Low Birth Weight and Anemia in Family Involvement Antenatal Care: Health Promoting Hospital Birth Statistics 2013 Review
Abstract
Background: Health Promoting Hospital has encouraged family to take part in the antenatal care (ANC) process; consisting of couple counseling, school for parents, parturient attending care practice of husband. LBW, one of the indicators for family love-bonding hospital, mostly have never ever attained the goal (less than 7% of live birth). Along with LBW, anemia is another important medical complication during ANC, and correlation between both of them has long been known.
Objective: To study the correlation of the family involvement in ANC process, anemia and LBW.
Methods: Health Promoting Hospital 1,557 live birth (including 7 twins and 8 maternal HIV/AIDS) statistics in the year 2013 (October 1, 2012-September 30, 2013) were reviewed. The numbers and percentages of the family-involvement cases in ANC process, anemia and LBW were compared.
Results: There were 106 newborns, weighed less than 2,500 g, from 1,527 live births. That is 6.94% LBW. There were 338 cases of family involvement in ANC process, resulting in 12 LBW cases, 3.55%. There were 452 cases of anemia at 1st ANC, resulting in 48 LBW cases, 10.62%. There were 420 cases of anemia after 32 gestational weeks, resulting in 30 LBW cases, 7.14%. Interestingly, there were 196 cases of anemia, after 32 gestational weeks but no anemia at 1st ANC, resulting in 7 LBW cases, 3.57%.
Conclusion: The family involvement in ANC process correlated favorably with lowering percentage of LBW. Anemia at first ANC correlated to high percentage of LBW. But anemia only after 32 gestational weeks did not correlate with LBW. The family involvement and anemia during ANC need the further study of their both management impact on LBW outcome.
References
ศิริกุล อิศรานุรักษ์. ทารกน้ำหนักแรกเกิดน้อย: ปัญหาสุขภาพคนไทยที่ยังแก้ไม่ตก.วารสารสาธารณสุขและการพัฒนา 2549; 4(1): 67-79.
สำนักส่งเสริมสุขภาพ กรมอนามัย. ผลการดำเนินงานปี 2554. รายงานประจำปี กรมอนามัย 2554.นนทบุรี: กองแผนงาน กรมอนามัย กระทรวงสาธารณสุข; 2554. 19.
สำนักส่งเสริมสุขภาพ กรมอนามัย. ผลการดำเนินงานปี 2555. รายงานประจำปี กรมอนามัย 2555.นนทบุรี: กองแผนงาน กรมอนามัย กระทรวงสาธารณสุข; 2555. 14.
Stoltzfus RJ, Mullany L, Black RE. Iron deficiency anemia. In Ezzati M, Lopez AD, Rogers A, Murray CJL, eds.Comperative quantification of health risks: global and regional burden of disease attributable to selected major risk factors. Geneva.World Health Organization, 2004: 163-209.
Kozuma S. Approaches to anemia in pregnancy. JMAJ 2009; 52(4): 214-218.
WHO/UNICEF/UNU. Iron deficiency anaemia assessment, prevention, and control a guide for programme managers. Geneva. World Health Organization, 2001.
WHO. Guideline: Daily iron and folic acid supplements in pregnant women. Geneva, World Health Organization, 2012.
Mitgitti R, Seanchaisuriya P, Schelp FP, Marui EJ, Yanai H. Low birth weight infants born to HIV-seropositive mothers and HIV-seronegative mothers in Chiang Rai, Thailand. Southeast Asian J Trop Med Public Health 2008; 39(2): 273-278.
อรพินท์ กอสนาน. ผลต่อการเกิดทารกแรกเกิดน้ำหนักน้อยในโรงพยาบาลบางน้ำเปรี้ยว. วารสารศูนย์การศึกษาแพทยศาสตร์คลินิก โรงพยาบาลพระปกเกล้า 2556; 30(4): 287-299.
Park E, Lee HC, Han JY, Choi JS, Hyun T, Han Y. Intakes of iron and folate and hematologic indices according to the type of supplements in pregnant women. Clin nutr res 2012; 1: 78-84.
