Association between Gestational Weight Gain and Maternal and Birth Outcomes in Northern Ghana

IF 2.6 3区 生物学 Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY BioMed Research International Pub Date : 2024-05-02 DOI:10.1155/2024/5526942
John Lapah Niyi, Zhihui Li, Fidelis Zumah
{"title":"Association between Gestational Weight Gain and Maternal and Birth Outcomes in Northern Ghana","authors":"John Lapah Niyi, Zhihui Li, Fidelis Zumah","doi":"10.1155/2024/5526942","DOIUrl":null,"url":null,"abstract":"<i>Background</i>. Although inappropriate gestational weight gain is considered closely related to adverse maternal and birth outcomes globally, little evidence was found in low- and middle-income countries. <i>Study Objectives</i>. This study is aimed at identifying the determinants of gestational weight gain and examine the association between gestational weight gain and maternal and birth outcomes in the Northern Region of Ghana. <i>Study Methods</i>. The study used a facility-based cross-sectional study design involving 611 antenatal and delivery records in Tatale district, Tamale west, and Gushegu municipal hospitals. A two-stage sampling method involving cluster and simple random sampling was employed. Descriptive statistical analysis and measures of central tendency were used to describe the sample. The multinomial logistic regression model was used to determine the determinants of gestational weight gain and its association with maternal and birth outcomes. <i>Results</i>. Among the 611 women included in the study, 516 (84.45%) had inadequate gestational weight gain, and 19 (3.11%) had excessive gestational weight gain. The gestational weight gain ranged from 2 kg to 25 kg with a mean of <span><svg height=\"8.69875pt\" style=\"vertical-align:-0.3499298pt\" version=\"1.1\" viewbox=\"-0.0498162 -8.34882 32.223 8.69875\" width=\"32.223pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,0,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,6.242,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,9.206,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,15.446,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,24.592,0)\"></path></g></svg><span></span><svg height=\"8.69875pt\" style=\"vertical-align:-0.3499298pt\" version=\"1.1\" viewbox=\"35.0781838 -8.34882 21.973 8.69875\" width=\"21.973pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,35.128,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,41.369,0)\"><use xlink:href=\"#g113-47\"></use></g><g transform=\"matrix(.013,0,0,-0.013,44.333,0)\"><use xlink:href=\"#g113-56\"></use></g><g transform=\"matrix(.013,0,0,-0.013,50.575,0)\"></path></g></svg></span> kg. The risk factor for inadequate gestational weight gain was low prepregnancy BMI (adjusted odds ratio <span><svg height=\"11.5564pt\" style=\"vertical-align:-2.26807pt\" version=\"1.1\" viewbox=\"-0.0498162 -9.28833 46.643 11.5564\" width=\"46.643pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,0,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,4.498,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,13.116,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,22.709,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,30.883,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,39.012,0)\"></path></g></svg><span></span><span><svg