Asferie Worku Necho, Kassaw Amare, Kefale Demewoz, Demis Kebede Solomon, Azmeraw Molla, Ayenew Yeshiambaw Eshetie, Aytenew Tigabu Munye
Department of Maternal and Neonatal Health Nursing, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Department of Pediatrics and Child Health Nursing, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Matern Child Nutr. 2025 Jul;21(3):e70040. doi: 10.1111/mcn.70040. Epub 2025 Apr 27.
Maternal undernutrition is a key contributor for poor fetal growth, low birth weight and infant morbidity and mortality. Globally, 15%-20% of all births were low birth weight, accounting more than 20 million births a year. This review aims to estimate the pooled association of maternal undernutrition during pregnancy with newborn low birth weight in Ethiopia. A systematic literature search was done from PubMed, Scopus, Hinari, Google Scholar and online research repositories. All studies reporting the association of undernutrition with low birth weight among pregnant women in Ethiopia were included. Heterogeneity between the included studies was assessed using the Cochrane Q-test and I statistics. Publication bias was also assessed using Egger's regression test with 5% significance level. Finally, the random effects analysis model was used to estimate the overall pooled effect size. Among 596 identified studies, 15 articles were met inclusion criteria and included in this meta-analysis. A total of 6441 mother-neonate pairs were involved in this analysis. The pooled effect size revealed that there was a significant association between maternal undernutrition during pregnancy and newborn low birth weight in Ethiopia AOR: 2.52 (2.01-3.15, I = 78.42%). This review was estimated that maternal undernutrition during pregnancy had a significant association with newborn low birth weight in Ethiopia. Undernutrition pregnant women had an increased chance of giving low birth weight. The finding of this review may help the stakeholders to focus on managing pregnancy malnutrition.
孕产妇营养不良是胎儿生长发育不良、低出生体重以及婴儿发病和死亡的关键因素。在全球范围内，15%-20%的新生儿为低出生体重，每年超过2000万例。本综述旨在评估埃塞俄比亚孕期孕产妇营养不良与新生儿低出生体重之间的合并关联。通过PubMed、Scopus、Hinari、谷歌学术和在线研究数据库进行了系统的文献检索。纳入了所有报告埃塞俄比亚孕妇营养不良与低出生体重之间关联的研究。使用Cochrane Q检验和I统计量评估纳入研究之间的异质性。还使用Egger回归检验在5%显著性水平下评估发表偏倚。最后，采用随机效应分析模型估计总体合并效应量。在596项已识别的研究中，15篇文章符合纳入标准并纳入本荟萃分析。本分析共纳入6441对母婴。合并效应量显示，埃塞俄比亚孕期孕产妇营养不良与新生儿低出生体重之间存在显著关联：调整后比值比为2.52（2.01-3.15，I=78.42%）。本综述估计，埃塞俄比亚孕期孕产妇营养不良与新生儿低出生体重之间存在显著关联。营养不良的孕妇生出低体重儿的几率增加。本综述的结果可能有助于利益相关者关注孕期营养不良的管理。
