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Published in: Archives of Gynecology and Obstetrics 1/2012

01-01-2012 | Materno-Fetal Medicine

Maternal risk factors for low birth weight babies in Lagos, Nigeria

Author: J. O. Awoleke

Published in: Archives of Gynecology and Obstetrics | Issue 1/2012

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Abstract

Purpose

This case control study, which was prospective in design, was carried out in Lagos, Nigeria at the Lagos University Teaching Hospital. The aim was to determine the prevalence of and identify the risk factors for low birth weight deliveries.

Methods

Using a pre-structured questionnaire, information about the sociodemographic, past obstetric history and the index pregnancy were obtained.

Results

A total of 460 questionnaires were analyzed [155 women with LBW deliveries (cases) and 305 women with babies that weighed ≥2500 g who served as controls]. 1,097 births occurred during the study period, giving an incidence of 14.1%. Maternal age and parity were not significant risk factors. Not being booked in a tertiary institution [Odds ratio (OR) 0.39, 95% Confidence Interval (CI) 0.20–0.73, p < 0.05], previous history of LBW birth(s) (OR 2.42, 95% CI 1.02–5.81, p < 0.05), hypertensive disorder in index pregnancy (χ 2 = 50.18, p < 0.001), preterm rupture of membranes (OR 25.06, 95% CI 5.59–156.49, p < 0.001) and bleeding in pregnancy (OR 2.44, 95% CI 1.61–7.34, p < 0.001) were significantly associated with increased risk of LBW babies. However HIV infection, sickle cell disease, maternal height, occupation and level of education were not significant (p > 0.05).

