Determinants of Inappropriate Birth Weight for Gestational Age among Neonates Born at Dessie Referral Hospital, Northeast Ethiopia, 2018
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Date
2018-06
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Addis Ababa University
Abstract
Background: Inappropriate birth weight for gestational age is neonates with birth weightbelow 10th and /or above 90th percentiles of reference population. Globally ten percent ofnewborns are large for gestational age, while 23.3 million newborns are small for gestationalage 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 forgestational age among neonates born at Dessie referral hospital, Northeast Ethiopia.
Methods: A retrospective facility based cross-sectional study was conducted at Dessiereferral 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 thepossible association between determinants and dependent variables. Texts, tables and graphswere 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 significantlyincreased IBWGA births.
Conclusion and recommendation: Inappropriate birth weight for gestational age wasoutpaced. Advanced maternal age, inadequate prenatal care, anemia, gestational diabetesmellitus and chat chewing during pregnancy are determinants of inappropriate birth weightfor gestational age births. Prevention of gestational diabetes mellitus, anemia, and giving proper prenatal care may improve maternal and neonatal outcomes.
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Inappropriate birth weight for gestational age, large for gestational age, small for gestational age