Browsing by Author "Temesgen, Afomia"
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Item AssessmentofPostnatalWeightGainAndItsPredictorsAmong Preterm Low BirthWeightNeonatesAdmitted InNeonatalIntensiveCareUnitAt Selected Public Hospitals:Retrospective Study,Addis Ababa,Ethiopia,2023(Addis Ababa University, 2023) Temesgen, Afomia; Berhane, Emebet(Ass. prof.); Admasu, MekonnenBackground:Preterm low birthweightisoftenchallengingindevelopingcountries. Implementing specialized care including properfeeding practice isessentialfor treatingneonatestobringthem intoanormalrangeofweight.However,thereisa lackofresourcesforalternative feeding practicesinlow-income countrieswhich resultsinpoorpostnatalweightgainatdischarge.Thereisalsolittleornoevidence ofpostnatalweightgainandtheinfluencingfactorsinEthiopia Objective:theaim ofthisstudywastoassessthepostnatalweightgainandits predictorsamongPretermLowBirthWeightneonatesadmittedinneonatalintensive careunitatselectedpublichospitalsunit,2023 Method:ARetrospectivestudywasconductedon242neonateswhowereadmitted inneonatalintensivecareunitinthelast5years,inAddisAbabaselectedpublic hospitals.Thecalculatedsamplesizeforeachhospitalwasassignedproportionally. Thedatawerecollectedthroughstructureddataabstractionchecklistanddescriptive andinferentialanalysiswerecomputed.Usingdescriptivestatisticalanalysisthedata weresummarizedinmeanandstandarddeviation(SD)forcontinuousvariables,and percentagesforcategoricalvariables.Abinarylogisticregressionwasusedtoseethe relationshipbetweendependentandpredictorsvariables.Significanceisdeclaredat P-value<0.05,andreportedusingAORwith95%CI Result The242samplewasanalyzed83.5%ofthe hadpoorpostnatalweightgainwiththe averageweightgainof9.77±5.602g/kg/dayafterregainofbirthweight.Neonates withoutRDS[AOR=4.155%CI(1.630-10.590)],neonatesreceivedfeedingonthefirst dayoflife[AOR=3.292%CI(1.308-8.300)],neonatesbornViaSVD[AOR=8.082(2.414- 27.259)],neonatesprolonged stayofhospital[AOR=.754% CI(.662-.839)]show statisticalsignificancewithadequatepostnatalweightgain Conclusion:Accordingtothefindingsofthisstudyindicatesthatpostnatalweightgainforpreterm low birthweightneonateswaslowerthanstandard weightgain.Modeofdelivery, initiationtimeoffirstfeeding,andrespiratorydistresssyndromelengthofhospitalstay were factorsassociated with postnatalweightgain.Therefore health professionals shouldbeabletoputtheneonateintrophicfeedinginthefirstday,preventprolonged hospitalstay,encouragemothertodeliverviaspontaneousvigainaldelivery,prevent respiratorydistresssyndrome.