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The Prevalence Of Low Birth Weight Among Newborns Admitted To The Neonatal Department Of Maiwand Teaching Hospital In The First Six Months Of 1401

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Zaker Hussain Hussain Pour at Kabul University of medical sciences
Zaker Hussain Hussain Pour
  • Kabul University of medical sciences
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Abstract

The Prevalence Of Low Birth Weight Among Newborns Admitted To The Neonatal Service Of Mayvand Teaching Hospital In The First Six Months Of 1041
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1July 11-13, 2023
Kabul University of Medical Sciences “Abu Ali Ibn Sina”
The Prevalence Of Low Birth Weight Among Newborns
Admitted To The Neonatal Department Of Maiwand Teaching
Hospital In The First Six Months Of 1401
Presented by : Zaker Hussain Hussain Pour
Department of Maternal and Child Health, Kabul university of Medical Science Abo Ali Ibn Sina.
July 11-13, 2023
July 11-13, 2023 2
The Prevalence Of Low Birth Weight Among Newborns
Admitted To The Neonatal Department Of Maiwand Teaching
Hospital In The First Six Months Of 1401
3
July 11-13, 2023
Introduction
Low birth weight is defined as the weight of newborns at
birth less than 2500 grams by the World Health Organization.
Low birth weight is an indicator of a public health problem
and also, an important predictor of newborn health and
survival. (WHO, 20). Birth weight is crucial for infant
development because it is associated with infant mortality
(Wulandari ET all, 2023) More than 20million infants are
born with low birth weight worldwide (United Nations,
2019.
4
July 11-13, 2023
Continue…
Classification of High Risk Newborns
According to Gestational Age.
According to Weight.
Gestational Age: divided into three periods
Full term baby: Neonates who are born between 37 and 42
weeks of gestation regardless of weight.
Preterm baby: Neonates who are born before the 37th week of
gestation, regardless of birth weight.
Post term baby: neonates who were born after 42 weeks of
gestational age regardless of weight.
July 11-13, 2023 5
Continue…
According to weight
Extremely low birth weight (ELBW): Birth weight less than
2.2 pounds (1000g).
Very low birth weight (VLBW): Birth weight less than 3.3
pounds (1500 g).
Low birth weight (LBW): Birth weight less than 5.5 pounds
(2500 g).
Normal birth weight: Between 5 pounds, 8 ounces (2,500 g)
and 8 pounds, 13 ounces (4000 g).
High birth weight (HBW): Birth weight of more than 8
pounds, 13 ounces. (4000 g).
July 11-13, 2023 6
Material and methods
A cross –sectional study was conducted to find out the
prevalence of low birth weight among neonates hospitalized
at Maiwand teaching hospital. This was a 6- month hospital-
based, retrospective record –based study that was done on
neonates with LBW in the neonatal service of Maiwand
teaching hospital, Kabul, Afghanistan, from March 2022 to
September 2022.
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July 11-13, 2023
8
Continue …
Study population and sample size
The target populations of this study is all the neonates who were
admitted to the neonatal department of the Maiwand teaching
hospital in the first six months of 1401 AH, and neonates, both
male and female, are considered the study population..
Data collection method
An integrated investigation form was used to find the prevalence
of low birth weight among neonates hospitalized at Maiwand
teaching hospital. It was filled by the data collector according to
the patient file and registration books.
July 11-13, 2023
9
Continue …
Inclusion criteria
Underweight newborns who were admitted to the neonatal
department of Miwand teaching hospital in the first six months of
1401 AH.
Exclusion criteria
Files that were less than 50% complete were not included in the
study; other cases such as neonates weighing more than 2500 grams
have not been studied.
July 11-13, 2023
Continue …
Data analysis procedure
The SPSS program was used to analyze figures, which is usually
used for research analysis, and the MS.EXCEL program was also
used to prepare and arrange charts.
Ethical consideration
The complete written research protocol and all data collection
tools were checked for approval by the ethical review committee
(ERC) of the Kabul University of Medical Science. The privacy
and confidentiality of the patients are maintained by providing
codes to each key informant, and their unrecognizability is
maintained throughout the research process.
