Biracyaza Emmanuel, Habimana Samuel, Rusengamihigo Donat, Evans Heather
Department of Community Health, University of Rwanda, Kigali, Rwanda.
Sociotherapy Program, Prison Fellowship Rwanda (PFR), Kigali, Rwanda.
F1000Res. 2021 May 19;10:402. doi: 10.12688/f1000research.51969.2. eCollection 2021.
Low birth weight (LBW) remains the global unfinished agenda in most countries of the world especially in low- and middle-income countries. LBW subsequently has harmful effects on the lifestyle, psychosocial and physiological development of the child. Although it is known that antenatal care (ANC) visits are important interventions contributing to prediction of newborn birth weight, little has been conducted on effect of ANC visits on birth weight in Rwanda. This study aimed at determining the association between regular ANC visits and risk of LBW among newborns in Rwanda. A cross-sectional study design was conducted to analyse the effects of ANC on LBW using the 2014/2015 Rwanda Demographic Health Survey. Associations of socio-demographic, socio-economic, and individual factors of the mother with LBW newborns were performed using bivariate and multiple logistic regression analyses. : Prevalence s of LBW and macrosomia were 5.8% and 17.6%, respectively. Newborns delivered from mothers attending fewer than four ANC visits were at almost three-times greater risk of having LBW [aOR=2.8; 95%CI (1.5-5.4), p=0.002] compared to those whose mothers attending four or more ANC visits. Residing in a rural area for pregnant women was significantly associated with LBW [aOR=1.1; 95%CI (0.7-1.6), p=0.008]. Maternal characteristics, such as anemia, predicted an increase in LBW [aOR=3.5; 95%CI (1.5-5.4),p<0.001]. Those who received no nutritional counseling [aOR=2.5; 95%CI (2-8.5), p<0.001] and who were not told about maternal complications [aOR=3.3; 95%CI (1.5-6.6), p=0.003] were more prone to deliver newborns with LBW than those who received them. Pregnant women who received iron and folic acid were less likely to have LBW newborns [aOR=0.5; 95%CI (0.3-0.9), p=0.015]. : ANC visits significantly contributed to reducing the incidence of LBW. This study underscores the need for early, comprehensive, and high-quality ANC services to prevent LBW in Rwanda.
低出生体重（LBW）在世界上大多数国家，尤其是低收入和中等收入国家，仍然是一项尚未完成的全球议程。低出生体重随后会对儿童的生活方式、心理社会和生理发育产生有害影响。尽管已知产前检查（ANC）是有助于预测新生儿出生体重的重要干预措施，但在卢旺达，关于产前检查对出生体重的影响却鲜有研究。本研究旨在确定卢旺达新生儿中定期产前检查与低出生体重风险之间的关联。采用横断面研究设计，利用2014/2015年卢旺达人口与健康调查分析产前检查对低出生体重的影响。使用双变量和多元逻辑回归分析对母亲的社会人口统计学、社会经济和个人因素与低出生体重新生儿之间的关联进行了研究。：低出生体重和巨大儿的患病率分别为5.8%和17.6%。与母亲进行四次或更多次产前检查的新生儿相比，母亲产前检查次数少于四次的新生儿患低出生体重的风险几乎高三倍[aOR=2.8；95%CI（1.5 - 5.4），p=0.002]。孕妇居住在农村地区与低出生体重显著相关[aOR=1.1；95%CI（0.7 - 1.6），p=0.008]。母亲的特征，如贫血，预示着低出生体重的增加[aOR=3.5；95%CI（1.5 - 5.4），p<0.001]。那些没有接受营养咨询的母亲[aOR=2.5；95%CI（2 - 8.5），p<0.001]以及没有被告知孕产妇并发症的母亲[aOR=3.3；95%CI（1.5 - 6.6），p=0.003]比接受了这些咨询和告知的母亲更易生出低出生体重的新生儿。服用铁剂和叶酸的孕妇生出低出生体重新生儿的可能性较小[aOR=0.5；95%CI（0.3 - 0.9），p=0.015]。：产前检查对降低低出生体重的发生率有显著作用。本研究强调了在卢旺达需要早期、全面和高质量的产前检查服务以预防低出生体重。