Conclusions

Preconceptual care, efficient antenatal care and effective treatment of pelvic infections (which may predispose to preterm births) could reduce the incidence of low birth weight deliveries in Nigeria.
Literature
1.
go back to reference National Center for Health Statistics: Births, marriages, divorces and deaths: Provisional data for June 1999 National Center for Health Statistics: Births, marriages, divorces and deaths: Provisional data for June 1999
2.
go back to reference Cunningham FG et al (eds) (2001) Preterm birth. In: Williams Obstetrics, 21st edn. McGraw-Hill, USA, pp 690–718 Cunningham FG et al (eds) (2001) Preterm birth. In: Williams Obstetrics, 21st edn. McGraw-Hill, USA, pp 690–718
3.
go back to reference Badshah S, Mason L, McKelvie K, Payne R, Lisboa PJG (2008) Risk factors for low birth weight in the public-hospitals at Peshawar, NWFP-Pakistan. BMC Public Health 8:197PubMedCrossRef Badshah S, Mason L, McKelvie K, Payne R, Lisboa PJG (2008) Risk factors for low birth weight in the public-hospitals at Peshawar, NWFP-Pakistan. BMC Public Health 8:197PubMedCrossRef
4.
go back to reference Yilgwan CS, Abok II, Yinnang WD, Vajime BA (2009) Prevalence and risk factors of low birth weight in Jos. Jos J Med 4(1):13–15 Yilgwan CS, Abok II, Yinnang WD, Vajime BA (2009) Prevalence and risk factors of low birth weight in Jos. Jos J Med 4(1):13–15
5.
go back to reference Olowonyo T, Oshin S, Obasanjo–Bello I (2006) Some factors associated with low birthweight in Ogun State, Nigeria. Nigerian Med Pract 49(6):154–157 Olowonyo T, Oshin S, Obasanjo–Bello I (2006) Some factors associated with low birthweight in Ogun State, Nigeria. Nigerian Med Pract 49(6):154–157
6.
go back to reference Kapilashrami MC, Virk RS, Ganguly SS, Chatterjee K (2000) Maternal risk factors as determinants of low birth weight among armed forces families. Med J Armed Forces India 53:113–116 Kapilashrami MC, Virk RS, Ganguly SS, Chatterjee K (2000) Maternal risk factors as determinants of low birth weight among armed forces families. Med J Armed Forces India 53:113–116
7.
go back to reference Bale JR, Stoll BJ, Lucas AO (eds) (2003) Improving birth outcomes: meeting the challenge in the developing world. The National Academics Press, Washington DC Bale JR, Stoll BJ, Lucas AO (eds) (2003) Improving birth outcomes: meeting the challenge in the developing world. The National Academics Press, Washington DC
8.
go back to reference de Onis M, Blossner M, Villar J (1998) Levels and patterns of intrauterine growth retardation in developing countries. Eur J Clin Nutr 52(Suppl 1):S5–S15PubMed de Onis M, Blossner M, Villar J (1998) Levels and patterns of intrauterine growth retardation in developing countries. Eur J Clin Nutr 52(Suppl 1):S5–S15PubMed
9.
go back to reference Lewit EM, Baker LS, Corman H, Shiono PH (1995) The direct cost of low birth weight. Future Child 5:35PubMedCrossRef Lewit EM, Baker LS, Corman H, Shiono PH (1995) The direct cost of low birth weight. Future Child 5:35PubMedCrossRef
10.
go back to reference Aldous MB, Edmonson MB (1993) Maternal age at first childbirth and risk of low birth weight and preterm delivery in Washington State. J Am Med Assoc 270(21):2574–2577CrossRef Aldous MB, Edmonson MB (1993) Maternal age at first childbirth and risk of low birth weight and preterm delivery in Washington State. J Am Med Assoc 270(21):2574–2577CrossRef
11.
go back to reference Lawoyin TO, Oyediran ABOO (1992) A prospective study on some factors which influence the delivery of low birth weight babies in a developing country. Afr J Med med Sci 21:33–39PubMed Lawoyin TO, Oyediran ABOO (1992) A prospective study on some factors which influence the delivery of low birth weight babies in a developing country. Afr J Med med Sci 21:33–39PubMed
12.
go back to reference Mbazor OJ, Umeora OUJ (2007) Incidence and risk factors for low birth weight among term singletons at the University of Benin Teaching Hospital (UBTH), Benin City, Nigeria. Nigerian J Clin Pract 10(2):95–99 Mbazor OJ, Umeora OUJ (2007) Incidence and risk factors for low birth weight among term singletons at the University of Benin Teaching Hospital (UBTH), Benin City, Nigeria. Nigerian J Clin Pract 10(2):95–99
13.
go back to reference Fikree FF, Berendes HW (1994) Risk factors for term intrauterine growth retardation: a community-based study in Karachi. Bull World Health Organ 72(4):581–587PubMed Fikree FF, Berendes HW (1994) Risk factors for term intrauterine growth retardation: a community-based study in Karachi. Bull World Health Organ 72(4):581–587PubMed
14.
go back to reference Kramer MS, Platt R, Yang H, McNamara H, Usher RH (1999) Are all growth-restricted newborns created equal(ly)? Pediatrics 103(3):599–602PubMedCrossRef Kramer MS, Platt R, Yang H, McNamara H, Usher RH (1999) Are all growth-restricted newborns created equal(ly)? Pediatrics 103(3):599–602PubMedCrossRef
15.
go back to reference Roudbari M, Yaghmaer M, Soheili M (2007) Prevalence and risk factors of low-birth-weight infants in Zahedan, Islamic Republic of Iran. East Mediterr Health J 13(4):838–845PubMed Roudbari M, Yaghmaer M, Soheili M (2007) Prevalence and risk factors of low-birth-weight infants in Zahedan, Islamic Republic of Iran. East Mediterr Health J 13(4):838–845PubMed
16.
go back to reference Al-Sekait MA (1989) Maternal influences on birth weight. J R Soc Health 109(2) Al-Sekait MA (1989) Maternal influences on birth weight. J R Soc Health 109(2)
17.
go back to reference Panaretto K, Lee H, Mitchell M, Larkins S, Manessis V, Buettner P, Watson D (2006) Risk factors for preterm, low birth weight and small for gestational age birth in urban Aboriginal and Torres Strait Islander women in Townsville. Aust N Z J Publ Health 30(2):163–170CrossRef Panaretto K, Lee H, Mitchell M, Larkins S, Manessis V, Buettner P, Watson D (2006) Risk factors for preterm, low birth weight and small for gestational age birth in urban Aboriginal and Torres Strait Islander women in Townsville. Aust N Z J Publ Health 30(2):163–170CrossRef
18.
go back to reference Naseri FM et al (1998) The prevalence of LBW and its related factors in Yazd newborns. J Yazd Univ Med Sci 6(2):24–28 Naseri FM et al (1998) The prevalence of LBW and its related factors in Yazd newborns. J Yazd Univ Med Sci 6(2):24–28
19.
go back to reference Bobrow C, Holmes R, Soothill PW (1998) Aetiology of small for gestational age fetuses. In: Studd J (ed) Progress in Obstetrics and Gynaecology, vol 13. Churchill Livingstone, Edinburgh, pp 113–123 Bobrow C, Holmes R, Soothill PW (1998) Aetiology of small for gestational age fetuses. In: Studd J (ed) Progress in Obstetrics and Gynaecology, vol 13. Churchill Livingstone, Edinburgh, pp 113–123
20.
go back to reference Stevens LM, Lynm C, Glass RM (2002) Low Birth Weight. JAMA 287:2 Stevens LM, Lynm C, Glass RM (2002) Low Birth Weight. JAMA 287:2
Metadata
Title
Maternal risk factors for low birth weight babies in Lagos, Nigeria
Author
J. O. Awoleke
Publication date
01-01-2012
Publisher
Springer-Verlag
Published in
Archives of Gynecology and Obstetrics / Issue 1/2012
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-011-1885-y

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