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埃塞俄比亚亚的斯亚贝巴市孕妇人体测量指标对足月、单胎和活产儿出生体重没有影响。

Maternal Anthropometric Measurements Do Not Have Effect on Birth Weight of Term, Single, and Live Births in Addis Ababa City, Ethiopia.

作者信息

Shiferaw Chalachew Bekele, Yallew Walelegn Worku, Tiruneh Gizachew Tadele

机构信息

St. Paul Hospital Millennium Medical College, Addis Ababa, Ethiopia.

University of Gondar College of Medicine and Health Sciences, Institute of Public Health, Gondar, Ethiopia.

出版信息

J Pregnancy. 2018 Dec 2;2018:1982134. doi: 10.1155/2018/1982134. eCollection 2018.

Abstract

Low birth weight is a global public health problem for mortality and morbidity in any age group. The objective of this study is to investigate the effect of maternal anthropometric measurements on birth weight. A cross-sectional study was conducted from Nov 25, 2012, to Feb 25, 2013, in maternity public hospitals in Addis Ababa city, Ethiopia. The effect is investigated using correlation, linear regression, independent sample T-test, one-way ANOVA, and finally multivariate linear regression analysis. A total of 605 women and their newborns took part in this study and prevalence of low birth weight is 8.3%. On adjusted multivariate linear regression analysis, maternal anthropometric measurements did not have an effect on birth weight. Since maternal mid-upper arm circumference ≤ 20 cm and body mass index ≤18.5kg/m are almost nil in this study, generalization is difficult to general population where undernourished women are common in the rural Ethiopia and similar study is recommended in those areas. Antenatal care visits, gestational age, and female sex of newborn had statistically significant effect in determining the risk of low birth weight. Women who were living with large family members had a heavier newborn than counterparts. This might be due to the fact that pregnant women have better care and social support in Ethiopian context, so advising pregnant women to live with family members should be considered to enhance social support during pregnancy in Ethiopia. Maternal anthropometric measurements have no significant effect in determining birth weight in the city and we recommend similar studies where undernourished women are common.

摘要

低出生体重是一个影响任何年龄组死亡率和发病率的全球公共卫生问题。本研究的目的是调查孕产妇人体测量指标对出生体重的影响。2012年11月25日至2013年2月25日,在埃塞俄比亚亚的斯亚贝巴市的公立妇产医院进行了一项横断面研究。采用相关性分析、线性回归分析、独立样本t检验、单因素方差分析,最后进行多因素线性回归分析来研究这种影响。共有605名妇女及其新生儿参与了本研究,低出生体重的患病率为8.3%。在调整后的多因素线性回归分析中,孕产妇人体测量指标对出生体重没有影响。由于本研究中孕产妇上臂中段周长≤20cm和体重指数≤18.5kg/m²的情况几乎不存在,因此难以推广到埃塞俄比亚农村地区营养不良妇女较为常见的一般人群,建议在这些地区开展类似研究。产前检查次数、孕周和新生儿性别在确定低出生体重风险方面具有统计学意义。与大家庭成员一起生活的妇女所生新生儿比其他妇女所生的更重。这可能是因为在埃塞俄比亚的情况下,孕妇能得到更好的照顾和社会支持,因此应考虑建议孕妇与家庭成员一起生活,以加强埃塞俄比亚孕期的社会支持。孕产妇人体测量指标对该市的出生体重没有显著影响,我们建议在营养不良妇女较为常见的地区开展类似研究。

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