尼泊尔医院分娩中的低体重儿：一项基于医院的研究。
Low-birth-weight babies among hospital deliveries in Nepal: a hospital-based study.
作者信息
Koirala Arun K, Bhatta Dharma N
机构信息
Administrative Department, Helping Hands Community Hospital, Chabahil, Kathmandu, Nepal.
Department of Public Health, Nobel College, Pokhara University, Kathmandu, Nepal ; Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
出版信息
Int J Womens Health. 2015 Jun 8;7:581-5. doi: 10.2147/IJWH.S84559. eCollection 2015.
BACKGROUND
Birth weight is an important indicator of a population's health and is associated with numerous interrelated factors in the infant, mother, and physical environment. The objective of this study was to assess the proportion of low birth weight and identify the associated factors for low birth weight in a liveborn infant among the women in Morang, Nepal.
METHODS
A cross-sectional survey was carried out from December 2010 to March 2011 among 255 mothers who gave birth during the study period at the Koshi Zonal Hospital, Nepal. Data were collected using a structured questionnaire with face-to-face interviews. Data were analyzed through logistic regression and presented with crude and adjusted odds ratios (AORs) with 95% confidence intervals (CIs).
RESULTS
The study showed that the prevalence of low-birth-weight babies was 23.1% (95% CI: 17.9-28.1). The mean (standard deviation) age of mothers was 23.23 (4.18) years. The proportion of low birth weight of previous baby was 3.9% (95% CI: 0.1-7.9), and 15.7% (95% CI: 11.5-20.5) of the respondents had preterm delivery. Nearly one-third (36.1%; 95% CI: 26.4-45.6) of the respondents had >2 years' gap after the previous delivery. Nonformal employment (AOR: 2.14; 95% CI: 0.523-8.74), vegetarian diet (AOR: 1.47; 95% CI: 0.23-9.36), and no rest during pregnancy (AOR: 1.38; 95% CI: 0.41-4.39) were factors more likely to determine low birth weight. However, none of the variables showed a significant association between low birth weight and other dependent variables.
CONCLUSION
Low birth weight is an important factor for perinatal morbidity and mortality and is a common problem in the developing world. The proportion of low-birth-weight babies was high in hospital delivery, and ethnicities, Hindu religion, education, nonformal employment, food habit, rest during pregnancy, and type of delivery were found to influence the birth weight. Hence, it is important to strengthen health education services at the basic level of a community to solve this problem.
背景
出生体重是人群健康的一项重要指标，与婴儿、母亲及物理环境中的众多相互关联因素有关。本研究的目的是评估尼泊尔莫朗地区活产婴儿中低出生体重的比例，并确定低出生体重的相关因素。
方法
2010年12月至2011年3月，在尼泊尔科希地区医院对研究期间分娩的255名母亲进行了横断面调查。通过面对面访谈使用结构化问卷收集数据。通过逻辑回归分析数据，并呈现粗比值比和调整比值比（AOR）以及95%置信区间（CI）。
结果
研究表明，低出生体重婴儿的患病率为23.1%（95%CI：17.9 - 28.1）。母亲的平均（标准差）年龄为23.23（4.18）岁。前一个婴儿低出生体重的比例为3.9%（95%CI：0.1 - 7.9），15.7%（95%CI：11.5 - 20.5）的受访者有早产情况。近三分之一（36.1%；95%CI：26.4 - 45.6）的受访者在前次分娩后间隔超过2年。非正规就业（AOR：2.14；95%CI：0.523 - 8.74）、素食饮食（AOR：1.47；95%CI：0.23 - 9.36）以及孕期无休息（AOR：1.38；95%CI：
Zotero 插件