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Low birth weight in a sub-urban area of Cameroon: an analysis of the clinical cut-off, incidence, predictors and complications.

Njim T, Atashili J, Mbu R, Choukem SP - BMC Pregnancy Childbirth (2015)

Bottom Line: Our results suggest that newborns under 2600 g have LBW in sub-urban Cameroon.Preventive measures targeting the predictors described here are warranted to reduce the incidence and complications.Similar studies in urban areas are required in order to generalize the results.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine and Pediatrics, Faculty of Health Sciences, University of Buea, Buea, Cameroon. tsinjim@gmail.com.

ABSTRACT

Background: The World Health Organisation recommends that each country adopts its own cut-off value of low birth weight (LBW) for clinical use. The aims of this study were to establish a clinical cut-off point for LBW and to determine its incidence, predictors and complications in a sub-urban area's hospital of Cameroon.

Methods: We conducted a study in two phases: a 6-year retrospective phase during which we collected demographic and clinical information from the records of the maternity of the Buea Regional Hospital (BRH) and a 3-month prospective phase during which data were collected from consenting pregnant women using a structured questionnaire, and newborns were examined and followed after birth.

Results: A total of 4941 records were reviewed during the retrospective phase and the 10(th) centile of birth weights was 2600 g. In the 200 pregnant women enrolled during the prospective phase, using this cut-off yielded an incidence of LBW of 19.0 %. Independent predictors of LBW were preterm delivery, hypertensive disorders in pregnancy, HIV infection, maternal age >36 years, maternal height <150 cm and pre-delivery BMI < 25 kg/m(2). Neonates with LBW were more likely to have neonatal asphyxia, foetal distress, respiratory distress and neonatal death.

Conclusions: Our results suggest that newborns under 2600 g have LBW in sub-urban Cameroon. They represent one out of every five babies, and they deserve close care. Preventive measures targeting the predictors described here are warranted to reduce the incidence and complications. Similar studies in urban areas are required in order to generalize the results.

No MeSH data available.


Related in: MedlinePlus

Reasons for the exclusion of some pregnant women in the prospective phase. From the 2nd of January, 2013 to the 23rd of March, 2013, the period during which the prospective phase of the study took place, a total of 245 deliveries took place in the BRH. The study included 200 of these women and their babies yielding a response rate of 88.9 % from the prospective phase of the study. The various reasons for the exclusion of some pregnant women-neonate pairs were: multiple gestations (15), abortions (5) and refusal to provide consent (25)
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Fig2: Reasons for the exclusion of some pregnant women in the prospective phase. From the 2nd of January, 2013 to the 23rd of March, 2013, the period during which the prospective phase of the study took place, a total of 245 deliveries took place in the BRH. The study included 200 of these women and their babies yielding a response rate of 88.9 % from the prospective phase of the study. The various reasons for the exclusion of some pregnant women-neonate pairs were: multiple gestations (15), abortions (5) and refusal to provide consent (25)

Mentions: For the prospective phase, the target study population included all pregnant women-newborn pairs who attended the BRH during the period of the study; we excluded women who delivered at a gestational age below 28 weeks, those who had multiple gestations and those who did not provide consent to take part in the study (Fig. 2).Fig. 2


Low birth weight in a sub-urban area of Cameroon: an analysis of the clinical cut-off, incidence, predictors and complications.

Njim T, Atashili J, Mbu R, Choukem SP - BMC Pregnancy Childbirth (2015)

Reasons for the exclusion of some pregnant women in the prospective phase. From the 2nd of January, 2013 to the 23rd of March, 2013, the period during which the prospective phase of the study took place, a total of 245 deliveries took place in the BRH. The study included 200 of these women and their babies yielding a response rate of 88.9 % from the prospective phase of the study. The various reasons for the exclusion of some pregnant women-neonate pairs were: multiple gestations (15), abortions (5) and refusal to provide consent (25)
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4634914&req=5

Fig2: Reasons for the exclusion of some pregnant women in the prospective phase. From the 2nd of January, 2013 to the 23rd of March, 2013, the period during which the prospective phase of the study took place, a total of 245 deliveries took place in the BRH. The study included 200 of these women and their babies yielding a response rate of 88.9 % from the prospective phase of the study. The various reasons for the exclusion of some pregnant women-neonate pairs were: multiple gestations (15), abortions (5) and refusal to provide consent (25)
Mentions: For the prospective phase, the target study population included all pregnant women-newborn pairs who attended the BRH during the period of the study; we excluded women who delivered at a gestational age below 28 weeks, those who had multiple gestations and those who did not provide consent to take part in the study (Fig. 2).Fig. 2

Bottom Line: Our results suggest that newborns under 2600 g have LBW in sub-urban Cameroon.Preventive measures targeting the predictors described here are warranted to reduce the incidence and complications.Similar studies in urban areas are required in order to generalize the results.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine and Pediatrics, Faculty of Health Sciences, University of Buea, Buea, Cameroon. tsinjim@gmail.com.

ABSTRACT

Background: The World Health Organisation recommends that each country adopts its own cut-off value of low birth weight (LBW) for clinical use. The aims of this study were to establish a clinical cut-off point for LBW and to determine its incidence, predictors and complications in a sub-urban area's hospital of Cameroon.

Methods: We conducted a study in two phases: a 6-year retrospective phase during which we collected demographic and clinical information from the records of the maternity of the Buea Regional Hospital (BRH) and a 3-month prospective phase during which data were collected from consenting pregnant women using a structured questionnaire, and newborns were examined and followed after birth.

Results: A total of 4941 records were reviewed during the retrospective phase and the 10(th) centile of birth weights was 2600 g. In the 200 pregnant women enrolled during the prospective phase, using this cut-off yielded an incidence of LBW of 19.0 %. Independent predictors of LBW were preterm delivery, hypertensive disorders in pregnancy, HIV infection, maternal age >36 years, maternal height <150 cm and pre-delivery BMI < 25 kg/m(2). Neonates with LBW were more likely to have neonatal asphyxia, foetal distress, respiratory distress and neonatal death.

Conclusions: Our results suggest that newborns under 2600 g have LBW in sub-urban Cameroon. They represent one out of every five babies, and they deserve close care. Preventive measures targeting the predictors described here are warranted to reduce the incidence and complications. Similar studies in urban areas are required in order to generalize the results.

No MeSH data available.


Related in: MedlinePlus