Magnitude of low birth weight and maternal risk factors among women who delivered in Debre Tabor Hospital, Amhara Region, Ethiopia: a facility based cross-sectional study
Magnitude of low birth weight and maternal risk factors among women who delivered in Debre Tabor Hospital, Amhara Region, Ethiopia: a facility based cross-sectional study
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DOI：
10.1186/s13052-019-0683-1
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发表时间：
2019-07-19
影响因子：
3.6
通讯作者：
Taklual, Wubet
中科院分区：
文献类型：
--
作者：
Mekie, Maru;Taklual, Wubet
背景：新生儿的存活率和长期并发症与出生体重高度相关。低出生体重率是一个公共卫生问题的指标，包括长期的产妇营养不良、健康状况不佳和怀孕期间人口一级的保健服务差。就个体而言，低出生体重是新生儿健康和存活的重要预测因素。我们的目的是评估在Debre塔博尔医院（DTH），阿姆哈拉，Ethiopia.Methods的妇女中，低出生体重的大小及其相关因素：设施为基础的横断面研究282名母亲谁在DTH从2018年12月至2019年3月交付。样本量计算采用单一人群比例公式。在EpiData版本3.1中制备的模板中完成数据输入，并通过社会科学统计软件包（SPSS）版本20进行分析。进行描述性统计以描述研究参与者的特征。使用95%置信区间的粗比值比和校正比值比来确定相关性的显著性。结果：在282例DTH分娩的母亲中，12.0%（95%，CI：（8.5，15.2%））分娩低出生体重儿。居住地（AOR = 0.32，95%，CI：（0.12，0.85）），妊娠（AOR = 0.17，95%，CI：（0.03，0.97）），妊娠状态（AOR = 0.29，95%，CI：（0.09，0.92））和血红蛋白水平（AOR = 9.82，95%，CI：（1.83，52.73））是低出生体重儿的显著预测因素。居住地、妊娠状况、妊娠次数和血红蛋白水平与低出生体重有统计学意义。居住在城市地区、有计划怀孕、孕妇年龄< 5岁的妇女产低出生体重儿的风险较低。而血红蛋白< 11 mg/dl的孕妇更容易分娩低体重儿。作为一个多因素问题，应采取综合和整体的办法，以减少与低出生体重有关的流行率、发病率和死亡率。
Background: Survival of newborns and long term complications are highly correlated with birth weight. The low birth weight rate is an indicator of a public health problem that includes long-term maternal malnutrition, ill health, and poor health care at population level during pregnancy. On an individual basis, low birth weight is an important predictor of newborn health and survival. We aimed to assess the magnitude of low birth weight and its associated factors among women who delivered in Debre Tabor Hospital (DTH), Amhara, Ethiopia.Methods: Facility based cross sectional study was employed on 282 mothers who delivered in DTH from December 2018 to March 2019. Single population proportion formula was used to calculate sample size. Data entry was completed in a template prepared in EpiData version 3.1 and analyzed by Statistical Package for Social Sciences (SPSS) version 20. Descriptive statistics were performed to describe the characteristics of the study participants. Crude and adjusted odds ratio with 95% confidence interval were used to identify the significance of association. A p value of < 0.05 was used to decide the significance of the association.Result: Of a total 282 interviewed mothers who delivered in DTH 12.0% (95%, CI: (8.5, 15.2%)) delivered low birth weight baby. Place of residence (AOR = 0.32, 95%, CI: (0.12, 0.85)), gravidity (AOR = 0.17, 95%, CI: (0.03, 0.97)), status of pregnancy (AOR = 0.29, 95%, CI: (0.09, 0.92)), and hemoglobin levels (AOR = 9.82, 95%, CI: (1.83, 52.73)) were found to be the significant predictors of low birth weight in this study.Conclusion and recommendation: Place of residence, status of pregnancy, gravidity, and level of hemoglobin were found to be statistically significant with low birth weight. Women who lived in urban areas, who had planned pregnancy, and gravida of < 5 had lower risk of giving low birth weight baby. Whereas, women who had hemoglobin level of < 11 mg/dl were more likely to deliver low birth weight baby. Being a multi-factorial problem, integrated and holistic approach shall be followed to reduce the prevalence, morbidity and mortality related to low birth weight.