Maternal risk factors and neonatal outcomes associated with low birth weight in a secondary referral hospital in Ghana
Introduction: Over the past decade, the incidence of low birth weight (LBW) in sub-Saharan Africa has not seen any decline and this is a matter of grave concern for healthcare providers, policymakers, and researchers. Therefore, this study aimed to assess the incidence of LBW and related maternal ri...
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2021-05-01
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844021010653 |
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Article |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Agani Afaya Richard Adongo Afaya Thomas Bavo Azongo Vida Nyagre Yakong Kennedy Diema Konlan Ethel Agbinku Eric Agyabeng-Fandoh Renna Akokre Jebuni Fuseini Karim Solomon Mohammed Salia Robert Alhassan Kaba Martin Amogre Ayanore |
spellingShingle |
Agani Afaya Richard Adongo Afaya Thomas Bavo Azongo Vida Nyagre Yakong Kennedy Diema Konlan Ethel Agbinku Eric Agyabeng-Fandoh Renna Akokre Jebuni Fuseini Karim Solomon Mohammed Salia Robert Alhassan Kaba Martin Amogre Ayanore Maternal risk factors and neonatal outcomes associated with low birth weight in a secondary referral hospital in Ghana Heliyon Low birth weight Neonatal risk factors Maternal risk factors Prevalence Ghana |
author_facet |
Agani Afaya Richard Adongo Afaya Thomas Bavo Azongo Vida Nyagre Yakong Kennedy Diema Konlan Ethel Agbinku Eric Agyabeng-Fandoh Renna Akokre Jebuni Fuseini Karim Solomon Mohammed Salia Robert Alhassan Kaba Martin Amogre Ayanore |
author_sort |
Agani Afaya |
title |
Maternal risk factors and neonatal outcomes associated with low birth weight in a secondary referral hospital in Ghana |
title_short |
Maternal risk factors and neonatal outcomes associated with low birth weight in a secondary referral hospital in Ghana |
title_full |
Maternal risk factors and neonatal outcomes associated with low birth weight in a secondary referral hospital in Ghana |
title_fullStr |
Maternal risk factors and neonatal outcomes associated with low birth weight in a secondary referral hospital in Ghana |
title_full_unstemmed |
Maternal risk factors and neonatal outcomes associated with low birth weight in a secondary referral hospital in Ghana |
title_sort |
maternal risk factors and neonatal outcomes associated with low birth weight in a secondary referral hospital in ghana |
publisher |
Elsevier |
series |
Heliyon |
issn |
2405-8440 |
publishDate |
2021-05-01 |
description |
Introduction: Over the past decade, the incidence of low birth weight (LBW) in sub-Saharan Africa has not seen any decline and this is a matter of grave concern for healthcare providers, policymakers, and researchers. Therefore, this study aimed to assess the incidence of LBW and related maternal risk factors (during pregnancy or delivery) as well as neonatal outcomes. Methods: An institutional-based retrospective cross-sectional study design was employed to select 1,017 mothers who delivered in the study hospital from January to December 2017 with singleton newborn babies without congenital diseases. Data were analysed using STATA version 14.1 (StataCorp. 2015. Stata Statistical Software: Release 14. College Station, TX: Stata Corp LP). Chi-square test of independence was used to test the association between the dependent variable (LBW) and risk factors of LBW. Bivariate and multivariable unconditional logistic regression was used to determine the factors associated with LBW. Results: The incidence of LBW was 23.7%. The findings show that being married has a protective effect on LBW [AOR = 0.60 (95%CI: 0.40–0.90), p = 0.013] compared to single mothers. Neonates born between gestational age of 37–42 weeks had 85% lower odds of LBW [AOR = 0.15, (95%CI: 0.10–0.24), p < 0.001)]. Neonates with LBW had a higher risk of low Apgar score in the first minute compared to neonates with normal birth weight [AOR = 0.52 (95%CI: 0.37–0.73), p < 0.001]. Female neonates had 64% higher odds of LBW compared to their male counterparts [AOR = 1.64 (95%CI: 1.19–2.24), p = 0.002]. Conclusion: This study revealed a high incidence of LBW. Women's marital status (single mothers), gestational age (<37 weeks), neonatal sex (female), are independent risk factors associated with LBW, while a higher risk of an Apgar score of less than 7 in the first minute was an independent outcome of low birth weight births. The current study findings contribute to the growing literature on the influence of maternal and neonatal factors on LBW in resource-constrained settings. These findings could guide healthcare providers, hospital administrators, stakeholders, and policymakers to develop and implement appropriate clinical and public health strategies aimed at reducing LBW. |
topic |
Low birth weight Neonatal risk factors Maternal risk factors Prevalence Ghana |
url |
http://www.sciencedirect.com/science/article/pii/S2405844021010653 |