Ren A, Wang J, Ye RW, Li S, Liu JM, Li Z. Low first-trimester hemoglobin and low birth weight, preterm birth and small for gestational age newborns. Int J Gynecol Obstet 2007; 98: 124-128.
Kumar KJ, Asha N, Murthy DS, Sujatha MS, Manjunath VG. Maternal anemia in various trimesters and its effect on newborn weight and maturity: an observational study. Int J Prev Med 2013; 4(2): 193-199.
Yi S-W, Han Y-J, Ohrr H. Anemia before pregnancy and risk of preterm birth, low birth weight, small-for-gestation-age birth in Korean women. Eur J Clin Nutr 2013; 67: 337-342.
Xiong X, Buekens P, Alexander S, Demianczuk N, Wollast E. Anemia during pregnancy and birth outcome: a meta-analysis. Am J Perinatol 2000; 17: 137-146.
Allen LH. Anemia and iron deficiency: effects on pregnancy outcome. Am J Clin Nutr 2000; 71(5 suppl): 1280s-1284s.
Kavle JA, Stoltzfus RJ, Witter F, Tielsch JM, Khalfan SS, Caulfield LE. Association between anemia during pregnancy and blood loss at and after delivery among women with vaginal births in Pemba Island, Zanzibar, Tanzania. J Health Popul Nutr 2008; 26(2): 232-240.
Cunningham FG, Leveno KJ, Bloom SL, Hauth JC, Rouse DJ, Spong CY. Williams Obstetrics 23rded. New York: McGraw-Hill; 2010: 114-116.
Cunningham FG, Leveno KJ, Bloom SL, Hauth JC, Rouse DJ, Spong CY. Williams Obstetrics 23rded. New York: McGraw-Hill; 2010: 1080-1081.
Center for maternal and child enquiries (CMACE): Hemorrhage. BJOG 2011; 118(suppl.1): 71-76.
Cobb S. Social support as a moderator of life stress. Psychosom Med 1976; 38: 300–14.
Feldman PJ, Dunkel-Schetter C, Sandman CA, Wadhwa PD. Maternal social support predicts birth weight and fetal growth in human pregnancy. Psychosom Med 2000; 62: 715-725.
Picone TA, Allen LH, Schramm MM, Olsen PM. Pregnancy outcome in North American woman. 1. Effects of diet, cigarette smoking, and psychological stress on maternal weight gain. Am J Clin Nutr 1982; 36: 1205-1213.
Paarlberg KM, Vingerhoets AJJM, Passchier J, Dekker GA, van Geijn HP. Psychosocial factors and pregnancy outcome: a review with emphasis on methodological issues. J Psychosom Res 1995; 39: 563-595.
Dejin-Karlsson E, Hanson BS, Ostergren PO, Lindgren A, Sjoberg NO, Marsal K. Association of a lack of psychosocial resourses and the risk of giving birth to small for gestational age infants: A stress hypothesis. Br J Obstet Gynecol 2000; 107: 89-100.
Allen LH. Biological mechanisms that might underlie iron’s effects on fetal growth and preterm birth. J Nutr 2001; 131(2S-2): 581S-589S.
Bolten MI, Wurmser H, Buske-Kirschbaum A, Papousek M, Pirke KM, Hellhammer D. Cortisol levels in pregnancy as a psychobiological predictor for birth weight. Arch Women Ment Health 2011; 14(1): 33-41.
Eisenberger NI, Taylor SE, Gable SL, Hilmert CJ, Lieberman MD. Neural pathways link social support to attenuated neuroendocrine stress responses. Neuroimage 2007; 35(4): 1601-1612.
Rosenfeld CR, Barton MD, Meschia G. Effect of epinephrine on distribution of blood flow in the pregnant ewe. Am J Obstet Gynecol 1976; 124(2): 156-163.
Lobel M, Cannella DL, Graham JE, DeVincent C, Schneider J, Meyer BA. Pregnancy-specific stress, prenatal health behaviors, and birth outcomes. Health Psychol 2008; 27(5): 604-615.
Mendelson T, DiPietro JA, Costigan KA, Chen P, Henderson J. Associations of maternal psychological factors on umbilical and uterine blood flow. J Psychosom Obstet Gynecol 2011; 32(1); 3-9.