height=\"11.5564pt\" style=\"vertical-align:-2.26807pt\" version=\"1.1\" viewbox=\"50.225183799999996 -9.28833 21.928 11.5564\" width=\"21.928pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,50.275,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,56.515,0)\"><use xlink:href=\"#g113-47\"></use></g><g transform=\"matrix(.013,0,0,-0.013,59.479,0)\"><use xlink:href=\"#g113-52\"></use></g><g transform=\"matrix(.013,0,0,-0.013,65.72,0)\"><use xlink:href=\"#g113-52\"></use></g></svg>,</span></span> 95% <span><svg height=\"9.10327pt\" style=\"vertical-align:-0.3499298pt\" version=\"1.1\" viewbox=\"-0.0498162 -8.75334 24.39 9.10327\" width=\"24.39pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,0,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,8.645,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,16.759,0)\"><use xlink:href=\"#g117-34\"></use></g></svg><span></span><span><svg height=\"9.10327pt\" style=\"vertical-align:-0.3499298pt\" version=\"1.1\" viewbox=\"27.9721838 -8.75334 57.129 9.10327\" width=\"57.129pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,28.022,0)\"><use xlink:href=\"#g113-50\"></use></g><g transform=\"matrix(.013,0,0,-0.013,34.262,0)\"><use xlink:href=\"#g113-47\"></use></g><g transform=\"matrix(.013,0,0,-0.013,37.226,0)\"><use xlink:href=\"#g113-50\"></use></g><g transform=\"matrix(.013,0,0,-0.013,43.466,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,52.611,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,63.148,0)\"><use xlink:href=\"#g113-51\"></use></g><g transform=\"matrix(.013,0,0,-0.013,69.388,0)\"><use xlink:href=\"#g113-47\"></use></g><g transform=\"matrix(.013,0,0,-0.013,72.352,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,78.592,0)\"><use xlink:href=\"#g113-56\"></use></g></svg>,</span></span> <span><svg height=\"8.8423pt\" style=\"vertical-align:-0.2064009pt\" version=\"1.1\" viewbox=\"-0.0498162 -8.6359 19.289 8.8423\" width=\"19.289pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,0,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,11.658,0)\"><use xlink:href=\"#g117-34\"></use></g></svg><span></span><span><svg height=\"8.8423pt\" style=\"vertical-align:-0.2064009pt\" version=\"1.1\" viewbox=\"22.8711838 -8.6359 28.182 8.8423\" width=\"28.182pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,22.921,0)\"><use xlink:href=\"#g113-49\"></use></g><g transform=\"matrix(.013,0,0,-0.013,29.161,0)\"><use xlink:href=\"#g113-47\"></use></g><g transform=\"matrix(.013,0,0,-0.013,32.125,0)\"><use xlink:href=\"#g113-49\"></use></g><g transform=\"matrix(.013,0,0,-0.013,38.365,0)\"><use xlink:href=\"#g113-49\"></use></g><g transform=\"matrix(.013,0,0,-0.013,44.605,0)\"><use xlink:href=\"#g113-51\"></use></g></svg>).</span></span> Pregnant women who had inadequate gestational weight gain were significantly less likely to deliver through caesarean section (<span><svg height=\"8.98583pt\" style=\"vertical-align:-0.2324905pt\" version=\"1.1\" viewbox=\"-0.0498162 -8.75334 37.647 8.98583\" width=\"37.647pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,0,0)\"><use xlink:href=\"#g190-66\"></use></g><g transform=\"matrix(.013,0,0,-0.013,8.618,0)\"><use xlink:href=\"#g190-80\"></use></g><g transform=\"matrix(.013,0,0,-0.013,18.211,0)\"><use xlink:href=\"#g190-83\"></use></g><g transform=\"matrix(.013,0,0,-0.013,30.016,0)\"><use xlink:href=\"#g117-34\"></use></g></svg><span></span><span><svg