Maternal Age, Low Birth Weight and Early Neonatal Death in Tertiary Hospital in the Volta Region of Ghana
| Autor: | Joseph Adu-Amankwaah, Kokou Hefoume Amegan-Aho, Innocent Afeke, Delali Geni, Lennox Mac-Ankrah, Hintermann Kobina Mbroh, Verner N. Orish, Sylvester Yao Lokpo, Ibrahim Jamfaru, Edem K. Obum |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
030219 obstetrics & reproductive medicine Referral business.industry Obstetrics Birth weight Mortality rate Early Neonatal Mortality Retrospective cohort study Early neonatal death 03 medical and health sciences Low birth weight 0302 clinical medicine medicine Teenage mothers 030212 general & internal medicine medicine.symptom business |
| Zdroj: | Open Journal of Pediatrics. :254-262 |
| ISSN: | 2160-8776 2160-8741 |
| Popis: | Objectives: Current study sought to determine an association between Low Birth Weight (LBW) and early neonatal mortality at a resource limited country’s referral hospital and to determine relationship between maternal age and birth outcomes. Method: A retrospective study analyzing data on births in the Volta Regional Hospital, Ghana from the period of November 2011 to June 2016. A total of 8279 births were analyzed. Results: Results suggest that teenage mothers (8.60%) are more likely to give birth to pre-term babies than the elderly (6.60%) and the adult mothers (4.61%). LBW is highest among the teenage mothers (12.69%) followed by the elderly mothers (7.87%) and then the least among the adult mothers (6.48%). Extremely Low Birth Weight (ELBW) and Macrosomia births were more observed among the elderly mothers (0.90%; 2.17%) than the teenage (0.28%; 0.14%) and adult mothers (0.34%; 1.61%) respectively. Data suggest that 100% of the ELBW were pre-term birth, 88.28% Very Low Birth Weight (VLBW), 34.56% LBW and only 1.06% of the pre-term birth were with Normal Birth Weight (NBW). Death rate ranges from 50% for ELBW, 33.59% for VLBW, 8.22% for LBW, 5.43% for Macrosomia and 1.5% for NBW. However, death rate distribution among the various age groups was statistically not significant (P < 0.106). Conclusions: Our study suggests that early neonatal death, especially deaths among ELBW and VLBW is still high at the VRH of Ghana and therefore there is the need for further studies into interventions to reduce death among neonates born with VLBW and ELBW. |
| Databáze: | OpenAIRE |
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