Maternal associated factors of low birth weight: a hospital based cross-sectional mixed study in Tigray, Northern Ethiopia
Maternal associated factors of low birth weight: a hospital based cross-sectional mixed study in Tigray, Northern Ethiopia
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DOI：
10.1186/s12884-015-0658-1
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发表时间：
2015-09-17
影响因子：
3.1
通讯作者：
Berhane, Haileselassie
中科院分区：
文献类型：
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作者：
Gebremedhin, Meresa;Ambaw, Fentie;Berhane, Haileselassie
背景：出生体重是儿童生存和发育的重要决定因素。到目前为止，埃塞俄比亚还没有很好地探索低出生体重的流行率和传统的母亲喂养做法的相关性。因此，本研究的目的是确定在埃塞俄比亚北方政府医院分娩的母亲中低出生体重的患病率和相关因素。十字架-采用分层混合研究设计，在3所地区医院连续对308名母亲及其活产婴儿进行了调查，采用访谈员管理的试点问卷，并进行了3次专题小组讨论，以定性部分这些母亲在分娩后6小时内接受了采访和评估;所有婴儿都在8月2日至9月12日期间在标准平衡木上称重。使用SPSS 16.0版输入、清理和分析数据。采用双变量和多变量逻辑回归来确定p < 0.05的预测因子。对于定性研究设计，在反复听取讨论后，进行逐字解释，并按主题分类，最后与定量结果进行三角分析。低出生体重发生率为14.6%，（95%CI = 12.56-16.61），出生体重的平均值和标准差为3094.9 +/- 587.6克。低出生体重与农村有关（AOR = 4.34（95% CI = 1.99-9.48）），早产/胎龄小于37周（AOR = 18.5（95% CI = 4.94-69.4）），存在任何慢性医学疾病（AOR = 5.3（95% CI = 1.12-25.45）和母亲体重< 50 kg（AOR = 2.26（95% CI = 1.06-4.80））。结论：低出生体重儿的发生率较高，且与农村地区、孕龄、出生体重、
Background: Birth weight is an important determinant of child survival and development. So far, the prevalence and traditional maternal feeding practice correlates of low birth weight have not been explored well in Ethiopia. Therefore, the purpose of this study was to determine the prevalence and associated factors of low birth weight among mothers who delivered at governmental hospitals, Northern, Ethiopia.Methods: A cross-sectional mixed study design was carried out in 3 zonal hospitals among 308 mothers and their respective live born baby consecutively using interviewer administered piloted questionnaire and 3 focus group discussions were conducted for the qualitative part. The mothers were interviewed and assessed within 6 hours of delivery; all babies were weighed on standard beam balance from Aug 2 to Sep 12. Data were entered, cleaned and analyzed using SPSS version 16.0. Bivariate and multivariate logistic regression was employed to identify the predictors at p < 0.05. For the qualitative study design, following iterative hearing of the discussions verbatim interpretation was done & categorized in to themes and finally triangulated with the quantitative results.Results: The prevalence of low birth weight was found to be 14.6 % (95 % CI = 12.56-16.61) and the mean and standard deviations of the birth weights were 3094.9 +/- 587.6 grams. Low birth weight was associated with rural place of residence (AOR = 4.34 (95 % CI = 1.99-9.48)), preterm birth/gestational age less than 37 weeks (AOR = 18.5 (95 % CI = 4.94-69.4)), presence of any chronic medical illness (AOR = 5.3 (95 % CI = 1.12-25.45) and maternal weight < 50 kg (AOR = 2.26 (95 % CI = 1.06-4.80)). It was found that tradition of selection and preference of nutritionally poor food items during pregnancy was deep-rooted in the community.Conclusion: The prevalence of low birth weight was found to be high and it was associated with rural place of residence, gestational age