height=\"8.98583pt\" style=\"vertical-align:-0.2324905pt\" version=\"1.1\" viewbox=\"41.2291838 -8.75334 21.894 8.98583\" width=\"21.894pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,41.279,0)\"><use xlink:href=\"#g113-49\"></use></g><g transform=\"matrix(.013,0,0,-0.013,47.519,0)\"><use xlink:href=\"#g113-47\"></use></g><g transform=\"matrix(.013,0,0,-0.013,50.483,0)\"><use xlink:href=\"#g113-51\"></use></g><g transform=\"matrix(.013,0,0,-0.013,56.723,0)\"><use xlink:href=\"#g113-56\"></use></g></svg>,</span></span> 95% <span><svg height=\"9.10327pt\" style=\"vertical-align:-0.3499298pt\" version=\"1.1\" viewbox=\"-0.0498162 -8.75334 24.39 9.10327\" width=\"24.39pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,0,0)\"><use xlink:href=\"#g190-68\"></use></g><g transform=\"matrix(.013,0,0,-0.013,8.645,0)\"><use xlink:href=\"#g190-74\"></use></g><g transform=\"matrix(.013,0,0,-0.013,16.759,0)\"><use xlink:href=\"#g117-34\"></use></g></svg><span></span><span><svg height=\"9.10327pt\" style=\"vertical-align:-0.3499298pt\" version=\"1.1\" viewbox=\"27.9721838 -8.75334 57.129 9.10327\" width=\"57.129pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,28.022,0)\"><use xlink:href=\"#g113-49\"></use></g><g transform=\"matrix(.013,0,0,-0.013,34.262,0)\"><use xlink:href=\"#g113-47\"></use></g><g transform=\"matrix(.013,0,0,-0.013,37.226,0)\"><use xlink:href=\"#g113-50\"></use></g><g transform=\"matrix(.013,0,0,-0.013,43.466,0)\"><use xlink:href=\"#g113-51\"></use></g><g transform=\"matrix(.013,0,0,-0.013,52.611,0)\"><use xlink:href=\"#g117-33\"></use></g><g transform=\"matrix(.013,0,0,-0.013,63.148,0)\"><use xlink:href=\"#g113-49\"></use></g><g transform=\"matrix(.013,0,0,-0.013,69.388,0)\"><use xlink:href=\"#g113-47\"></use></g><g transform=\"matrix(.013,0,0,-0.013,72.352,0)\"><use xlink:href=\"#g113-55\"></use></g><g transform=\"matrix(.013,0,0,-0.013,78.592,0)\"><use xlink:href=\"#g113-50\"></use></g></svg>,</span></span> <span><svg height=\"8.8423pt\" style=\"vertical-align:-0.2064009pt\" version=\"1.1\" viewbox=\"-0.0498162 -8.6359 19.289 8.8423\" width=\"19.289pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,0,0)\"><use xlink:href=\"#g113-81\"></use></g><g transform=\"matrix(.013,0,0,-0.013,11.658,0)\"><use xlink:href=\"#g117-34\"></use></g></svg><span></span><span><svg height=\"8.8423pt\" style=\"vertical-align:-0.2064009pt\" version=\"1.1\" viewbox=\"22.8711838 -8.6359 28.182 8.8423\" width=\"28.182pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,22.921,0)\"><use xlink:href=\"#g113-49\"></use></g><g transform=\"matrix(.013,0,0,-0.013,29.161,0)\"><use xlink:href=\"#g113-47\"></use></g><g transform=\"matrix(.013,0,0,-0.013,32.125,0)\"><use xlink:href=\"#g113-49\"></use></g><g transform=\"matrix(.013,0,0,-0.013,38.365,0)\"><use xlink:href=\"#g113-49\"></use></g><g transform=\"matrix(.013,0,0,-0.013,44.605,0)\"><use xlink:href=\"#g113-51\"></use></g></svg>),</span></span> and those who had excessive weight gain were more likely to undergo caesarean section (<span><svg height=\"8.98583pt\" style=\"vertical-align:-0.2324905pt\" version=\"1.1\" viewbox=\"-0.0498162 -8.75334 37.647 8.98583\" width=\"37.647pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,0,0)\"><use xlink:href=\"#g190-66\"></use></g><g transform=\"matrix(.013,0,0,-0.013,8.618,0)\"><use