Factors of Low Birth Weight Risk in the Department of Gynecology-Obstetrics of the Ignace Deen National University Teaching Hospital in Conakry, Guinea
Factors of Low Birth Weight Risk in the Department of Gynecology-Obstetrics of the Ignace Deen National University Teaching Hospital in Conakry, Guinea作者机构:Obstetrics and Gynecology Department of the Ignace Deen National University Teaching Hospital Conakry Guinea Institute of Nutrition and Child Health (INCH) Donka Guinea Obstetrics and Gynecology Department of Donka National University Teaching Hospital Conakry Guinea Department Women-Mother-Child University Hospital and University of Lausanne Lausanne Switzerland
出 版 物:《Open Journal of Obstetrics and Gynecology》 (妇产科期刊(英文))
年 卷 期:2019年第9卷第2期
页 面:251-259页
学科分类:1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题:Risk Factors Low Birth Weight Ignace Deen Newborn to Term
摘 要:Introduction: The underweight at birth is recognized as a major cause of morbidity and mortality in childhood. Objective: To identify maternal and obstetric sociodemographic factors associated with low birth weight. Patients and Methods: This is a retrospective study of analytical type that examined the records of women who gave birth in the Obstetrics and Gynecology department of Ignace Deen National University Teaching Hospital from 1st December 2016 to 30th April 2017. The analysis was made with the R version 3.3.1 software. We did a univariate and multivariate analysis. Outcomes: Out of the 1633 live births of single pregnancies that occurred during the study period, 109 children were born with a low weight (2500 g) corresponding to a rate of 6.7%. In univariate analysis, we found a significant association between low birth weight and maternal single status (p = 0.019), maternal weight less than 60 kg (p = 0.038), primary parity (p = 0.018), maternal history of abortion (p = 0.001), history of preterm birth (p 0.001), arterial hypertension (p 0.001), anemia (p 0.001) and malaria (p 0.001). In multivariate analysis, the variables associated with low birth weight were: history of preterm delivery with OR of 8.5 [1.8 - 40.1], history of abortion (OR = 4.4 [1.4 - 13.9]), malaria (OR = 23.8 [6.1 - 92.5]), anemia (OR = 11.8 [3.7 - 38.2]) and high blood pressure (OR = 5.4 [1.6 - 17.9]). Conclusion: The decrease in frequency of low birth weight in Guinea will be done by improving the quality of prenatal care with an emphasis on screening, prevention and treatment of malaria, anemia and high blood pressure during pregnancy, prevention of abortion and premature birth.