kg, BW >4 kg, 5-minute Apgar score <7, major congenital anomalies, and probable sepsis based on clinical criteria) were the cases (ABO group), while healthy newborns without ABO were the controls (no-ABO group). Data were collected by a face-to-face interview and abstracted from antenatal pregnancy cards and medical records. Multivariable logistic regression analysis was performed to identify ABO risk factors considering a level of significance α=0.05. Results A total of 519 newborns (176 with ABO and 343 with no-ABO) were enrolled. The mean gestational age and birth weight of cases and controls were 36 (SD=3.7) weeks with 2659 (SD=881.44) g and 39.6 (SD=1.0) weeks with 3256 (SD=345.83) g, respectively. In a multivariable analysis, twin pregnancy [aOR 4.92, 95% CI 2.25–10.74], prolonged rupture of membranes [aOR 3.43, 95% CI 1.69–6.95], meconium-stained amniotic fluid [aOR 1.59, 95% CI 0.97-2.62], and fewer than eight antenatal care (ANC) visits [aOR 0.33, 95% CI 0.18–0.60] were significantly associated with adverse birth outcomes. Conclusion Modifiable factors were associated with ABOs in this study and should be considered in cost-effectiveness interventions. The provision of high-quality ANC with eight or more visits should be a priority at ANC service delivery in STP. Twin pregnancies as well as intrapartum factors such as prolonged rupture of membranes and meconium-stained amniotic fluid are red flags for adverse birth outcomes that should receive prompt intervention and follow-up.

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Macrosomia and its predictors in pregnant women with diabetes in Ethiopia

Cited by 6 publications

References 49 publications

Effects of undernutrition on mortality of HIV-infected children after initiation of antiretroviral therapy in Ethiopia: A systematic review and meta-analysis

Effects of undernutrition on mortality of HIV-infected children after initiation of antiretroviral therapy in Ethiopia: A systematic review and meta-analysis

Pooled prevalence and its determinants of stunting among children during their critical period in Ethiopia: A systematic review and meta-analysis

Adverse birth outcomes and associated factors among newborns delivered in a western African country: a case‒control study

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