10
July 11-13, 2023
RESULTS
The total number of hospitalized newborns was 272, the
overall prevalence of LBW was found to be (84) (30.9%).
July 11-13, 2023 11
Distribution of Cases according to gender
July 11-13, 2023 12
Continue …
July 11-13, 2023 13
"Of the total neonates admitted to the hospital, 65 (77.38%)
were from urban areas, and 19 (22.6%) were from rural areas.
68 (81.1%) of the mothers were over 20 years old, while 16
(18.9%) were younger than 20 years old. Additionally, 63
(75%) of the mothers had normal deliveries, while 21 (25%)
had cesarean births. The average length of hospital stay for
neonates was 4 days, with a minimum of one day and a
maximum of 15 days."
Outcome of treatment
July 11-13, 2023 14
Conclusion
The prevalence of low birth weight among newborns was
30.9%. Preventing low birth weight is an important intervention
to reduce neonatal mortality. This can be achieved not just by
identifying its incidence and risk factors but also by improving
the living standards and medical care of pregnant women.
People should be encouraged to increase prenatal care visits
and adopt a healthy lifestyle through health education provided
by healthcare providers..
July 11-13, 2023 15
References
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babies in Ethiopia: in-depth analysis of the Ethiopian demographic and
health survey, 2011.
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250.
2. Gebregzabiherher, Y., Haftu, A., Weldemariam, S. and Gebrehiwet, H.,
2017. The prevalence and risk factors for low birth weight among term
newborns in Adwa General Hospital, Northern Ethiopia.
Obstetrics and
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3. Gupta, R.D., Swasey, K., Burrowes, V., Hashan, M.R. and Al Kibria,
G.M., 2019. Factors associated with low birth weight in Afghanistan: a
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ResearchGate has not been able to resolve any citations for this publication.
Factors associated with low birth weight in Afghanistan: A cross-sectional analysis of the demographic and health survey 2015
Article
Full-text available
  • May 2019
Objectives This study aimed to investigate the factors associated with low birth weight (LBW) in Afghanistan. Design Cross-sectional study. Setting This study used data collected from the Afghanistan Demographic and Health Survey 2015. Participants Facility-based data from 2773 weighted live-born children enrolled by a two-stage sampling strategy were included in our analysis. Primary and secondary outcome measures The primary outcome was LBW, defined as birth weight <2.5kg. Results Out of 2773 newborns, 15.5% (n=431) had LBW. Most of these newborns were females (58.3%, n=251), had a mother with no formal schooling (70.5%, n=304), lived in urban areas (63.4%, n=274) or lived in the Central region of Afghanistan (59.7%, n=257). In multivariable analysis, residence in Central (adjusted OR (AOR): 3.4; 95% CI 1.7 to 6.7), Central Western (AOR: 3.0; 95% CI 1.5 to 5.8) and Southern Western (AOR: 4.0; 95% CI 1.7 to 9.1) regions had positive association with LBW. On the other hand, male children (AOR: 0.5; 95% CI 0.4 to 0.8), newborns with primary maternal education (AOR: 0.5; 95% CI 0.3 to 0.8), birth interval ≥48 months (AOR: 0.4; 95% CI 0.1 to 0.8), belonging to the richest wealth quintile (AOR: 0.2; 95% CI 0.1 to 0.6) and rural residence (AOR: 0.3; 95% CI 0.2 to 0.6) had decreased odds of LBW. Conclusions Multiple factors had association with LBW in Afghanistan. Maternal, Neonatal and Child Health programmes should focus on enhancing maternal education and promoting birth spacing to prevent LBW. To reduce the overall burden of LBW, women of the poorest wealth quintiles, and residents of Central, Central Western and South Western regions should also be prioritised. Further exploration is needed to understand why urban areas are associated with higher likelihood of LBW. In addition, research using nationally representative samples are required.
