Maternal risk factors and neonatal outcomes associated with low birth weight in a secondary referral hospital in Ghana
| Autor: | Thomas Bavo Azongo, Jebuni Fuseini Karim, Kennedy Diema Konlan, Solomon Mohammed Salia, Richard Adongo Afaya, Martin Amogre Ayanore, Renna Akokre, Vida Nyagre Yakong, Eric Agyabeng-Fandoh, Ethel Agbinku, Robert Alhassan Kaba, Agani Afaya |
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| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Science (General) Referral Logistic regression Ghana Neonatal risk factors Q1-390 03 medical and health sciences 0302 clinical medicine parasitic diseases Prevalence medicine reproductive and urinary physiology H1-99 Pregnancy Multidisciplinary Obstetrics business.industry Incidence (epidemiology) Gestational age Maternal risk factors Single mothers medicine.disease Social sciences (General) Low birth weight 030104 developmental biology Marital status medicine.symptom business 030217 neurology & neurosurgery Research Article |
| Zdroj: | Repositório Científico de Acesso Aberto de Portugal Repositório Científico de Acesso Aberto de Portugal (RCAAP) instacron:RCAAP Heliyon, Vol 7, Iss 5, Pp e06962-(2021) Heliyon |
| ISSN: | 2405-8440 |
| DOI: | 10.1016/j.heliyon.2021.e06962 |
| Popis: | Introduction Over the past decade, the incidence of low birth weight (LBW) in sub-Saharan Africa has not seen any decline and this is a matter of grave concern for healthcare providers, policymakers, and researchers. Therefore, this study aimed to assess the incidence of LBW and related maternal risk factors (during pregnancy or delivery) as well as neonatal outcomes. Methods An institutional-based retrospective cross-sectional study design was employed to select 1,017 mothers who delivered in the study hospital from January to December 2017 with singleton newborn babies without congenital diseases. Data were analysed using STATA version 14.1 (StataCorp. 2015. Stata Statistical Software: Release 14. College Station, TX: Stata Corp LP). Chi-square test of independence was used to test the association between the dependent variable (LBW) and risk factors of LBW. Bivariate and multivariable unconditional logistic regression was used to determine the factors associated with LBW. Results The incidence of LBW was 23.7%. The findings show that being married has a protective effect on LBW [AOR = 0.60 (95%CI: 0.40–0.90), p = 0.013] compared to single mothers. Neonates born between gestational age of 37–42 weeks had 85% lower odds of LBW [AOR = 0.15, (95%CI: 0.10–0.24), p < 0.001)]. Neonates with LBW had a higher risk of low Apgar score in the first minute compared to neonates with normal birth weight [AOR = 0.52 (95%CI: 0.37–0.73), p < 0.001]. Female neonates had 64% higher odds of LBW compared to their male counterparts [AOR = 1.64 (95%CI: 1.19–2.24), p = 0.002]. Conclusion This study revealed a high incidence of LBW. Women's marital status (single mothers), gestational age ( Low birth weight; Neonatal risk factors; Maternal risk factors; Prevalence; Ghana. |
| Databáze: | OpenAIRE |
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