Prevalence of abnormal birth weight and related factors in Northern region, Ghana
Identifieur interne : 000287 ( Main/Exploration ); précédent : 000286; suivant : 000288Prevalence of abnormal birth weight and related factors in Northern region, Ghana
Auteurs : Abdulai Abubakari [Allemagne, Ghana] ; Gisela Kynast-Wolf [Allemagne] ; Albrecht Jahn [Allemagne]Source :
- BMC Pregnancy and Childbirth [ 1471-2393 ] ; 2015.
Abstract
Birth weight is a crucial determinant of the development potential of the newborn. Abnormal newborn weights are associated with negative effects on the health and survival of the baby and the mother. Therefore, this study was designed to determine the prevalence of abnormal birth weight and related factors in Northern region, Ghana.
The study was a facility-based cross-sectional survey in five hospitals in Northern region, Ghana. These hospitals were selected based on the different socio-economic backgrounds of their clients. The data on birth weight and other factors were derived from hospital records.
It was observed that low birth weight is still highly prevalent (29.6 %), while macrosomia (10.5 %) is also increasingly becoming important. There were marginal differences in low birth weight observed across public hospitals but marked difference in low birth weight was observed in Cienfuegos Suglo Specialist Hospital (Private hospital) as compared to the public hospitals. The private hospital also had the highest prevalence of macrosomia (20.1 %). Parity (0–1) (
Our findings show that under nutrition (low birth weight) and over nutrition (macrosomia) coexist among infants at birth in Northern region reflecting the double burden of malnutrition phenomenon, which is currently being experienced by developing and transition counties. Both low birth weight and macrosomia are risk factors, which could contribute considerably to the current and future burden of diseases. This may overstretch the already fragile health system in Ghana. Therefore, it is prudent to recommend that policies aiming at reducing diet related diseases should focus on addressing malnutrition during pregnancy and early life.
Url:
DOI: 10.1186/s12884-015-0790-y
PubMed: 26670886
PubMed Central: 4681076
Affiliations:
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Abubakari</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Institute of Public Health, University Hospital, University of Heidelberg, Heidelberg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of Public Health, University Hospital, University of Heidelberg, Heidelberg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2">Community Nutrition Department, School of Allied Health Sciences, University for Development Studies, P.Box TL 1883, Tamale, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Community Nutrition Department, School of Allied Health Sciences, University for Development Studies, P.Box TL 1883, Tamale</wicri:regionArea><wicri:noRegion>Tamale</wicri:noRegion></affiliation></author><author><name sortKey="Kynast Wolf, Gisela" sort="Kynast Wolf, Gisela" uniqKey="Kynast Wolf G" first="Gisela" last="Kynast-Wolf">Gisela Kynast-Wolf</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Institute of Public Health, University Hospital, University of Heidelberg, Heidelberg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of Public Health, University Hospital, University of Heidelberg, Heidelberg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Jahn, Albrecht" sort="Jahn, Albrecht" uniqKey="Jahn A" first="Albrecht" last="Jahn">Albrecht Jahn</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Institute of Public Health, University Hospital, University of Heidelberg, Heidelberg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of Public Health, University Hospital, University of Heidelberg, Heidelberg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author></analytic><series><title level="j">BMC Pregnancy and Childbirth</title><idno type="eISSN">1471-2393</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Birth weight is a crucial determinant of the development potential of the newborn. Abnormal newborn weights are associated with negative effects on the health and survival of the baby and the mother. Therefore, this study was designed to determine the prevalence of abnormal birth weight and related factors in Northern region, Ghana.</p></sec><sec><title>Methods</title><p>The study was a facility-based cross-sectional survey in five hospitals in Northern region, Ghana. These hospitals were selected based on the different socio-economic backgrounds of their clients. The data on birth weight and other factors were derived from hospital records.</p></sec><sec><title>Results</title><p>It was observed that low birth weight is still highly prevalent (29.6 %), while macrosomia (10.5 %) is also increasingly becoming important. There were marginal differences in low birth weight observed across public hospitals but marked difference in low birth weight was observed in Cienfuegos Suglo Specialist Hospital (Private hospital) as compared to the public hospitals. The private hospital also had the highest prevalence of macrosomia (20.1 %). Parity (0–1) (<italic>p</italic> < 0.001), female gender (<italic>p</italic> < 0.001) and location (rural) (<italic>p</italic> < 0.001) were significantly associated with decreased risk of macrosomic births. On the other hand, female infant sex (<italic>p</italic> < 0.001), residential status (rural) (<italic>p</italic> < 0.001) and parity (0–1) (<italic>p</italic> < 0.001) were significantly associated with increased risk of low birth weigh.</p></sec><sec><title>Conclusions</title><p>Our findings show that under nutrition (low birth weight) and over nutrition (macrosomia) coexist among infants at birth in Northern region reflecting the double burden of malnutrition phenomenon, which is currently being experienced by developing and transition counties. Both low birth weight and macrosomia are risk factors, which could contribute considerably to the current and future burden of diseases. This may overstretch the already fragile health system in Ghana. Therefore, it is prudent to recommend that policies aiming at reducing diet related diseases should focus on addressing malnutrition during pregnancy and early life.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Barker, Dj" uniqKey="Barker D">DJ Barker</name></author><author><name sortKey="Eriksson, Jg" uniqKey="Eriksson J">JG Eriksson</name></author><author><name sortKey="Forsen, T" uniqKey="Forsen T">T Forsen</name></author><author><name sortKey="Osmond, C" uniqKey="Osmond C">C Osmond</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gluckman, Pd" uniqKey="Gluckman P">PD Gluckman</name></author><author><name sortKey="Hanson, Ma" uniqKey="Hanson M">MA Hanson</name></author><author><name sortKey="Cooper, C" uniqKey="Cooper C">C Cooper</name></author><author><name sortKey="Thornburg, Kl" uniqKey="Thornburg K">KL 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Orr</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li><li>Ghana</li></country><region><li>Bade-Wurtemberg</li><li>District de Karlsruhe</li></region><settlement><li>Heidelberg</li></settlement></list><tree><country name="Allemagne"><region name="Bade-Wurtemberg"><name sortKey="Abubakari, Abdulai" sort="Abubakari, Abdulai" uniqKey="Abubakari A" first="Abdulai" last="Abubakari">Abdulai Abubakari</name></region><name sortKey="Jahn, Albrecht" sort="Jahn, Albrecht" uniqKey="Jahn A" first="Albrecht" last="Jahn">Albrecht Jahn</name><name sortKey="Kynast Wolf, Gisela" sort="Kynast Wolf, Gisela" uniqKey="Kynast Wolf G" first="Gisela" last="Kynast-Wolf">Gisela Kynast-Wolf</name></country><country name="Ghana"><noRegion><name sortKey="Abubakari, Abdulai" sort="Abubakari, Abdulai" uniqKey="Abubakari A" first="Abdulai" last="Abubakari">Abdulai Abubakari</name></noRegion></country></tree></affiliations></record>Pour manipuler ce 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