xlink:href=\"#g190-80\"></use></g><g transform=\"matrix(.013,0,0,-0.013,18.211,0)\"><use xlink:href=\"#g190-83\"></use></g><g transform=\"matrix(.013,0,0,-0.013,30.016,0)\"><use xlink:href=\"#g117-34\"></use></g></svg><span></span><span><svg height=\"8.98583pt\" style=\"vertical-align:-0.2324905pt\" version=\"1.1\" viewbox=\"41.2291838 -8.75334 28.157 8.98583\" width=\"28.157pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,41.279,0)\"><use xlink:href=\"#g113-50\"></use></g><g transform=\"matrix(.013,0,0,-0.013,47.519,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,53.76,0)\"><use xlink:href=\"#g113-47\"></use></g><g transform=\"matrix(.013,0,0,-0.013,56.724,0)\"><use xlink:href=\"#g113-57\"></use></g><g transform=\"matrix(.013,0,0,-0.013,62.964,0)\"><use xlink:href=\"#g113-50\"></use></g></svg>,</span></span> 95% <span><svg height=\"9.10327pt\" style=\"vertical-align:-0.3499298pt\" version=\"1.1\" viewbox=\"-0.0498162 -8.75334 24.39 9.10327\" width=\"24.39pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,0,0)\"><use xlink:href=\"#g190-68\"></use></g><g transform=\"matrix(.013,0,0,-0.013,8.645,0)\"><use xlink:href=\"#g190-74\"></use></g><g transform=\"matrix(.013,0,0,-0.013,16.759,0)\"><use xlink:href=\"#g117-34\"></use></g></svg><span></span><span><svg height=\"9.10327pt\" style=\"vertical-align:-0.3499298pt\" version=\"1.1\" viewbox=\"27.9721838 -8.75334 63.393 9.10327\" width=\"63.393pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,28.022,0)\"><use xlink:href=\"#g113-54\"></use></g><g transform=\"matrix(.013,0,0,-0.013,34.262,0)\"><use xlink:href=\"#g113-47\"></use></g><g transform=\"matrix(.013,0,0,-0.013,37.226,0)\"><use xlink:href=\"#g113-52\"></use></g><g transform=\"matrix(.013,0,0,-0.013,43.466,0)\"><use xlink:href=\"#g113-57\"></use></g><g transform=\"matrix(.013,0,0,-0.013,52.612,0)\"><use xlink:href=\"#g117-33\"></use></g><g transform=\"matrix(.013,0,0,-0.013,63.148,0)\"><use xlink:href=\"#g113-56\"></use></g><g transform=\"matrix(.013,0,0,-0.013,69.39,0)\"><use xlink:href=\"#g113-51\"></use></g><g transform=\"matrix(.013,0,0,-0.013,75.63,0)\"><use xlink:href=\"#g113-47\"></use></g><g transform=\"matrix(.013,0,0,-0.013,78.594,0)\"><use xlink:href=\"#g113-58\"></use></g><g transform=\"matrix(.013,0,0,-0.013,84.836,0)\"><use xlink:href=\"#g113-50\"></use></g></svg>,</span></span> <span><svg height=\"8.8423pt\" style=\"vertical-align:-0.2064009pt\" version=\"1.1\" viewbox=\"-0.0498162 -8.6359 19.289 8.8423\" width=\"19.289pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,0,0)\"><use xlink:href=\"#g113-81\"></use></g><g transform=\"matrix(.013,0,0,-0.013,11.658,0)\"><use xlink:href=\"#g117-34\"></use></g></svg><span></span><span><svg height=\"8.8423pt\" style=\"vertical-align:-0.2064009pt\" version=\"1.1\" viewbox=\"22.8711838 -8.6359 28.182 8.8423\" width=\"28.182pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,22.921,0)\"><use xlink:href=\"#g113-49\"></use></g><g transform=\"matrix(.013,0,0,-0.013,29.161,0)\"><use xlink:href=\"#g113-47\"></use></g><g transform=\"matrix(.013,0,0,-0.013,32.125,0)\"><use xlink:href=\"#g113-49\"></use></g><g transform=\"matrix(.013,0,0,-0.013,38.365,0)\"><use xlink:href=\"#g113-49\"></use></g><g transform=\"matrix(.013,0,0,-0.013,44.605,0)\"><use xlink:href=\"#g113-50\"></use></g></svg>).