Evaluation of an Epidemiological Surveillance System for Preterm Birth and Low Birth Weight in Southern Thailand
DOI:
https://doi.org/10.31584/jhsmr.201933Keywords:
evidence-based management, low birth weight, preterm birth, surveillance systemAbstract
Objective: To assess the prevalence and management of preterm birth and low birth weight (LBW) infants, including the exploration of known risk factors for preterm birth and LBW, recorded in field testing of a web-based surveillance system of maternal-newborn health in southern Thailand.
Material and Methods: The data of 2,459 women who delivered in six community hospitals and two referral hospitals in Songkhla province, southern Thailand were extracted from the field testing records of an experimental surveillance system. The incidences of preterm and LBW and their management with attributed factors to the specific problems and associated factors were analyzed by univariate analysis and multiple logistic regression.
Results: The incidences of preterm birth and LBW were 5.6% and 9.8%, respectively. Maternal age, parity, preeclampsia, antenatal care visits, birth attendant and type of hospital were significantly associated with the incidence of preterm birth or LBW. Of women with preterm birth, 8.4% received a tocolytic and 25.3% received corticosteroids. Half of the women with preterm birth were investigated for infection. More than half of the LBW births were related to a preterm condition and most of the LBW infants were appropriately resuscitated, given appropriate hypothermia prevention and early feeding, and infection prevention measures applied. Approximately 25.0% of the preterm and LBW infants had adverse fetal outcomes. Well-known limited factors were found in few cases of preterm and LBW infants.
Conclusion: The incidence of preterm and LBW births and their management can be monitored in a timely way from a web-based surveillance system.
References
2. Beck S, Wojdyla D, Say L, Betran AP, Merialdi M, Requejo JH, et al. The worldwide incidence of preterm birth: a systematic review of maternal mortality and morbidity. Bull World Health Organ 2010;88:31-8.
3. Murray CJ, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C, et al. Disability-adjusted life years (DALYs) for 291
diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012;380:2197-223.
4. Goldenberg RL, Culhane JF, Iams JD, Romero R. Epidemiology and causes of preterm birth. Lancet 2008;371:75-84.
5. Lee AC, Kozuki N, Cousens S, Stevens, GA, Blencowe H, Silveira MF, et al. Estimates of burden and consequences of
infants born small for gestational age in low and middle income countries with INTERGROWTH-21st standard: analysis
of CHERG datasets. BMJ 2017;358:j3677.
6. Wong LF, Caughey AB, Nakagawa S, Kaimal AJ, Tran SH, Cheng YW. Perinatal outcomes among different Asian-
American subgroups. Am J Obstet Gynecol 2008;199:382.e1-6.
7. World Health Organization. Low birth weight: policy brief. Geneva: WHO; 2014.
8. Ota E, Ganchimeg T, Morisaki N, Vogel JP, Pileggi C, Ortiz-Panozo E, et al, WHO Multi-Country Survey on Maternal
and Newborn Health Research Network. Risk factors and adverse perinatal outcomes among term and preterm infants
born small-for-gestational-age: secondary analyses of the WHO Multi-Country Survey on Maternal and Newborn Health.
PLoS One 2014;9:e105155.
9. Priyono E, Isaranurug S, Chompikul J. Maternal risk factors for low birth Weight infants at Fatmawati General Hospital, Jakarta, Indonesia. J Public Health Dev 2008;6:131-41.
10. Medley N, Poljak B, Mammarella S, Alfirevic Z. Clinical guidelines for prevention and management of preterm birth:
a systematic review. BJOG 2018. DOI: 10.1111/1471-0528.15173.
11. Blencowe H, Cousens S, Oestergaard MZ, Chou D, Moller AB, Narwal R, et al. National, regional, and worldwide
estimates of preterm birth rates in the year 2010 with time trends since 1990 for selected countries: a systematic
analysis and implications. Lancet 2012;379:2162-72.
12. World Health Organization. WHO recommendations on interventions to improve preterm birth outcomes. Geneva:
WHO; 2015.
13. Quinn JA, Munoz FM, Gonik B, Frau L, Cutland C, Mallett-Moore T, et al. Preterm birth: case definition & guidelines for data collection, analysis, and presentation of immunisation safety data. Vaccine 2016;34:6047-56.
14. Liabsuetrakul T, Prappre T, Pairot P, Oumudee N, Islam M. Development of a web-based epidemiological surveillance system with health system response for improving maternal and newborn health: field-testing in Thailand. Health Inform J 2017;23:109-23.
15. World Health Organization. The Global Action Report on Preterm Birth. Geneva: WHO; 2012.
16. Liabsuetrakul T, Suchonwanich Y. Birth rates and pregnancy complications in adolescent pregnant women giving birth in the hospitals of Thailand. J Med Assoc Thai 2014;97:785-90.
17. Chiang Mai Low Birth Weight Study Group, Mangklabruks A, Rerkasem A, Wongthanee A, Rerkasem K, Chiowanich P, Sritara P, et al. The risk factors of low birth weight infants in the northern part of Thailand. J Med Assoc Thai 2012;95:358-65.
18. Thato S, Rachukul S, Sopajaree C. Obstetrics and perinatal outcomes of Thai pregnant adolescents: a retrospective
study. Int J Nurs Stud 2007;44:1158-64.
19. Beeckman K, Louckx F, Downe S, Putman K. The relationship between antenatal care and preterm birth: the importance of content of care. Eur J Public Health. 2013;23:366-71.
20. Shah PS. Parity and low birth weight and preterm birth: a systematic review and meta-analyses. Acta Obstet Gynecol Scand 2010;89:862-75.
21. Singhal SR, Deepika A, Nanda S. Maternal and perinatal outcome in severe pre-eclampsia and eclampsia. J South
Asian Obstet Gynecol 2009;1:25-8.
22. Dias TZ, Passini R, Tedesco RP, Lajos GJ, Rehder PM, Nomura ML, et al. Evaluation of prenatal corticosteroid use
in spontaneous preterm labor in the Brazilian Multicenter Study on Preterm Birth (EMIP). Int J Gynecol Obstet 2017;139:222-9.
23. Committee on Obstetric Practice. Committee Opinion No. 713:Antenatal Corticosteroid Therapy for Fetal Maturation. Obstet Gynecol 2017;130:e102-9.
24. Bianchi-Jassir F, Seale AC, Kohli-Lynch M, Lawn JE, Baker CJ, Bartlett L, et al. Preterm birth associated with group B
Streptococcus maternal colonization worldwide: systematic review and meta-analyses. Clin Infect Dis 2017;65(Suppl 2):
S133-42.
25. Oliver RS, Lamont RF. Infection and antibiotics in the aetiology, prediction and prevention of preterm birth. J Obstet Gynaecol 2013;33:768-75.
26. Moore ER, Anderson GC, Bergman N, Dowswell T. Early skin-to-skin contact for mothers and their healthy newborn
infants. Cochrane Database Syst Rev 2012;5:CD003519.
27. Chan G, Bergelson I, Smith ER, Skotnes T, Wall S. Barriers and enablers of kangaroo mother care implementation from a health systems perspective: a systematic review. Health Policy Plan 2017;32:1466-75.
28. O’Donnell CP, Stenson BJ. Respiratory strategies for preterm infants at birth. Semin Fetal Neonatal Med 2008;13:401-9.
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