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AT aganiafaya maternalriskfactorsandneonataloutcomesassociatedwithlowbirthweightinasecondaryreferralhospitalinghana AT richardadongoafaya maternalriskfactorsandneonataloutcomesassociatedwithlowbirthweightinasecondaryreferralhospitalinghana AT thomasbavoazongo maternalriskfactorsandneonataloutcomesassociatedwithlowbirthweightinasecondaryreferralhospitalinghana AT vidanyagreyakong maternalriskfactorsandneonataloutcomesassociatedwithlowbirthweightinasecondaryreferralhospitalinghana AT kennedydiemakonlan maternalriskfactorsandneonataloutcomesassociatedwithlowbirthweightinasecondaryreferralhospitalinghana AT ethelagbinku maternalriskfactorsandneonataloutcomesassociatedwithlowbirthweightinasecondaryreferralhospitalinghana AT ericagyabengfandoh maternalriskfactorsandneonataloutcomesassociatedwithlowbirthweightinasecondaryreferralhospitalinghana AT rennaakokre maternalriskfactorsandneonataloutcomesassociatedwithlowbirthweightinasecondaryreferralhospitalinghana AT jebunifuseinikarim maternalriskfactorsandneonataloutcomesassociatedwithlowbirthweightinasecondaryreferralhospitalinghana AT solomonmohammedsalia maternalriskfactorsandneonataloutcomesassociatedwithlowbirthweightinasecondaryreferralhospitalinghana AT robertalhassankaba maternalriskfactorsandneonataloutcomesassociatedwithlowbirthweightinasecondaryreferralhospitalinghana AT martinamogreayanore maternalriskfactorsandneonataloutcomesassociatedwithlowbirthweightinasecondaryreferralhospitalinghana |
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doaj-e21f80e05f9a4d84a21771e6d0c91fd42021-06-03T14:45:05ZengElsevierHeliyon2405-84402021-05-0175e06962Maternal risk factors and neonatal outcomes associated with low birth weight in a secondary referral hospital in GhanaAgani Afaya0Richard Adongo Afaya1Thomas Bavo Azongo2Vida Nyagre Yakong3Kennedy Diema Konlan4Ethel Agbinku5Eric Agyabeng-Fandoh6Renna Akokre7Jebuni Fuseini Karim8Solomon Mohammed Salia9Robert Alhassan Kaba10Martin Amogre Ayanore11College of Nursing, Yonsei University, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea; School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana; Corresponding author.Department of Midwifery, School of Nursing and Midwifery, University for Development Studies, Tamale, GhanaDepartment of Public Health, School of Allied Health Sciences, University for Development Studies, Tamale, GhanaDepartment of Midwifery, School of Nursing and Midwifery, University for Development Studies, Tamale, GhanaCollege of Nursing, Yonsei University, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea; School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, GhanaSchool of Nursing and Midwifery, University of Health and Allied Sciences, Ho, GhanaSchool of Nursing and Midwifery, University of Health and Allied Sciences, Ho, GhanaDepartment of Nursing, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaSuperior School of Health, University of Algarve, Campus de Gambelas, Ed. 5-8005-193 Faro, PortugalSchool of Nursing and Midwifery, University of Health and Allied Sciences, Ho, GhanaCentre for Health Policy and Implementation Research. Institute of Health Research, University of Health and Allied Sciences, Ho, GhanaSchool of Public Health, University of Health and Allied Sciences, Ho, GhanaIntroduction: Over the past decade, the incidence of low birth weight (LBW) in sub-Saharan Africa has not seen any decline and this is a matter of grave concern for healthcare providers, policymakers, and researchers. Therefore, this study aimed to assess the incidence of LBW and related maternal risk factors (during pregnancy or delivery) as well as neonatal outcomes. Methods: An institutional-based retrospective cross-sectional study design was employed to select 1,017 mothers who delivered in the study hospital from January to December 2017 with singleton newborn babies without congenital diseases. Data were analysed using STATA version 14.1 (StataCorp. 2015. Stata Statistical Software: Release 14. College Station, TX: Stata Corp LP). Chi-square test of independence was used to test the association between the dependent variable (LBW) and risk factors of LBW. Bivariate and multivariable unconditional logistic regression was used to determine the factors associated with LBW. Results: The incidence of LBW was 23.7%. The findings show that being married has a protective effect on LBW [AOR = 0.60 (95%CI: 0.40–0.90), p = 0.013] compared to single mothers. Neonates born between gestational age of 37–42 weeks had 85% lower odds of LBW [AOR = 0.15, (95%CI: 0.10–0.24), p < 0.001)]. Neonates with LBW had a higher risk of low Apgar score in the first minute compared to neonates with normal birth weight [AOR = 0.52 (95%CI: 0.37–0.73), p < 0.001]. Female neonates had 64% higher odds of LBW compared to their male counterparts [AOR = 1.64 (95%CI: 1.19–2.24), p = 0.002]. Conclusion: This study revealed a high incidence of LBW. Women's marital status (single mothers), gestational age (<37 weeks), neonatal sex (female), are independent risk factors associated with LBW, while a higher risk of an Apgar score of less than 7 in the first minute was an independent outcome of low birth weight births. The current study findings contribute to the growing literature on the influence of maternal and neonatal factors on LBW in resource-constrained settings. These findings could guide healthcare providers, hospital administrators, stakeholders, and policymakers to develop and implement appropriate clinical and public health strategies aimed at reducing LBW.http://www.sciencedirect.com/science/article/pii/S2405844021010653Low birth weightNeonatal risk factorsMaternal risk factorsPrevalenceGhana |