Woldesenbet, Dorka (2017) Association of Maternal Anthropometrics with Preterm Birth and Determine other Risk Factors for Preterm Birth among Mothers Who Delivered in Gandhi Memorial Hospital and Tikur Anbessa Hospital, 2016/17. Masters thesis, Addis Ababa University.
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Abstract
Background: Globally every year about 15 million newborns are born preterm and about 1.1 million of them die due to complications related to prematurity. Preterm birth is the second leading cause of under-five mortality and the first leading cause for neonatal mortality. In Ethiopia, 25% of neonates die due to prematurity. Socio demographic, medical, obstetric, fetal and behavioral factors were documented as important risk factors for prematurity. The effect of maternal nutritional status measured by anthropometrics on preterm birth is not adequately assessed in Ethiopia. Objectives: To assess the effect of maternal anthropometrics on preterm birth. Methods: The study was conducted in Gandhi Memorial Hospital and Tikur Anbessa Hospital. Facility based unmatched case control study with sample size of 507 was conducted. The main outcome measure was preterm birth and measured using either Last Menstrual Period (LMP), ultrasound for mothers with preterm labor or Ballard examination. Data was entered using Epi Info 7 and STATA 14 statistical software was used for data analysis. Binary logistic regression model was used to measure the association between preterm birth and risk factors. Result: The mean age of respondents was 26 years (±3.7). After adjustment for important risk factors for preterm birth, weight gain during pregnancy (Adj OR=3.5, 95%CI [1.12, 10.90]) and hyperemesis gravidarum (Adj OR=2.62, 95%CI [1.00, 6.85]) was associated with higher odds of having preterm birth. Height, MUAC and pre-pregnancy weight did not showed association with preterm birth when adjusted for other variables. Conclusion and Recommendation: This study found that mothers who had inadequate weight gain during pregnancy and had hyperemesis gravidarum during pregnancy had higher odds of delivering preterm birth. We recommend that further study is needed using prospective study designs, different nutritional status assessment method and on different setup. Attention should be given on identifying risky mothers, strengthen nutritional counselling and give counseling for mothers to seek early care when they see symptoms of hyperemesis gravidarum. Ethiopian FMOH may need to strength maternal nutrition education and better monitoring of weight gain during ANC visits.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | Q Science > Q Science (General) R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 24 Oct 2018 08:15 |
| Last Modified: | 24 Oct 2018 08:15 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/6994 |
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