Factors affecting low birth weight new born in Samoeng hospital, Chiang Mai Province
Keywords:
Low birth weight, Pregnant women, ANCAbstract
Objective: To identify factors affecting low birth weight new born among mothers delivered in Samoeng hospital.
Method of study: A Retrospective case control study was conducted at Samoeng hospital, Chiang Mai, Thailand from October 01, 2017 to September 30, 2021. The total sample size of this study was 771; 49 cases (LBW) and 722 controls. Data were collected using medical records and HOSxP software explained by descriptive statistics and compared the difference of two groups by Chi square test. Factors were analysed by multiple logistic regression models with 95% confidence interval (CI) and p-value less than 0.05 was considered as statistically significant.
Results: The prevalence of low birth weight was 6.4%. Previous history of LBW birth (aOR 11.15; 95%CI 4.57–27.72, P< 0.001), paternal smoking (aOR 1.91; 95%CI 1.06–3.45, P=0.031), first antenatal care (ANC) visit after 12 weeks (aOR 1.87; 95%CI 1.03–3.40, P=0.041), quality ANC visits less than 5 visits (aOR 5.04; 95%CI 1.87–13.60, P=0.001), lack of ANC (aOR 2.88; 95%CI 1.10–7.52, P=0.031), gestational hypertension (aOR 4.88; 95%CI 1.14–20.89, P=0.032), insufficient weight gain between pregnancy (aOR 3.03; 95%CI 1.54–5.94, P=0.001) and preterm birth (aOR 13.45; 95%CI 6.42–28.14, P<0.001) were statistically significant factors affecting low birth weight.
Conclusion: Previous history of LBW birth, paternal smoking, first antenatal care (ANC) visit after 12 weeks, quality ANC visits less than 5 visits, lack of ANC, gestational hypertension, insufficient weight gain between pregnancy and preterm birth were factors affecting low birth weight. Therefore, identifying these factors and applying public health intervention might decrease the low birth weight.
References
World Health Organization. International statistical classification of diseases and related health problems: disorders related to short gestation and low birth weight, not elsewhere classified [Internet]. 2019 [cited 2022 Feb 8]. Available from: https://icd.who.int/browse10/2019/en#/P05-P08
World Health Organization & United Nations Children's Fund (UNICEF). Low birth weight: country, regional and global estimates [Internet]. Geneva: World Health Organization; 2004 [cited 2022 Feb 8]. Available from: https://apps.who.int/iris/bitstream/handle/10665/43184/9280638327.pdf?sequence=1&isAllowed=y
World Health Organization. Global nutrition targets 2025: low birth weight policy brief [Internet]. Geneva: WHO; 2014 [cited 2022 Feb 8]. Available from: https://apps.who.int/iris/bitstream/handle/10665/149020/WHO_NMH_NHD_14.5_eng.pdf?sequence=2&isAllowed=y
Christian P, Lee SE, Angel MD, Adair LS, Arifeen SE, Ashorn P, et al. Risk of childhood undernutrition related to small-for-gestational age and preterm birth in low- and middle-income countries. Int J Epidemiol. 2013;42(5):1340–55. doi: 10.1093/ije/dyt109.
Gu H, Wang L, Liu L, Luo X, Wang J, Hou F, et al. A gradient relationship between low birth weight and IQ: a meta-analysis. Sci Rep. 2017;7(1):18035. doi:10.1038/s41598-017-18234-9.
Risnes KR, Vatten LJ, Baker JL, Jameson K, Sovio U, Kajantie E, et al. Birthweight and mortality in adulthood: a systematic review and meta-analysis. Int J Epidemiol. 2011;40(3):647-61. doi: 10.1093/ije/dyq267.
กระทรวงสาธารณสุข, กรมอนามัย. ข้อมูลเฝ้าระวังเรื่องร้อยละของทารกแรกเกิดน้าหนักน้อยกว่า 2,500 กรัม [อินเทอร์เน็ต]. นนทบุรี: กรมอนามัย; 2564 [เข้าถึงเมื่อ 1 พ.ย. 2564]. เข้าถึงได้จาก: https://dashboard.anamai.moph.go.th/surveillance?year=2021
โรงพยาบาลสะเมิง. สถิติห้องคลอด. เชียงใหม่: โรงพยาบาลสะเมิง; 2564.
Xi C, Luo M, Wang T, Wang Y, Wang S, Guo L, et al. Association between maternal lifestyle factors and low birth weight in preterm and term births: a case-control study. Reprod Health. 2020;17(1):93. doi: 10.1186/s12978-020-00932-9.
Awoleke JO. Maternal risk factors for low birth weight babies in Lagos, Nigeria. Arch Gynecol Obstet. 2012;285(1):1-6. doi: 10.1007/s00404-011-1885-y.
Wangdi P, Tenzin K, Gyamtsho S, Tshomo U, Bhutia PC, Wangden T, et al. Maternal risk factors associated with term low birth weight in Jigme Dorji Wangchuck National Referral Hospital, Bhutan. Nep J Obstet Gyneco. 2020;15(2):56-61. doi: 10.3126/njog.v15i2.32906.
