PREVALENCE OF LOW BIRTHWEIGHT BABIES AT HOSPITAL LEVELS IN XIENG KHOANG PROVINCE, LAO PEOPLE’S DEMOCRATIC REPUBLIC IN 2020 AND SOME RELATED FACTORS

Keobouavanh Phongphakdy, Thị Phương Hoà Đinh

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Abstract

Birth weight is an important indicator of maternal and fetal health and nutrition. Low birthweight (LBW) newborns have a higher risk of dying, more likely to suffer from stunted growth and lower IQ in children and increasing the risk of adult- onset chronic conditions. Reducing LBW has long been recognized as a public health priority, therefore, this study was carried out to describe the LBW prevalence and some related factors in hospitals in Xieng Khoang province, Lao People’s Democratic Republic in 2020. The result will be used for proper interventions to reduce LBW at the study area. A cross-sectional study conducted with among 899 mothers and 925 newborns in a provincial hospital and 6 district hospitals. The results showed that LBW prevalence was 8.6% (8.2% in province and 9,4% in district hospitals). Premature; girl; first-born newborns and twin had a higher rate of LBW (18,9; 9,6; 11,6 và 28,9%, respectively). Some maternal factors significant associated with LBW baby including BMI < 18,5; no antenatal care visit (ANC) with OR were 2,4 and 1,7. Mothers with less weight gain (<5 kg) or much (>12 kg) during pregnancy had higher with 1,7 and 2,1 times. Educated mothers at university level or more had less risk for LBW with only 0.6 times to compare with those at secondary school. Interventions to reduce LBW rate in Xieng Khoang province rate need to improve care of mothers during pregnancy, especially to consult for ANC visit and proper nutrition. Mothers with low BMI, first and twin pregnancy need to be prioritized.

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References

1. WHO - UNICEF 2019. Low Birthweight Estimates. Levels and Trends 2000-2015.
2. Badshah S, Mason L, McKelvie K, Payne R, Lisboa PJ. Risk factors for low birthweight in the public-hospitals at Peshawar, NWFP-Pakistan. BMC Pub Health 2008;8:197.
3. Zerbeto AB, Cortelo FM, Élio Filho BC. Association between gestational age and birth weight on the language development of
Brazilian children: a systematic review. J de Pediatr 2015;91(4): 326-32.
4. You D, Hug L, Ejdemyr S, Idele P, Hogan D, Mathers C, et al. Global, regional, and national levels and trends in under-5 mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Inter - agency Group for Child Mortality Estimation. Lancet 2015; 386 (10010): 2275-86.
5. Lao P. Lao Social Indicator Survey (LSIS) 2011-2012 (Multiple indicator cluster survey/demographics and health). Ministry of Health and Lao Statistics Bureau. 2010.
6. Sở Y tế tỉnh Xiêng Khoảng. Cộng hoà nhân dân Lào (2018). Số liệu thống kê y tế năm 2018.
7. Olsen SJ, Vetsaphong P, Vonglokham P, Mirza S, Khanthamaly V, Chanthalangsy T, et al. A retrospective review of birth outcomes at the Mother and Child Health Hospital in Lao People’s Democratic Republic, 2004-2013. BMC Pregnancy
and Childbirth. 2016;16(1): 379.
8. Viengsakhone L, Yoshida Y, Harun - Or - Rashid M, Sakamoto J. Factors affecting low birth weight at four central hospitals in Vientiane, Lao PDR. Nagoya J Med Sci. 2010; 72(1-2): 51-8.
9. Siza J. Risk factors associated with low birth weight of neonates among pregnant women attending a referral hospital in northern Tanzania. Tanzania journal of health research. 2008; 10(1): 1-8.
10. Lê Thị Phương Nhi. Nghiên cứu các yếu tố liên quan đến trẻ sơ sinh dưới 2500 gram tại huyện Phú Vang tỉnh Thừa Thiên Huế, Luận văn Thạc sĩ Y học, Đại học Y Dược Huế. 2009.