The association of maternal risk factors to macrosomia in rural areas of Haryana, India: a community based study

Malik, Manisha; Khanna, Pardeep; Verma, Ramesh

doi:10.18203/2394-6040.ijcmph20183437

Cited by 7 publications

(4 citation statements)

References 7 publications

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“…Mothers from the highest socioeconomic homes (richest households) were more likely to give birth to macrosomic children. This finding is in conformity with some community-based studies in India [ 67 ] and Canada [ 68 ] but in contrast to a study in Southern Ethiopia and Ghana [ 37 , 41 ]. Though mothers from the highest socioeconomic class have been established to influence macrosomic births in most developing countries [ 20 , 67 ], this study used household socioeconomic characteristics as a proxy to determine the socioeconomic status of the mothers.…”

Section: Discussionsupporting

confidence: 90%

“…This finding is in conformity with some community-based studies in India [ 67 ] and Canada [ 68 ] but in contrast to a study in Southern Ethiopia and Ghana [ 37 , 41 ]. Though mothers from the highest socioeconomic class have been established to influence macrosomic births in most developing countries [ 20 , 67 ], this study used household socioeconomic characteristics as a proxy to determine the socioeconomic status of the mothers. Hence, further studies are recommended to investigate this covariate among the studied mothers in the municipality.…”

Section: Discussionsupporting

confidence: 90%

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Maternal risk factors for low birthweight and macrosomia: a cross-sectional study in Northern Region, Ghana

Adjei-Gyamfi,

Musah,

Asirifi

et al. 2023

J Health Popul Nutr

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Background Abnormal birthweights are critical public health challenges accountable for most non-communicable diseases and perinatal mortalities. Regardless of the myriad of mixed evidence on maternal factors responsible for abnormal birthweight globally, most of these findings are attained from urban and rural settings. This study serves as one of the key pieces of evidence in view of the increasing prevalence of abnormal birthweight particularly in some parts of semi-rural Ghana. The study, therefore, aims to estimate the prevalence of abnormal birthweight and identify some possible maternal risk factors for abnormal birthweight in Northern Ghana. Methods A retrospective cross-sectional study was conducted in Savelugu municipality from February–March 2022. A total of 356 mothers aged 16–46 years, having a neonate and attending postnatal care service, were recruited as study participants. Data were collected from maternal and child health record books and through structured interviews. To identify the maternal risk factors for abnormal birthweight, chi-square/Fischer’s exact test and multinomial logistic regression were employed as bivariate and multivariate analyses, respectively, at 95% confidence level. Results Prevalence rates of low birthweight and macrosomia were 22.2% and 8.7%, respectively. Maternal anaemia in first trimester (AOR 3.226; 95% CI 1.372–7.784) and third trimester (AOR 23.94; 95% CI 7.442–70.01) of gestation was strong predictors for low birthweight. Mothers belonging to minority ethnic groups (AOR 0.104; 95% CI 0.011–0.995); mothers who had ≥ 8 antenatal care visits (AOR 0.249; 95% CI 0.103–0.602); and mothers having neonates whose birth length > 47.5 cm (AOR 0.271; 95% CI 0.113–0.651) had reduced odds for low birthweight. Alternatively, mothers with gestational weeks ≥ 42 (AOR 23.21; 95% CI 4.603–56.19) and mothers from the richest households (highest socioeconomic homes) (AOR 14.25; 95% CI 1.638–23.91) were more likely to birth to macrosomic infants. Conclusion The prevalence rates of low birthweight and macrosomia were relatively high. Anaemia in the first and third trimesters was strong determinants of low birthweight. Being minority ethnic group, frequency of antenatal visits, and childbirth length reduced the risk of low-weight births. Advanced gestational age and socioeconomic status of mothers were also predictors of macrosomia. Hence, nutrition counselling, community health education, and promotion of lifestyle improvement coupled with strengthening of health service delivery are recommended interventions.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 90%

Maternal risk factors for low birthweight and macrosomia: a cross-sectional study in Northern Region, Ghana

