Determinants of inappropriate birth weight for gestational age among neonates born at Dessie Referral hospital, northeast Ethiopia, 2018
No Thumbnail Available
Date
2018-06
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Ababa University
Abstract
Background: Inappropriate birth weight for gestational age is neonates with birth weight
below 10th and /or above 90th percentiles of reference population. Globally ten percent of
newborns are large for gestational age, while 23.3 million newborns are small for gestational
age in low-middle income countries. Neonates with inappropriate birth weight for gestational
age are proxy of serious perinatal morbidity and mortality.
Objectives: The study was aimed to assess determinants of inappropriate birth weight for
gestational age among neonates born at Dessie referral hospital, Northeast Ethiopia.
Methods: A retrospective facility based cross-sectional study was conducted at Dessie
referral hospital among 422 systematically selected mother charts (gave birth from 2013-
2017). Epi-data version 3.1 & SPSS version 20 were used to data processing and analysis.
Binary logistic regression analysis and adjusted Odds ratio with 95%CI were used to see the
possible association between determinants and dependent variables. Texts, tables and graphs
were employed to present the results.
Result: The prevalence of inappropriate birth weight for gestational age was 34.36%.
Maternal age 35 year or more (AOR = 2.079, 95%CI(1.100,3.929), inadequate prenatal care
(AOR = 2.387, 95%CL(1.326,4.299), maternal anemia during pregnancy (AOR =
2.00195%CI(1.062,3.768), gestational diabetes mellitus (AOR = 3.035, 95%CI(1.413,6.519),
and chat chewing during pregnancy (AOR = 2.390, 95%CI(1.319,4.329) were significantly
increased IBWGA births.
Conclusion and recommendation: Inappropriate birth weight for gestational age was
outpaced. Advanced maternal age, inadequate prenatal care, anemia, gestational diabetes
mellitus and chat chewing during pregnancy are determinants of inappropriate birth weight
for gestational age births. Prevention of gestational diabetes mellitus, anemia, and giving
proper prenatal care may improve maternal and neonatal outcomes.
Description
Keywords
Inappropriate birth weight for gestational age, large for gestational age, small for gestational age