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埃塞俄比亚南部迪拉镇足月儿低出生体重的患病率及相关因素

Prevalence and Associated Factors of Low Birth Weight among Term Newborns in Dilla Town, Southern Ethiopia.

作者信息

Mehare Tsegaye, Sharew Yewbmirt

机构信息

Depratment of Biomedical Science, College of Medicine and Health Sciences, Dilla University, Dilla, Ethiopia.

Depratment of Midwifery, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia.

出版信息

Int J Pediatr. 2020 Jul 27;2020:8394578. doi: 10.1155/2020/8394578. eCollection 2020.

Abstract

INTRODUCTION

Birth weight has emerged as the pointer of infant wellbeing and the fundamental focus of infant health policy. Low birth weight predisposes newborns to loads of health disarray like underweight, stunting, hypoglycemia, hypothermia, mental retardation, physical, and neurodevelopment problems which results in high rates of morbidity and mortality. This study aimed to assess the prevalence and associated factors of low birth weights in term newborns.

OBJECTIVE

This study designed to assess the prevalence and associated factors of low birth weight among term newborns in Dilla town, Southern Ethiopia.

MATERIALS AND METHODS

Institutional based cross-sectional study design was used on 472 term newborns. The study setting includes three health centers (Dilla, Wallemi, and Tumetecha) within Dilla town and Dilla University referral hospital from September 1, 2018, to January 30, 2019. The study subjects were mothers with term newborns delivered in the above institutions and those delivered at home and received care within the first 24 hours after delivery in the above health care settings.

RESULTS

A total of 161 (34.1%) of the term newborns were low birth weight. Divorced mothers, rural residents, maternal age <20 years old, unwanted and unintended pregnancy, no ANC follow-up, no dietary counsel, no foliate supplementation, and cigarette smoking have shown an association with low birth weight of neonates.

CONCLUSIONS

Even though the method of sampling used in this study has its confines, the prevalence of low birth weight in this study was higher than the estimate in Ethiopia. Therefore, it is recommended that special attention should be given to pregnant mothers to get adequate rest, additional diet, and antenatal services available and accessible to all pregnant women.

摘要

引言

出生体重已成为婴儿健康状况的指标以及婴儿健康政策的基本关注点。低出生体重使新生儿易患大量健康紊乱问题,如体重不足、发育迟缓、低血糖、体温过低、智力迟钝、身体和神经发育问题,这些问题导致高发病率和死亡率。本研究旨在评估足月儿低出生体重的患病率及其相关因素。

目的

本研究旨在评估埃塞俄比亚南部迪拉镇足月儿低出生体重的患病率及其相关因素。

材料与方法

对472名足月儿采用基于机构的横断面研究设计。研究地点包括迪拉镇内的三个健康中心(迪拉、瓦莱米和图梅特查)以及迪拉大学转诊医院,研究时间为2018年9月1日至2019年1月30日。研究对象为在上述机构分娩的足月儿母亲,以及在家分娩并在上述医疗机构产后24小时内接受护理的母亲。

结果

共有161名(34.1%)足月儿为低出生体重。离婚母亲、农村居民、母亲年龄<20岁、意外和非意愿妊娠、未进行产前检查随访、未接受饮食咨询、未补充叶酸以及吸烟与新生儿低出生体重有关。

结论

尽管本研究采用的抽样方法有其局限性,但本研究中低出生体重的患病率高于埃塞俄比亚的估计值。因此,建议特别关注孕妇,让所有孕妇都能获得充足休息、额外饮食和可及的产前服务。

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