Falcão IR, Ribeiro-Silva RC, Almeida MF, Fiaccone RL, Rocha A, Ortelan N, et al. Factors associated with low birth weight at term: a population-based linkage study of the 100 million Brazilian cohort. BMC Pregnancy Childbirth. 2020;20(1):536. doi: 10.1186/s12884-020-03226-x.
Mvunta MH, Mboya IB, Msuya SE, John B, Obure J, Mahande MJ. Incidence and recurrence risk of low birth weight in Northern Tanzania: a registry based study. PLoS ONE. 2019;14(4):e0215768. doi:10.1371/journal.pone.0215768.
Estrada-Restrepo A, Restrepo-Mesa SL, Feria ND, Santander FM. Factores maternos relacionados con el peso al nacer de recién nacidos a término, Colombia, 2002-2011 [maternal factors associated with birth weight in term infants, Colombia, 2002-2011]. Cad Saude Publica. 2016;32(11):e00133215. doi:10.1590/0102-311X00133215.
Alemu A, Abageda M, Assefa B, Melaku G. Low birth weight: prevalence and associated factors among newborns at hospitals in Kambata-Tembaro zone, southern Ethiopia 2018. Pan Afr Med J. 2019;34:68. doi:10.11604/pamj.2019.34.68.18234.
Mehare T, Sharew Y. Prevalence and associated factors of low birth weight among term newborns in Dilla Town, Southern Ethiopia. Int J Pediatr. 2020;2020:8394578. doi: 10.1155/2020/8394578.
K C A, Basel PL, Singh S. Low birth weight and its associated risk factors: health facility-based case-control study. PLoS One. 2020;15(6):e0234907. doi: 10.1371/journal.pone.0234907.
Sema A, Tesfaye F, Belay Y, Amsalu B, Bekele D, Desalew A. Associated factors with low birth weight in Dire Dawa City, Eastern Ethiopia: a cross-sectional study. Biomed Res Int. 2019;2019:2965094. doi: 10.1155/2019/2965094.
World Health Organization (WHO). Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Vitamin and Mineral Nutrition Information System [Internet]. Geneva: World Health Organization; 2011 [cited 2022 Feb 8]. Available from: https://apps.who.int/iris/bitstream/handle/10665/85839/WHO_NMH_NHD_MNM_11.1_eng.pdf
ตรีภพ เลิศบรรณพงษ์. น้ำหนักตัวมารดากับการตั้งครรภ์: ปัจจัยที่สูติแพทย์อาจมองข้าม. เวชบันทึกศิริราช. 2551;1(2):81-90.
Trombe KSD, Rodrigues LS, Nascente LMP, Simões VMF, Batista RFL, Cavalli RC, et al. Is birth weight associated with pregestational maternal BMI? BRISA Cohort, Ribeirão Preto, Brazil. Braz J Med Biol Res. 2020;54(1):e10037. doi: 10.1590/1414-431X202010037.
Fayehun O, Asa S. Abnormal birth weight in urban Nigeria: an examination of related factors. PLoS ONE. 2020;15(11):e0242796. doi: 10.1371/journal.pone.0242796.
Rawlings JS, Rawlings VB, Read JA. Prevalence of low birth weight and preterm delivery in relation to the interval between pregnancies among white and black women. N Engl J Med. 1995;332(2):69-74. doi: 10.1056/NEJM199501123320201.
Moreira AIM, Sousa PRM, Sarno F. Low birth weight and its associated factors. Einstein (São Paulo). 2018;16(4):eAO4251. doi: 10.31744/einstein_journal/2018AO4251.
ชเนนทร์ วนาภิรักษ์, ธีระ ทองสง. การเจ็บครรภ์และการคลอดก่อนกำหนด. ใน: ธีระ ทองสง, บรรณาธิการ. สูติศาสตร์. พิมพ์ครั้งที่ 6. กรุงเทพฯ: ลักษมีรุ่ง; 2564. หน้า 247-59.
Salmasi G, Grady R, Jones J, McDonald SD, On behalf of the Knowledge Synthesis Group*. Environmental tobacco smoke exposure and perinatal outcomes: a systematic review and meta-analyses. Acta Obstet Gynecol Scand. 2010;89(4):423-41. doi: 10.3109/00016340903505748.
Misra DP, Nguyen RH. Environmental tobacco smoke and low birth weight: a hazard in the workplace?. Environ Health Perspect. 1999;107(Suppl 6):897-904. doi: 10.1289/ehp.99107s6897.
Zdravkovic T, Genbacev O, McMaster MT, Fisher SJ. The adverse effects of maternal smoking on the human placenta: a review. Placenta. 2005;26(Suppl):S81-6. doi: 10.1016/j.placenta.2005.02.003.
Cunningham FG, Leveno KJ, Bloom SL, Spong CY, Dashe JS, Hoffman BL, et al. Williams Obstetrics. 24th ed. New York: McGraw Hill; 2014.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Nakornping Hospital
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The articles that had been published in the journal is copyright of Journal of Nakornping hospital, Chiang Mai.
Contents and comments in the articles in Journal of Nakornping hospital are at owner’s responsibilities that editor team may not totally agree with.
