Browsing by Author "Alemu, Birtukan"

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    Low Birth Weight Prevalence and Associated Factors in Selected Health Centers in Addis Ababa
    (Addis Ababa University, 2019-06) Alemu, Birtukan; Gashu, Dawd (PhD)
    Background: Weight at birth is the most important factor determ ining neonatal survival and wellbeing both duri ng early life and in adulthood. Globa lly, about 17% of infants are born with small weight for their age. The incidence is particularly higher in developing nat ions. Weight at bi rth is determined by several factors including li fe style of the mother, physical condi tion, and weight gain during pregnancy. In add ition, mi cronutri ent de fi ciency, nutri tion of the mother affects bi lth weight and bi lth outcomes in genera l. Methodology: In a prospect ive cohort des ign 341 pregnant women (all at first trimes ter) palticipated in the study and fo llowed until del ivery. Socio-demographic, dietary pattern, maternal morbidi ty, and anthropometry characteristics were assessed. In addition, intake of Iron folic acid supplementat ion was captured. Hemoglobin concentration of participati ng women was measured at first and th ird trimester. Moreover, serulll zinc concentration was determined at first trimes ter. Birth weight of new born were meas ured at del ivery Res ult: Respondents were in the age range of 17-40 with mean 26±4.S years and The mean weight of study palticipants were 56.9 ±9.9, 59.9± 9.8 and 62.5± 10.0 kg at first, second and third trimester, respectively. One in ten ( 10.9%) of women were underweight (BMI < IS.5 kg/m') and 11.7 % of women were MUAC <2lcm at first trimester. Majority of the women (69.8%) had meal three times per day. Only 10.3% of women had snack eating habit. The present study subjects were characterized by intake of starchy staples (100%) fol lowed by fruits and vegetables, and organ meat were the least food groups taken by the study su bject. Coffee was the most common beverage consumed by 90% of the participants and 55.8% women took coffee immed iate ly after meal. Majority (57.5%) of women were multiparous. Only 12% of the women were taking IFA before starti ng the antenatal care follow up. Iron fo lic acid drop out were IS.5% and 14.3% at second and third trimes ter, respectively, 55 (16 .0%) of women were anemic (Hemoglobin < I 1.0g/dl) at first trimester and 56( 16.70%) at third trimester. Among 329 newborn weight measured immediately after de livery 46 ( 14.0%) were under weight «2.50kg). Associated Factors of LBW includes, IFA supplementation (OR:0.20, P~O. OO I ), Age of pmticipant (OR : 3.469, p~0.02 S) , Weight at fi rst trimester (OR: 7.S, P~0.053), weight gain throughout pregnancy (OR:O.O I ,P