在埃塞俄比亚阿姆哈拉地区德布雷塔博尔医院分娩的妇女中，低出生体重的严重程度和产妇危险因素：一项基于机构的横断面研究。
Magnitude of low birth weight and maternal risk factors among women who delivered in Debre Tabor Hospital, Amhara Region, Ethiopia: a facility based cross-sectional study.
机构信息
College of Health Sciences, Department of Midwifery, Debre Tabor University, P.O. Box: 272, Debre Tabor, Ethiopia.
College of Health sciences, Department of Population Health, Debre Tabor University, Debre Tabor, Ethiopia.
出版信息
Ital J Pediatr. 2019 Jul 19;45(1):86. doi: 10.1186/s13052-019-0683-1.
BACKGROUND
Survival of newborns and long term complications are highly correlated with birth weight. The low birth weight rate is an indicator of a public health problem that includes long-term maternal malnutrition, ill health, and poor health care at population level during pregnancy. On an individual basis, low birth weight is an important predictor of newborn health and survival. We aimed to assess the magnitude of low birth weight and its associated factors among women who delivered in Debre Tabor Hospital (DTH), Amhara, Ethiopia.
METHODS
Facility based cross sectional study was employed on 282 mothers who delivered in DTH from December 2018 to March 2019. Single population proportion formula was used to calculate sample size. Data entry was completed in a template prepared in EpiData version 3.1 and analyzed by Statistical Package for Social Sciences (SPSS) version 20. Descriptive statistics were performed to describe the characteristics of the study participants. Crude and adjusted odds ratio with 95% confidence interval were used to identify the significance of association. A p value of < 0.05 was used to decide the significance of the association.
RESULT
Of a total 282 interviewed mothers who delivered in DTH 12.0% (95%, CI: (8.5, 15.2%)) delivered low birth weight baby. Place of residence (AOR = 0.32, 95%, CI: (0.12, 0.85)), gravidity (AOR = 0.17, 95%, CI: (0.03, 0.97)), status of pregnancy (AOR = 0.29, 95%, CI: (0.09, 0.92)), and hemoglobin levels (AOR = 9.82, 95%, CI: (1.83, 52.73)) were found to be the significant predictors of low birth weight in this study.
CONCLUSION AND RECOMMENDATION
Place of residence, status of pregnancy, gravidity, and level of hemoglobin were found to be statistically significant with low birth weight. Women who lived in urban areas, who had planned pregnancy, and gravida of < 5 had lower risk of giving low birth weight baby. Whereas, women who had hemoglobin level of < 11 mg/dl were more likely to deliver low birth weight baby. Being a multi-factorial problem, integrated and holistic approach shall be followed to reduce the prevalence, morbidity and mortality related to low birth weight.
背景
新生儿的存活率和长期并发症与出生体重高度相关。低出生体重率是一个公共卫生问题的指标，该问题包括长期的母体营养不良、健康状况不佳以及人群水平上孕期医疗保健水平较差。就个体而言，低出生体重是新生儿健康和存活的重要预测因素。我们旨在评估在埃塞俄比亚德布雷塔博尔医院（DTH）分娩的妇女中低出生体重的程度及其相关因素。
方法
2018 年 12 月至 2019 年 3 月，我们在 DTH 进行了一项基于设施的横断面研究，共纳入 282 名产妇。使用单总体比例公式计算样本量。数据输入是在 EpiData 版本 3.1 中完成的，并使用社会科学统计软件包（SPSS）版本 20 进行分析。采用描述性统计方法描述研究参与者的特征。采用粗比值比和 95%置信区间来确定关联的显著性。p 值<0.05 用于判断关联的显著性。
结果
在总共 282 名在 DTH 分娩的接受访谈的产妇中，有 12.0%（95%置信区间：（8.5，15.2%））分娩的新生儿为低出生体重儿。居住地（优势比[OR] = 0.32，95%置信区间：（0.12，0.85））、孕次（OR = 0.17，95%置信区间：（0.03，0.97））、妊娠状况（OR = 0.29，95%置信区间：（0.09，0.92））和血红蛋白水平（OR = 9.82，95%置信区间：（1.83，52.73））是本研究中低出生体重的显著预测因素。
结论和建议
居住地、妊娠状况、孕次和血红蛋白水平与低出生体重有统计学意义。居住在城市地区、有计划妊娠和孕次<5 的妇女，低出生体重儿的风险较低。而血红蛋白水平<11mg/dl 的妇女更有可能分娩低出生体重儿。由于低出生体重是一个多因素问题，因此应采取综合全面的方法来降低与低出生体重相关的患病率、发病率和死亡率。
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