Determinants and adverse perinatal outcomes of low birth weight newborns delivered in Hawassa University Comprehensive Specialized Hospital, Ethiopia: a cohort study
Determinants and adverse perinatal outcomes of low birth weight newborns delivered in Hawassa University Comprehensive Specialized Hospital, Ethiopia: a cohort study
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DOI：
10.1186/s13104-019-4155-x
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发表时间：
2019-03-04
影响因子：
1.8
通讯作者：
Gedefaw, Mihrete
中科院分区：
文献类型：
--
作者：
Desta, Melaku;Tadese, Mesfin;Gedefaw, Mihrete
目标：全球估计有15%至20%的新生儿为低出生体重，相当于每年超过2000万新生儿。低出生体重有更大的短期和长期后遗症的风险。因此，本研究进行了评估的决定因素和围产期结果的低出生体重新生儿交付在Hawassa大学综合专科医院，南部Ethiopia.Results：共420名母亲被纳入本研究的响应率为97%。新生儿的平均出生体重为3360（+/- 870 SD）g，低出生体重的发生率为16.6%（95% CI 13.46-18.38）。有流产史[RR = 1.87（2.53，12.5）]、高血压病[RR = 4.59（4.93，42.7）]、产前检查次数< 4次[RR = 3.45（2.35，13.8）]和早产[RR = 18.2（6.24，34.5）]是低出生体重儿的危险因素。低出生体重儿与低Apgar评分[RR = 18.2（6.24，34.5）]和早期新生儿死亡[RR = 18.2（6.24，34.5）]相关。为此，确定最有可能发生流产、妊娠高血压疾病和早产的人口是减少出生体重不足的主要优先事项。还建议将心理健康纳入产前检查，改善对高危孕妇的护理。
Objective: Globally an estimated 15% to 20% of all births are low birth weight, representing more than 20 million births a year. Low birth weights are at a greater risk of both short and long-term sequels. Therefore, this study was conducted to assess determinants and perinatal outcomes of low birth weight newborns delivered in Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia.Results: A total of 420 mothers were included in the study with a response rate of 97%. The mean birth weights of the neonate were 3360 (+/- 870 SD) grams and the incidence of low birth weight was found to be 16.6% (95% CI 13.46-18.38). Previous abortion [RR = 1.87 (2.53, 12.5)], hypertensive disorder [RR = 4.59 (4.93, 42.7)], having < 4 antenatal visits [RR = 3.45 (2.35, 13.8)] and prematurity [RR = 18.2 (6.24, 34.5)] was increased the risk of low birth weight. Low birth weight neonates were associated with a low Apgar score [RR = 18.2 (6.24, 34.5)] and early neonatal death [RR = 18.2 (6.24, 34.5)]. For this, identifying populations at the greatest risk of previous abortion, hypertensive disorders of pregnancy and prematurity were the major priorities aimed at reducing low birth weight. Incorporate mental health in the prenatal visit, improving the care for a high-risk pregnant woman was also recommended.