Desalegn, Lema (2015) Determinants of Low Birth Weight in Debre Berehan Referal Hospital, North Shoa Zone, Amhara Regional State, Ethiopia (A Case – Control Study). Masters thesis, Addis Ababa University.
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Abstract
Introduction: Low birth weight is defined as birth weight less than 2,500 grams. More than 20 million infants are born each year weighing less than 2500 gm, accounting for 17% of all births in the developing world. Similarly, according to Ethiopian demographic and health survey (EDHS 2011), 11% weighed less than 2500 gm. Birth weight plays an important role in infant mortality and morbidity, development, and future health of the child. Weight at birth is directly influenced by general level of health status of the mother. Objectives: The main objective of the study is to identify determinants of low birth weight in Debre Berehan Referral hospital. Methodology: The study was a facility based unmatched case-control study design conducted by reviewing cards of mothers and neonates who delivered in Debre Berehan Referral hospital just three years back from study period (February to June 2015). Data analysis was done by SPSS version 20 and bivariate and multivariate statistical methods were used. RESULT: In this study 441 mothers and newborns cards were included yielding 100 % response rate. From this 147 mothers and newborn cards were selected for case group and 294 mothers and newborn cards were selected for control group .The mean birth weight was 2077.55gm (S.D±325.78 gm) for the neonates with low birth weight and 3230.0 (S.D±449.73 gm) for the neonates with normal birth weight. Out of 441 mothers in both case and control groups, most of them were between the age group of 21-25 years, which is 39.5% and 36.1% for case group and control group, respectively. Those newborns with gestational age less than 37 weeks were 4 times (AOR=4, 95%CI (1.61,8.13) p-value =0.0001) more likely to be delivered low birth weight than those new born greater than or equal to 37 weeks of gestation. So, significant association is found between gestational age and BW. Pregnancy induced hypertension (AOR =3.415, 95% CI (0.855, 13.645 p-value 0.047) have significant association. Another variable that have significant association with BW is hemoglobin level (AOR 1.0, 95% CI (1.0, 1.0) p-value =0.045). Conclusion: According to the findings of this study the determinant factors for LBW are: Gestational age less than 37 weeks, hemoglobin level of the blood, PIH. So that interventions to prevent pre term, control blood hemoglobin level of the mothers, prevent anemia and prevent hypertension are important to manage LBW.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | low birth weight, maternal factors, case control, Debre Berehan |
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RJ Pediatrics R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services R Medicine > RT Nursing |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 17 Oct 2018 07:50 |
| Last Modified: | 17 Oct 2018 07:50 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/6860 |
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