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The Prevalence and Risk Factors for Low Birth Weight among Term Newborns in Adwa General Hospital, Northern Ethiopia
Article
Full-text available
  • Jul 2017
Background. World health organization estimates that 25 million LBW babies are born annually worldwide and 95% occur in developing countries. Objective . To assess the prevalence and associated factors of low birth weight among term neonates delivered in Adwa Hospital, Northern Ethiopia. Methods . A cross-sectional study was conducted among neonates delivered in Adwa Hospital. All live births delivered from July 1, 2014, to June 30, 2016, were included in this study. The study participants were selected through systematic sampling technique and the data was collected using a structured questionnaire. Data was entered to Epi Data version 3.1 and analyzed using SPSS version 20 software. To identify independent predictors, bivariate and multivariable binary logistic regressions were employed. Adjusted odds ratio and 95% confidence interval were used to determine the strength of association. Results. The prevalence of term low birth weight was 10%. The risk factors were mothers aged less than 20 years, mothers whose pregnancy was desired, mothers with a history of abortion, and mothers with normal hemoglobin, iron with folic acid, and HIV status. Conclusion. The burden of LBW obtained in this study was in the same range as in some other countries.
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Prevalence and Predictors of "Small Size" Babies in Ethiopia: In-depth Analysis of the Ethiopian Demographic and Health Survey, 2011
Article
Full-text available
  • May 2016
Background Low Birth Weight (LBW) babies account for nearly 80% of neonatal deaths globally. In Ethiopia, only 5% of them are weighed at birth. This study analyzes the prevalence and key proximate determinants of reported infant size, and its validity to use as a proxy indicator for low birth weight inthe Ethiopian context. Methods In-depth analysis of the Ethiopian Demographic and Health Survey dataset was conducted using representative data collected from all regions in the country. Considering reported fetal size at birth as an outcome variable, key predicting variables from socio-demographic, household, child and obstetric characteristics were employed for analyses. Chi-square test and multivariate logistic regression model were used to determine predictors at p value < 0.05. Results An average of 29.1% of Ethiopian babies were reported “small” at birth in 2011. various variables from socio-demographic, household, child and maternal reproductive characteristics were identified as key predictors. Women who develop anemia and not attending antenatal care during pregnancy had 15% and 41% more risk of giving birth to the reported “small size” babies than their counterparts (AoR = 1.15, and 1.41, 95% CI (1.02, 1.64 and 1.06, 1.88) respectively. Maternal age at delivery, maternal literacy level, paternal educational status and presence of radio or television in the household and other factors were also other key predictors identified. Conclusion The prevalence of small size babies in Ethiopia is high but comparable to regional estimates of LBW. It is recommend that improving maternal nutritional and socio-economic status is a timely intervention to tackle the problem.
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Frequency and risk factors of low birth weight in term pregnancy
Article
Full-text available
  • Dec 1969
  • PAK J MED SCI
Objective: To determine frequency of Low Birth Weight (LBW) at term and to determine frequency of various associated risk factors. Methods: This cross-sectional study was conducted in Department of Obstetrics and Gynaecology Layari General Hospital and Dow University of Health Sciences Karachi between January 2007 to July 2008. Women with singleton pregnancy of 37 and above completed weeks were identified. Those women who gave birth to babies with less than 2500gm were recruited in the study. In all those patients who gave birth to LBW babies risk factors were assessed. The variables including age, parity, booking status, maternal weight and height, socioeconomic condition, smoking, fetal gender and birth weight were noted on a questionare. The data was analyzed on SPSS Version 15. Frequency of LBW and its associated risk factors were determined. Results: During study period 10.6% patients delivered LBW babies. Antenatal care was not received in 67% patients. Parity was less than three in 87%. In 26% of patients maternal weight was less than 50 kg and in 37% patients with LBW, maternal height was less than five feet. Majority of patients were anaemic (72%) including 20% with haemoglobin < 7 grams. Conclusion: LBW is associated with a group of factors which may be regarded as high risk factors. These include low socio economic status, anaemia, primiparity, short maternal height and less than average weight.
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