Low birth - weight prevalence and associated maternal factors at the Bolivariana teaching hospital's Maternal and Infant Protection and Attention Unit in Medellín, Colombia
DOI:
https://doi.org/10.18597/rcog.463Keywords:
low birth - weight, premature obstetric labor, fetal growth retardation, risk factorAbstract
Objective: studying the prevalence of low birth weight (LBW), preterm birth (PTB) and intrauterine growth restriction (IUGR), their associated maternal factors and this particular population's aetiology in the Bolivariana teaching hospital's Maternal and Infant Protection and Attention Unit in Medellín (Unidad de Protección y Atención Materno Infantil de la Clínica Universitaria Bolivariana).
Methodology: a retrospective cross – sectional study analysing data regarding 2,672 mother - offspring pairs registered in the Perinatal Information System from May 5th 2003 to March 30th 2006. This sample represented 45% of the deliveries which occurred during this period.
Results: LBW prevalence was 17%, preterm delivery 21% and IUGR 12%. Inadequate prenatal care, smoking during gestation and any type of maternal pathology present during pregnancy were associated with LBW.
Conclusion: identifying maternal factors associated with the LBW of their offspring will help to implement public health interventions aimed at preventing unfavourable offspring outcomes in the population at risk. Subsequent studies should be made from a population - based perspective at national level to generalise the results.
Author Biographies
María del PIlar Vélez-Gómez
Fernando C. Barros
Luis Guillermo Echavarría-Restrepo
María Patricia Hormaza-Angel
References
Kramer MS, Victora CG. Low birth weight and perinatal mortality. In: Semba RD, Bloem MW, editors. Nutrition and Health in Developing Countries. New Jersey: Humana Press; 2001. p. 57-69.
Barros FC, Victora CG, Barros AJ, Santos IS, Albernaz E, Matijasevich A, et al. The challenge of reducing neonatal mortality in middle - income countries: findings from three Brazilian birth cohorts in 1982, 1993, and 2004. Lancet 2005;365:847-54.
World Health Organization. Physical Status: The Use and Interpretation of Anthropometry. Geneva : WHO;1995. Technical Report Series No. 854.
Williams RL, Creasy RK, Cunningham GC, Hawes WE, Norris FD, Tashiro M. Fetal growth and perinatal viability in California. Obstet Gynecol 1982;59:624-32.
Villar J, Belizan JM. The relative contribution of prematurity and fetal growth retardation to low birth weight in developing and developed societies. Am J Obstet Gynecol 1982;143:793-8.
Kramer MS. Determinants of low birth weight: methodological assessment and meta - analysis. Bull World Health Organ 1987;65:663-737.
Rothman KJ, Greenland S. Modern Epidemiology. 2nd ed. Philadelphia : Lippincott - Raven Publishers; 1998.
Kirkwood BR, Sterne JAC. Medical Statistics. 2nd ed. Oxford : Blackwell Science; 2003.
Vélez MdP. Perfil Epidemiológico Unidad Materno Infantil Clínica Universitaria Bolivariana Aplicando el Sistema Informático Perinatal. Medellín: Universidad Pontificia Bolivariana; 2005.
Victora CG, Huttly SR, Fuchs SC , Olinto MT. The role of conceptual frameworks in epidemiological analysis: a hierarchical approach. Int J Epidemiol 1997;26:224-7.
Stata Corp. STATA Statistics/Data Analysis 9.1.; 2006.
Kleinbaum DG, Kupper LL, Morgenstern H. Epidemiologic Research: Principles and Quantitative Methods. New York : John Wiley & Sons; 1982.
Barros AJ, Hirakata VN. Alternatives for logistic regression in cross - sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Med Res Methodol 2003; 3:21 .
Kleinbaum DG, Kupper LL, Muller KE, Nizam A. Applied Regression Analysis and Multivariable Methods. 3rd edition. Boston : Duxbury Press; 1997.
Kramer MS. Socioeconomic determinants of intrauterine growth retardation. Eur J Clin Nutr 1998;52 Suppl 1:S29-32.
Asociación Probienestar de la Familia Colombiana (PROFAMILIA). Salud Sexual y Reproductiva en Colombia. Encuesta Nacional de Demografía y Salud. 2005 (visitado 2006 Abril 30); Disponible en: http://www.profamilia.org.co/encuestas/index.htm.
Ortiz E. Estrategias para la prevención del bajo peso al nacer en una población de alto riesgo, según la medicina basada en la evidencia. Colomb Med 2001;32:159-62.
Kramer MS, Haas J, Kelly A. Maternal anthropometry-based screening and pregnancy outcome: a decision analysis. Trop Med Int Health 1998;3:447-53.
Carroli G, Villar J, Piaggio G, Khan - Neelofur D, Gulmezoglu M, Mugford M, et al. WHO systematic review of randomised controlled trials of routine antenatal care. Lancet 2001;357:1565-70.
Horta BL, Victora CG, Menezes AM, Halpern R, Barros FC. Low birthweight, preterm births and intrauterine growth retardation in relation to maternal smoking. Paediatr Perinat Epidemiol 1997;11:140-51.
Kramer MS, Seguin L, Lydon J, Goulet L. Socio-economic disparities in pregnancy outcome: why do the poor fare so poorly? Paediatr Perinat Epidemiol 2000;14:194-210.
How to Cite
Downloads
Downloads
Published
Issue
Section
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
