The effect of maternal anthropometric characteristics and social factors on gestational age and birth weight in Sudanese newborn infants
The effect of maternal anthropometric characteristics and social factors on gestational age and birth weight in Sudanese newborn infants
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DOI：
10.1186/1471-2458-8-244
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发表时间：
2008-07-18
影响因子：
4.5
通讯作者：
Schmalisch, Gerd
中科院分区：
文献类型：
--
作者：
Elshibly, Eltahir M.;Schmalisch, Gerd
背景：在非洲，低出生体重（< 2500 g）是婴儿发病率和死亡率的最强决定因素。本研究的目的是量化产妇人体测量，教育和社会经济地位对胎龄和出生weight.Methods的影响：在1000苏丹母亲与单胎分娩，人体测量（体重，身高，中臂围）和新生儿出生体重在24小时内分娩。此外，还记录了母亲的教育和社会经济地位。这些孕妇变量对胎龄和出生体重的影响进行了调查，受试者工作特征（ROC）曲线和多元Logistic回归analysis.Results：虽然产妇身高显着相关（p = 0.002）与胎龄，我们没有发现产妇的特点，价值在确定早产的风险。与其他母亲特征相比，出生顺序是出生体重的最强决定因素。头胎婴儿的低出生体重率为12.2%，几乎是经产母亲婴儿的两倍。母亲年龄和所有母亲人体测量值与出生体重呈正相关（p < 0.001）。母亲身高< 156 cm，母亲体重< 66 kg，母亲中臂围< 27 cm，受教育年限
Background: In Africa low birth weight (LBW) (< 2500 g), is the strongest determinant of infant morbidity and mortality. The aim of this study was to quantify the effect of maternal anthropometry, education and socio-economic status on gestational age and birth weight.Methods: In 1000 Sudanese mothers with singleton births, anthropometric measurements (weight, height, mid-arm circumference) and newborn birth weight were taken within 24 hours of delivery. Furthermore, maternal education and socio-economic status were recorded. The effect of these maternal variables on gestational age and birth weight was investigated by receiver operating characteristic (ROC) curves and by multivariate logistic regression analysis.Results: Although maternal height was significantly correlated (p = 0.002) with gestational age, we did not find maternal characteristics of value in determining the risk for preterm birth. Birth order was the strongest determinant of birth weight compared to other maternal characteristics. The LBW rate of first born babies of 12.2% was nearly twice that of infants of multiparous mothers. Maternal age and all maternal anthropometric measurements were positively correlated (p < 0.001) with birth weight. A maternal height of < 156 cm, a maternal weight of < 66 kg, a maternal mid arm circumference of < 27 cm and years of education of