AssessmentofPostnatalWeightGainAndItsPredictorsAmong Preterm Low BirthWeightNeonatesAdmitted InNeonatalIntensiveCareUnitAt Selected Public Hospitals:Retrospective Study,Addis Ababa,Ethiopia,2023
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Date
2023
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Addis Ababa University
Abstract
Background: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.
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Keywords
Lowbirthweight,preterm,postnatalweightgain,gestationalage