</span></span> The odds of premature delivery (<span><svg height=\"9.9449pt\" style=\"vertical-align:-0.6369991pt\" version=\"1.1\" viewbox=\"-0.0498162 -9.3079 37.23 9.9449\" width=\"37.23pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,0,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,6.447,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,9.931,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,14.885,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,18.928,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,29.599,0)\"></path></g></svg><span></span><svg height=\"9.9449pt\" style=\"vertical-align:-0.6369991pt\" version=\"1.1\" viewbox=\"40.8121838 -9.3079 12.655 9.9449\" width=\"12.655pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,40.862,0)\"><use xlink:href=\"#g113-52\"></use></g><g transform=\"matrix(.013,0,0,-0.013,47.102,0)\"><use xlink:href=\"#g113-56\"></use></g></svg></span> weeks) among pregnant women with inadequate weight gain were 2.88 (95% <span><svg height=\"9.10327pt\" style=\"vertical-align:-0.3499298pt\" version=\"1.1\" viewbox=\"-0.0498162 -8.75334 24.39 9.10327\" width=\"24.39pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,0,0)\"><use xlink:href=\"#g190-68\"></use></g><g transform=\"matrix(.013,0,0,-0.013,8.645,0)\"><use xlink:href=\"#g190-74\"></use></g><g transform=\"matrix(.013,0,0,-0.013,16.759,0)\"><use xlink:href=\"#g117-34\"></use></g></svg><span></span><span><svg height=\"9.10327pt\" style=\"vertical-align:-0.3499298pt\" version=\"1.1\" viewbox=\"27.9721838 -8.75334 57.129 9.10327\" width=\"57.129pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,28.022,0)\"><use xlink:href=\"#g113-50\"></use></g><g transform=\"matrix(.013,0,0,-0.013,34.262,0)\"><use xlink:href=\"#g113-47\"></use></g><g transform=\"matrix(.013,0,0,-0.013,37.226,0)\"><use xlink:href=\"#g113-51\"></use></g><g transform=\"matrix(.013,0,0,-0.013,43.466,0)\"><use xlink:href=\"#g113-56\"></use></g><g transform=\"matrix(.013,0,0,-0.013,52.614,0)\"><use xlink:href=\"#g117-33\"></use></g><g transform=\"matrix(.013,0,0,-0.013,63.15,0)\"><use xlink:href=\"#g113-55\"></use></g><g transform=\"matrix(.013,0,0,-0.013,69.39,0)\"><use xlink:href=\"#g113-47\"></use></g><g transform=\"matrix(.013,0,0,-0.013,72.354,0)\"><use xlink:href=\"#g113-54\"></use></g><g transform=\"matrix(.013,0,0,-0.013,78.594,0)\"><use xlink:href=\"#g113-49\"></use></g></svg>,</span></span> <span><svg height=\"8.73137pt\" style=\"vertical-align:-0.2063904pt\" version=\"1.1\" viewbox=\"-0.0498162 -8.52498 18.609 8.73137\" width=\"18.609pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,0,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,10.978,0)\"><use xlink:href=\"#g117-34\"></use></g></svg><span></span><span><svg height=\"8.73137pt\" style=\"vertical-align:-0.2063904pt\" version=\"1.1\" viewbox=\"22.1911838 -8.52498 28.157 8.73137\" width=\"28.157pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,22.241,0)\"><use xlink:href=\"#g113-49\"></use></g><g transform=\"matrix(.013,0,0,-0.013,28.481,0)\"><use xlink:href=\"#g113-47\"></use></g><g transform=\"matrix(.013,0,0,-0.013,31.445,0)\"><use xlink:href=\"#g113-49\"></use></g><g transform=\"matrix(.013,0,0,-0.013,37.685,0)\"><use xlink:href=\"#g113-50\"></use></g><g transform=\"matrix(.013,0,0,-0.013,43.925,0)\"><use xlink:href=\"#g113-50\"></use></g></svg>).