Kandel Kamal Prasad, Kafle Sindhu
Department of Health, Kalika Medical and Technical Institute, Nawalparasi, Chitwan, Nepal.
J Nepal Health Res Counc. 2017 Sep 8;15(2):169-173. doi: 10.3126/jnhrc.v15i2.18208.
Babies with a birth weight of less than 2500 grams, irrespective of the period of their gestation are termed as Low Birth Weight (LBW) babies. Despite consistent efforts to improve the quality of maternal and child health, more than twenty million low birth-weight (LBW) babies are born every year throughout the world. Though, the health situation of Nepal has improved substantially over the years, the low birth-weight (LBW) rate is still high. 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 live born infant among the institutionally delivered newborns.
A hospital based cross sectional study was conducted in Obstetrics and Gynaecology ward of Bharatpur hospital, Bharatpur, from 17th September to 4th October , 2012. Altogether 480 respondents were taken and respondents were mothers who had delivered newborns in Bharatpur hospital.
A total of 480 births occurred during the study period, of which 480 met the study criteria. Among which 9.4% were low birth weight and 90.6% were normal birth weight .Overall mean birth weight was found to be 2.96 kg. Out of total 9.4% newborns were weighing less than 2.50 kg and mean birth weight 2.96kg.
This study suggests that there were several factors interplaying which lead to LBW babies; which are age of mother at delivery,weight gain by mother during pregnancy, short, low body mass index and hyperemesis gravidarum was the strongest predictor in this study.
出生体重低于2500克的婴儿,无论其妊娠期长短,均被称为低出生体重(LBW)婴儿。尽管一直在努力提高母婴健康质量,但全球每年仍有超过2000万低出生体重婴儿出生。虽然尼泊尔的健康状况多年来有了显著改善,但低出生体重率仍然很高。本研究的目的是评估机构分娩新生儿中低出生体重的比例,并确定与低出生体重相关的因素。
2012年9月17日至10月4日,在巴拉特普尔巴拉特普尔医院的妇产科病房进行了一项基于医院的横断面研究。共选取了480名受访者,受访者为在巴拉特普尔医院分娩新生儿的母亲。
研究期间共发生480例分娩,其中480例符合研究标准。其中,9.4%为低出生体重,90.6%为正常出生体重。总体平均出生体重为2.96千克。在全部新生儿中,9.4%体重低于2.50千克,平均出生体重为2.96千克。
本研究表明,有几个因素相互作用导致了低出生体重婴儿的产生;这些因素包括分娩时母亲的年龄、母亲孕期体重增加、身材矮小、低体重指数以及妊娠剧吐,其中妊娠剧吐是本研究中最强的预测因素。