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低出生体重的决定因素:卡纳塔克邦一家地区医院的病例对照研究。

Determinants of low birth weight: a case control study in a district hospital in Karnataka.

机构信息

Deptartment of Community Medicine, Kasturba Medical College, Mangalore, India.

出版信息

Indian J Pediatr. 2010 Jan;77(1):87-9. doi: 10.1007/s12098-009-0269-9.

DOI:10.1007/s12098-009-0269-9
PMID:19936646
Abstract

A Case-control study was conducted in District Lady Goschen hospital, Dakshina Kannada district, Southern Karnataka. Subjects were mothers who underwent normal delivery and their neonates. A total of 150 cases and 300 controls were selected. Significant risk factors identified in univariate analysis included pre pregnancy maternal weight (<45 kgs)(OR=6.77), anaemia in pregnancy (Hb<11 gm%) (OR=3.11), age less than 20 years (OR=2.96) and maternal height (<145 cms) (OR=2.79). Multiple logistic regression analysis revealed that pre pregnancy maternal weight (<45 kgs)(OR=7.02), anemia in pregnancy (OR=4.37) and maternal age less than 20 years (OR=3.96) were the significant risk factors of low birth weight of term babies. The strategy needs to focus attention on nutrition education to facilitate better weight gain during adolescent period. Discouraging teenage pregnancy is also essential in order to reduce the burden of LBW babies.

摘要

在卡纳塔克邦南部达卡纳地区的戈申夫人区医院进行了一项病例对照研究。研究对象为接受正常分娩的母亲及其新生儿。共选择了 150 例病例和 300 例对照。单因素分析确定的显著危险因素包括孕前母亲体重(<45 公斤)(OR=6.77)、孕期贫血(Hb<11 克/%) (OR=3.11)、年龄小于 20 岁(OR=2.96)和母亲身高(<145 厘米)(OR=2.79)。多因素逻辑回归分析显示,孕前母亲体重(<45 公斤)(OR=7.02)、孕期贫血(OR=4.37)和母亲年龄小于 20 岁(OR=3.96)是足月低出生体重婴儿的显著危险因素。该策略需要关注营养教育,以促进青少年时期更好地增重。为了减轻 LBW 婴儿的负担,还必须劝阻青少年怀孕。

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