</span></span> Furthermore, subjects who had excessive weight gain were 43.80 times more likely to give birth to babies with macrosomia (95% <span><svg height=\"9.10327pt\" style=\"vertical-align:-0.3499298pt\" version=\"1.1\" viewbox=\"-0.0498162 -8.75334 24.39 9.10327\" width=\"24.39pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,0,0)\"><use xlink:href=\"#g190-68\"></use></g><g transform=\"matrix(.013,0,0,-0.013,8.645,0)\"><use xlink:href=\"#g190-74\"></use></g><g transform=\"matrix(.013,0,0,-0.013,16.759,0)\"><use xlink:href=\"#g117-34\"></use></g></svg><span></span><span><svg height=\"9.10327pt\" style=\"vertical-align:-0.3499298pt\" version=\"1.1\" viewbox=\"27.9721838 -8.75334 69.656 9.10327\" width=\"69.656pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,28.022,0)\"><use xlink:href=\"#g113-56\"></use></g><g transform=\"matrix(.013,0,0,-0.013,34.264,0)\"><use xlink:href=\"#g113-47\"></use></g><g transform=\"matrix(.013,0,0,-0.013,37.228,0)\"><use xlink:href=\"#g113-49\"></use></g><g transform=\"matrix(.013,0,0,-0.013,43.468,0)\"><use xlink:href=\"#g113-56\"></use></g><g transform=\"matrix(.013,0,0,-0.013,52.616,0)\"><use xlink:href=\"#g117-33\"></use></g><g transform=\"matrix(.013,0,0,-0.013,63.152,0)\"><use xlink:href=\"#g113-51\"></use></g><g transform=\"matrix(.013,0,0,-0.013,69.392,0)\"><use xlink:href=\"#g113-56\"></use></g><g transform=\"matrix(.013,0,0,-0.013,75.634,0)\"><use xlink:href=\"#g113-50\"></use></g><g transform=\"matrix(.013,0,0,-0.013,81.874,0)\"><use xlink:href=\"#g113-47\"></use></g><g transform=\"matrix(.013,0,0,-0.013,84.838,0)\"><use xlink:href=\"#g113-51\"></use></g><g transform=\"matrix(.013,0,0,-0.013,91.078,0)\"><use xlink:href=\"#g113-52\"></use></g></svg>,</span></span> <span><svg height=\"8.8423pt\" style=\"vertical-align:-0.2064009pt\" version=\"1.1\" viewbox=\"-0.0498162 -8.6359 19.289 8.8423\" width=\"19.289pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,0,0)\"><use xlink:href=\"#g113-81\"></use></g><g transform=\"matrix(.013,0,0,-0.013,11.658,0)\"><use xlink:href=\"#g117-34\"></use></g></svg><span></span><span><svg height=\"8.8423pt\" style=\"vertical-align:-0.2064009pt\" version=\"1.1\" viewbox=\"22.8711838 -8.6359 28.182 8.8423\" width=\"28.182pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,22.921,0)\"><use xlink:href=\"#g113-49\"></use></g><g transform=\"matrix(.013,0,0,-0.013,29.161,0)\"><use xlink:href=\"#g113-47\"></use></g><g transform=\"matrix(.013,0,0,-0.013,32.125,0)\"><use xlink:href=\"#g113-49\"></use></g><g transform=\"matrix(.013,0,0,-0.013,38.365,0)\"><use xlink:href=\"#g113-49\"></use></g><g transform=\"matrix(.013,0,0,-0.013,44.605,0)\"><use xlink:href=\"#g113-50\"></use></g></svg>).</span></span> <i>Conclusion</i>. Inappropriate gestational weight gain is prevalent in Ghana, which is associated with caesarean section, preterm delivery, delivery complications, and macrosomia. Urgent policy interventions are needed to improve on the frequent monitoring and management of gestational weight gain of pregnant women till term.","PeriodicalId":9007,"journal":{"name":"BioMed Research International","volume":"37 1","pages":""},"PeriodicalIF":2.6000,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BioMed Research International","FirstCategoryId":"99","ListUrlMain":"https://doi.org/10.1155/2024/5526942","RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"BIOTECHNOLOGY & APPLIED MICROBIOLOGY","Score":null,"Total":0}