Adjei-Gyamfi,

Musah,

Asirifi

et al. 2023

J Health Popul Nutr

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“…Essa associação evidencia disfunções no processo gestacional, podendo ser de ordem genética, ambiental, infecciosa e/ou por complicações obstétricas. 21 Corroborando o resultado encontrado, estudo de série temporal 19 também verificou associação entre a quantidade de nascidos mortos com as AC, assim como inquérito realizado na Índia, 8 que verificou que mães que já tiveram abortos prévios têm quatro vezes mais chances de terem filhos com AC.…”

Section: Discussionunclassified

Fatores maternos e neonatais associados às anomalias congênitas

Carlotto,

Melo,

Riquinho

2024

Rev Enferm UFSM

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Objetivo: analisar os fatores maternos e neonatais associados às anomalias congênitas no estado do Rio Grande do Sul. Método: estudo transversal com dados secundários. A amostra foi composta por 5.830 nascidos vivos entre 2012 a 2015. Foram analisadas variáveis maternas e neonatais que descreviam aspectos demográficos e de saúde. Aplicou-se estatística descritiva e inferencial. Resultados: a ocorrência de anomalias congênitas esteve presente em 0,8% dos nascidos vivos e as mais frequentes foram relacionadas ao sistema osteomuscular, circulatório e geniturinário. Houve associação estatística significativa entre mães com filhos com histórico de natimortalidade prévia, prematuridade e menor índice de Apgar no 5º minuto com a ocorrência de anomalias. Conclusão: o estudo analisou os fatores maternos e neonatais associados às anomalias congênitas, demonstrando os grupos com maior risco para as anomalias congênitas. Ressalta-se a importância de proporcionar acesso aos cuidados pré-natais, considerando as condições de vida e trabalho da gestante.

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“…Further, the NFHS-5 survey also found a rise in obesity among children under five years of age in 20 of the 22 states where the study was conducted [ 10 ]. A study in rural Haryana also reported the prevalence of macrosomia among live births as 1.3 % ( n = 12) [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Mid-upper arm circumference in pregnant women and birth weight in newborns as substitute for skinfold thickness: findings from the MAASTHI cohort study, India

Babu

Das

Lobo

et al. 2021

BMC Pregnancy Childbirth

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Background Estimating total body fat in public hospitals using gold-standard measurements such as air displacement plethysmography (ADP), deuterium oxide dilution, or dual-energy X-ray absorptiometry (DXA) is unaffordable, and it is challenging to use skinfold thickness. We aimed to identify the appropriate substitute marker for skinfold thickness to estimate total body fat in pregnant women and infants. Methods The study is part of a prospective cohort study titled MAASTHI in Bengaluru, from 2016 to 19. Anthropometric measurements such as body weight, head circumference, mid-upper arm circumference (MUAC), and skinfold thickness were measured in pregnant women between 14 and 36 weeks of gestational age; while measurements such as birth weight, head, chest, waist, hip, mid-upper arm circumference, and skinfold thickness were recorded for newborns. We calculated Kappa statistics to assess agreement between these anthropometric markers with skinfold thickness. Results We found the highest amount of agreement between total skinfold thickness and MUAC (Kappa statistic, 0.42; 95 % CI 0.38–0.46) in pregnant women. For newborns, the highest agreement with total skinfold thickness was with birth weight (0.57; 95 % CI 0.52–0.60). Our results indicate that MUAC higher than 29.2 cm can serve as a suitable alternative to total skinfolds-based assessments for obesity screening in pregnancy in public facilities. Similarly, a birth weight cut-off of 3.45 kg can be considered for classifying obesity among newborns. Conclusion Mid-upper arm circumference and birth weight can be used as markers of skinfold thickness, reflecting total body fat in pregnant women and the infant, respectively. These two anthropometric measurements could substitute for skinfold thickness in low- and middle-income urban India settings.

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The association of maternal risk factors to macrosomia in rural areas of Haryana, India: a community based study

Cited by 7 publications

References 7 publications

Maternal risk factors for low birthweight and macrosomia: a cross-sectional study in Northern Region, Ghana

Maternal risk factors for low birthweight and macrosomia: a cross-sectional study in Northern Region, Ghana

Fatores maternos e neonatais associados às anomalias congênitas

Mid-upper arm circumference in pregnant women and birth weight in newborns as substitute for skinfold thickness: findings from the MAASTHI cohort study, India

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