Adane Teje, Dachew Berihun Assefa
Beneshangul Gumuz Regional State, Zonal Health office, Ethiopia.
Department of Epidemiology and Biostatistics, Institute of Public Heath, College of Medicine and Health Science, University of Gondar, Ethiopia.
Afr Health Sci. 2018 Dec;18(4):1204-1213. doi: 10.4314/ahs.v18i4.42.
Low birth weight is one of the public health problems in the globe and it is an indicator of the health of the newborn survival and the mother's nutrition and health status. This study was aimed to determine the prevalence of low birth weight and its associated factors among mothers who gave birth at Bahir Dar Felege Hiwot referral hospital.
A cross-sectional facility based study was conducted from March 18 to May 18 / 2015. A total of 662 mothers were included in the study.The data was entered and analyzed using SPSS version 20 software. Bivariate and multivariable logistic regression was used to identify factors associated with low birth weight.
The prevalence of low birth weight was found to be 11.6%. Age of the mothers (20-34 years) AOR= 0.4(95% CI: 0.19-0.93), low income AOR=2.6 (95%CI: 1.16-6.05), gestational age < 37 weeks AOR=18.2 (95% CI:9.26-35.94), MUAC<23 cm AOR =3.4 (95%CI:1.38-8.60) and pregnancy induced hypertension AOR=6.5 (95%CI:3.06-14.0) were factors associated with low birth weight.
The prevalence of low birth weight was in line with WHO estimate for sub-Saharan Africa. Nutritional counseling and early detection and management of pregnancy induced hypertension is recommended.
低出生体重是全球公共卫生问题之一,是新生儿生存健康以及母亲营养和健康状况的一个指标。本研究旨在确定在巴希尔达尔费莱格希沃特转诊医院分娩的母亲中低出生体重的患病率及其相关因素。
于2015年3月18日至5月18日进行了一项基于机构的横断面研究。共有662名母亲纳入研究。使用SPSS 20版软件录入和分析数据。采用双变量和多变量逻辑回归来确定与低出生体重相关的因素。
发现低出生体重的患病率为11.6%。母亲年龄(20 - 34岁)调整后比值比(AOR)= 0.4(95%置信区间:0.19 - 0.93),低收入AOR = 2.6(95%置信区间:1.16 - 6.05),孕周<37周AOR = 18.2(95%置信区间:9.26 - 35.94),上臂中段臂围(MUAC)<23 cm AOR = 3.4(95%置信区间:1.38 - 8.60)以及妊娠高血压AOR = 6.5(95%置信区间:3.06 - 14.0)是与低出生体重相关的因素。
低出生体重的患病率与世界卫生组织对撒哈拉以南非洲的估计一致。建议进行营养咨询以及对妊娠高血压进行早期检测和管理。