Maternal antecedents of infants with abnormal head sizes in southwest Nigeria: A community-based study
Objective: To identify the socio-demographic antecedents and pregnancy-related history of infants with abnormal head sizes in a developing country. Materials and Methods: An observational study of mother-infant pairs attending routine immunization clinics in an inner-city community in Lagos, Nigeria...
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Wolters Kluwer Medknow Publications
2012-01-01
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doaj-9fd463b9031444c1914dd81963480bd22020-11-25T00:21:15ZengWolters Kluwer Medknow PublicationsJournal of Family and Community Medicine2230-82292229-340X2012-01-0119211311810.4103/2230-8229.98298Maternal antecedents of infants with abnormal head sizes in southwest Nigeria: A community-based studyBolajoko O OlusanyaObjective: To identify the socio-demographic antecedents and pregnancy-related history of infants with abnormal head sizes in a developing country. Materials and Methods: An observational study of mother-infant pairs attending routine immunization clinics in an inner-city community in Lagos, Nigeria. Age and gender-specific head circumference was determined with the current Child Growth Standards of the World Health Organization (WHO). Factors independently associated with any abnormal head size (z-score < - 2SD or > 2SD), based on the adjusted odds ratio (OR) and 95% confidence interval (CI), were explored with multiple logistic regression analyses. Results: Of the 5731 mothers studied, 730 (12.7%) had an offspring with an abnormal head size. In the final regression model, teenage mothers (OR:1.86; CI:1.26 - 2.75), mothers with primary or no education (OR:1.65; P = 0.007), multiple pregnancies (OR:3.88; CI:2.53 - 5.95), and delivery in either private hospitals (OR:1.54; CI:1.22 - 1.95) or residential homes (OR:1.50; CI:1.05 - 2.14), compared to government hospitals, were significantly more likely to have offsprings with abnormal head sizes. Conclusions: Community-oriented public health education, targeting prospective mothers with multiple pregnancies, teenage girls, and women with little or no formal education on the potential risk of delivery outside public hospitals, may curtail the burden of abnormal head size of their offspring and reduce the pressure on the already overstretched rehabilitation services in resource-poor countries.http://www.jfcmonline.com/article.asp?issn=2230-8229;year=2012;volume=19;issue=2;spage=113;epage=118;aulast=OlusanyaDeveloping countryearly detectiongrowth monitoringhead circumferenceWHO growth standard |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Bolajoko O Olusanya |
spellingShingle |
Bolajoko O Olusanya Maternal antecedents of infants with abnormal head sizes in southwest Nigeria: A community-based study Journal of Family and Community Medicine Developing country early detection growth monitoring head circumference WHO growth standard |
author_facet |
Bolajoko O Olusanya |
author_sort |
Bolajoko O Olusanya |
title |
Maternal antecedents of infants with abnormal head sizes in southwest Nigeria: A community-based study |
title_short |
Maternal antecedents of infants with abnormal head sizes in southwest Nigeria: A community-based study |
title_full |
Maternal antecedents of infants with abnormal head sizes in southwest Nigeria: A community-based study |
title_fullStr |
Maternal antecedents of infants with abnormal head sizes in southwest Nigeria: A community-based study |
title_full_unstemmed |
Maternal antecedents of infants with abnormal head sizes in southwest Nigeria: A community-based study |
title_sort |
maternal antecedents of infants with abnormal head sizes in southwest nigeria: a community-based study |
publisher |
Wolters Kluwer Medknow Publications |
series |
Journal of Family and Community Medicine |
issn |
2230-8229 2229-340X |
publishDate |
2012-01-01 |
description |
Objective: To identify the socio-demographic antecedents and pregnancy-related history of infants with abnormal head sizes in a developing country. Materials and Methods: An observational study of mother-infant pairs attending routine immunization clinics in an inner-city community in Lagos, Nigeria. Age and gender-specific head circumference was determined with the current Child Growth Standards of the World Health Organization (WHO). Factors independently associated with any abnormal head size (z-score < - 2SD or > 2SD), based on the adjusted odds ratio (OR) and 95% confidence interval (CI), were explored with multiple logistic regression analyses. Results: Of the 5731 mothers studied, 730 (12.7%) had an offspring with an abnormal head size. In the final regression model, teenage mothers (OR:1.86; CI:1.26 - 2.75), mothers with primary or no education (OR:1.65; P = 0.007), multiple pregnancies (OR:3.88; CI:2.53 - 5.95), and delivery in either private hospitals (OR:1.54; CI:1.22 - 1.95) or residential homes (OR:1.50; CI:1.05 - 2.14), compared to government hospitals, were significantly more likely to have offsprings with abnormal head sizes. Conclusions: Community-oriented public health education, targeting prospective mothers with multiple pregnancies, teenage girls, and women with little or no formal education on the potential risk of delivery outside public hospitals, may curtail the burden of abnormal head size of their offspring and reduce the pressure on the already overstretched rehabilitation services in resource-poor countries. |
topic |
Developing country early detection growth monitoring head circumference WHO growth standard |
url |
http://www.jfcmonline.com/article.asp?issn=2230-8229;year=2012;volume=19;issue=2;spage=113;epage=118;aulast=Olusanya |
work_keys_str_mv |
AT bolajokooolusanya maternalantecedentsofinfantswithabnormalheadsizesinsouthwestnigeriaacommunitybasedstudy |
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