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Abstract

Background. Although inappropriate gestational weight gain is considered closely related to adverse maternal and birth outcomes globally, little evidence was found in low- and middle-income countries. Study Objectives. This study is aimed at identifying the determinants of gestational weight gain and examine the association between gestational weight gain and maternal and birth outcomes in the Northern Region of Ghana. Study Methods. The study used a facility-based cross-sectional study design involving 611 antenatal and delivery records in Tatale district, Tamale west, and Gushegu municipal hospitals. A two-stage sampling method involving cluster and simple random sampling was employed. Descriptive statistical analysis and measures of central tendency were used to describe the sample. The multinomial logistic regression model was used to determine the determinants of gestational weight gain and its association with maternal and birth outcomes. Results. Among the 611 women included in the study, 516 (84.45%) had inadequate gestational weight gain, and 19 (3.11%) had excessive gestational weight gain. The gestational weight gain ranged from 2 kg to 25 kg with a mean of  kg. The risk factor for inadequate gestational weight gain was low prepregnancy BMI (adjusted odds ratio , 95% , ). Pregnant women who had inadequate gestational weight gain were significantly less likely to deliver through caesarean section (, 95% , ), and those who had excessive weight gain were more likely to undergo caesarean section (, 95% , ). The odds of premature delivery ( weeks) among pregnant women with inadequate weight gain were 2.88 (95% , ). Furthermore, subjects who had excessive weight gain were 43.80 times more likely to give birth to babies with macrosomia (95% , ). Conclusion. Inappropriate gestational weight gain is prevalent in Ghana, which is associated with caesarean section, preterm delivery, delivery complications, and macrosomia. Urgent policy interventions are needed to improve on the frequent monitoring and management of gestational weight gain of pregnant women till term.
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加纳北部妊娠体重增加与孕产妇和出生结果之间的关系
背景。尽管在全球范围内,不适当的妊娠体重增加被认为与不良的孕产妇和分娩结局密切相关,但在中低收入国家却鲜有证据表明这一点。研究目的。本研究旨在确定妊娠体重增加的决定因素,并研究加纳北部地区妊娠体重增加与孕产妇和新生儿结局之间的关联。研究方法。该研究采用基于设施的横断面研究设计,涉及塔塔雷区、塔马雷西部和古舍古市医院的 611 份产前和分娩记录。研究采用了两阶段抽样法,包括分组抽样和简单随机抽样。使用描述性统计分析和中心倾向测量来描述样本。多项式逻辑回归模型用于确定妊娠体重增加的决定因素及其与产妇和分娩结果的关系。研究结果在纳入研究的 611 名产妇中,516 名(84.45%)妊娠体重增加不足,19 名(3.11%)妊娠体重增加过多。妊娠体重增加的范围从 2 千克到 25 千克不等,平均为千克。妊娠体重增加不足的风险因素是孕前体重指数低(调整后的几率为 95%,)。妊娠期体重增加不足的孕妇通过剖腹产分娩的几率明显较低(95% ,),而体重增加过多的孕妇则更有可能进行剖腹产(95% ,)。体重增加不足的孕妇早产几率(周)为 2.88(95% ,)。此外,体重增加过多的孕妇生下巨大儿的几率是正常孕妇的 43.80 倍(95% ,)。结论加纳普遍存在妊娠体重增加不当的现象,这与剖腹产、早产、分娩并发症和巨大儿有关。亟需采取政策干预措施,改善对孕妇妊娠体重增加的频繁监测和管理,直至足月。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BioMed Research International
BioMed Research International BIOTECHNOLOGY & APPLIED MICROBIOLOGY-MEDICINE, RESEARCH & EXPERIMENTAL
CiteScore
6.70
自引率
0.00%
发文量
1942
审稿时长
19 weeks
期刊介绍: BioMed Research International is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies covering a wide range of subjects in life sciences and medicine. The journal is divided into 55 subject areas.
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