Woldeamanuel Gashaw Garedew, Geta Teshome Gensa, Mohammed Tesfaye Petros, Shuba Mulualem Belachew, Bafa Temesgen Abera
Department of Biomedical Sciences, School of Medicine, College of Medicine and Health Sciences, Wolkite University, Wolkite, Ethiopia.
Department of Internal Medicine, School of Medicine, College of Medicine and Health Sciences, Wolkite University, Wolkite, Ethiopia.
SAGE Open Med. 2019 Jan 29;7:2050312119827096. doi: 10.1177/2050312119827096. eCollection 2019.
Maternal nutritional status influences the developmental environment of the fetus which consequently affects the birth weight of the newborn. However, the association between maternal nutritional factors and birth weight is complex and is not well characterized in Ethiopia.
To assess the effect of maternal anthropometry and biochemical profile on birth weight of babies at Butajira Referral Hospital, Butajira, Ethiopia.
Laboratory-based cross-sectional study was conducted among 337 pregnant women at the hospital. Socio-demographic and obstetric characteristics were collected using pre-tested questionnaires. Blood sample was collected from each pregnant women for determination of total serum protein, total serum cholesterol and hemoglobin level. However, maternal dietary habits were not assessed in this study.
A total of 337 pregnant women were involved in the study. The mean (standard deviation) birth weight of the newborns was 3.14 ± 0.46 kg. After adjusting for different maternal factors, parity (p = 0.013), hemoglobin level (p = 0.046), pre-pregnancy body mass index (p < 0.001) and weight gain during pregnancy (p < 0.001) were positively associated with birth weight of the newborns, while the associations with total protein (p = 0.822) and total cholesterol (p = 0.423) were not significant.
This study has shown that nutritional status of pregnant women as indicated by maternal anthropometry and hemoglobin level was associated with birth weight of the baby. Therefore, nutritional status of the pregnant women should be improved to reduce the risk of low birth weight.
母亲的营养状况会影响胎儿的发育环境,进而影响新生儿的出生体重。然而,母亲营养因素与出生体重之间的关联较为复杂,在埃塞俄比亚尚未得到充分描述。
评估埃塞俄比亚布塔吉拉转诊医院孕妇的人体测量学指标和生化指标对婴儿出生体重的影响。
在该医院对337名孕妇进行了基于实验室的横断面研究。使用预先测试的问卷收集社会人口学和产科特征。采集每位孕妇的血样以测定血清总蛋白、血清总胆固醇和血红蛋白水平。然而,本研究未评估孕妇的饮食习惯。
共有337名孕妇参与了研究。新生儿的平均(标准差)出生体重为3.14±0.46千克。在对不同的母亲因素进行调整后,产次(p = 0.013)、血红蛋白水平(p = 0.046)、孕前体重指数(p < 0.001)和孕期体重增加(p < 0.001)与新生儿出生体重呈正相关,而与总蛋白(p = 0.822)和总胆固醇(p = 0.423)的关联不显著。
本研究表明,孕妇的人体测量学指标和血红蛋白水平所反映的营养状况与婴儿出生体重相关。因此,应改善孕妇的营养状况以降低低出生体重的风险。