Department of Obstetrics and Gynecology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
Department of Public Health, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
J Med Life. 2023 Feb;16(2):290-298. doi: 10.25122/jml-2022-0257.
This study aimed to examine the relationship between maternal health during pregnancy and low birth weight (LBW), as well as the impact of COVID-19 on the socio-economic status of pregnant women and its effect on LBW. The study was conducted in Amman, Jordan, and included 2260 mothers who visited Abu-Nusair comprehensive health center between January and December 2020. A matched case-control design was used with 72 cases and 148 controls selected for data collection through medical records and face-to-face interviews. Results showed that factors such as a monthly income of 400 JD or less, living with an extended family, exposure to passive smoking, maternal weight gain of 6-10 kg, maternal anemia, maternal hypertension, delivery by cesarean section, and previous history of LBW newborns were positively associated with an increased risk of LBW. Conversely, factors such as a monthly income above 700 JD, living with a core family, daily intake of iron, calcium, and vitamin D, prenatal visits, healthy food intake, and planning for pregnancy were associated with a lower risk of LBW. COVID-19 infection and its effects on work, family finances, antenatal care visits, and food supply were also positively linked with LBW. In conclusion, socioeconomic status, maternal health, COVID-19, and its impacts were significant risk factors for LBW.
本研究旨在探讨孕妇孕期健康与低出生体重(LBW)之间的关系,以及 COVID-19 对孕妇社会经济地位的影响及其对 LBW 的影响。该研究在约旦安曼进行,共纳入 2260 名于 2020 年 1 月至 12 月期间访问阿布努赛尔综合健康中心的母亲。采用病例对照设计,选择 72 例病例和 148 例对照,通过病历和面对面访谈收集数据。结果表明,月收入 400 约旦第纳尔或以下、与大家庭同住、被动吸烟暴露、体重增加 6-10 公斤、母亲贫血、母亲高血压、剖宫产分娩和之前有 LBW 新生儿史等因素与 LBW 风险增加相关。相反,月收入超过 700 约旦第纳尔、与核心家庭同住、每日摄入铁、钙和维生素 D、产前检查、健康饮食和计划怀孕等因素与 LBW 风险降低相关。COVID-19 感染及其对工作、家庭财务、产前检查和食物供应的影响也与 LBW 呈正相关。总之,社会经济地位、孕产妇健康、COVID-19 及其影响是 LBW 的重要危险因素。