Factors Associated With Low Birth Weight among Recent Delivery in Public Hospitals, Addis Ababa, Ethiopia

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Addis Ababa University


Introduction: Birth weight is one of the most predictive factors of child death in the first few months of life and is an important indicator of Newborns' health. The incidence of low birth weight is estimated to be 16% worldwide, 19% in developing countries, and 7% in the developed countries. Currently, thirteen percent of Ethiopian babies are low birth weight and different studies reported that, the prevalence of low birth weight accounts about 8.8% and 10.5% in Addis Ababa and Tigray region, respectively. This study has primarily aimed to assess the factors associated with newborn birth weight in selected Addis Ababa Public Hospitals. Methods and Materials: Data collection for the present study was conducted in Addis Ababa from March 2021 to April 2021. A facility-based Cross-sectional study was employed among 466 mothers who gave birth in public hospitals during the study period. Primary data was collected using a structured questionnaire which is adopted from previous studies. The sample size was calculated by Epi Info calc using an assumption of 95% CI, 80% power, 20.6 percent exposed, 10.4 percent unexposed and 2.2 adjusted odds ratio. To recruit the study participants, systematic random sampling was used. Univariate, bivariate, & multiple logistic regression analyses were done. Adjusted odds ratios were used to identify the association between the key predictors and the dependent variable. All statistical tests used in this study were two-sided and a significant association was declared at a p-value < 0.05. Result: Of the total respondents, 12.4% of them gave birth to low birth weight infants. The median age of the participant was registered to be 28yrs (IQR=7) and 92.3% of them were married. The results of multivariable logistic regression showed the number of ante natal care visit (AOR=0.4, 95% CI 0.17-0.99), presence of abnormal uterine bleeding (AOR=10.9, 95% CI 2.5-15.8), Experiencing of Pre-eclampsia or Eclampsia (AOR 9.5, 95% CI 4.8-10.8), having Anemia (AOR=3.3, 95% CI 3.1-3.6), Chewing khat during recent pregnancy (AOR=7.9, 95% CI 3.9-16.1), and pre-pregnancy maternal nutritional status (AOR=0.2, 95% CI 0.1-0.5) were found to be key determinants of low birth weight among the study population. Conclusion: - Encouraging the pregnant mother to have frequent ante natal care visits, behavioral change communications targeting pregnant mother in improving women's nutritional status, and reducing maternal toxic exposures should be priority areas of interventions to curb the problem



LBW, Associated factors, Recent delivery