南印度一家三级医院与低出生体重相关的产妇因素评估——一项探索性研究

Shilpa Varghese, Priya Reshma Aranha
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摘要

在许多发展中国家,低出生体重是一个主要的公共卫生问题。虽然造成低出生体重的原因是多方面的,但母亲因素是显著的。如果及早发现这些因素,就可以预防大量婴儿死亡,而对低出生体重婴儿的及时管理将挽救一条生命。本研究的目的是确定与产后母亲中新生儿低出生体重相关的母亲因素。方法:采用探索性研究设计,对新生儿低出生体重的母亲因素进行评估。采用非概率方便抽样技术,对79名妊娠37周出生体重小于2500克的产妇在三级保健医院就诊。使用检查表确定导致低出生体重的产妇因素,并通过描述性统计进行数据分析。结果:本研究中与低出生体重相关的母亲因素为母亲体重< 45 kg(64.6%)、身高< 146 cm(53.2%)、孕期心理压力(84.8%)、孕期过量食用垃圾食品(64.6%)、低出生体重婴儿家族史(50.6%)和孕期血红蛋白水平低于12 gm/dL(68.4%)。结论:新生儿低出生体重存在明显可预防的母体因素。保健专业人员应提高孕妇的认识,以便尽早解决这些因素。
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Assessment of maternal factors associated with low birth weight at a tertiary care hospital of South India - an exploratory study.
Introduction : Low birth weight is a major public health problem in many developing countries. Though the causes are multiple, maternal factors of low birth weight are significant. A large number of infant deaths can be prevented if these factors are identified early, and prompt management of low-birth-weight babies will save a life. The objective of this study is to identify the maternal factors associated with low birth weight in newborns among postnatal mothers. Method : An exploratory research design was adopted to assess the maternal factors associated with low birth weight in newborns. Non-probability convenience sampling technique was used to recruit 79 mothers of babies whose birth weight is less than 2,500 gm at 37 weeks’ gestation admitted to a tertiary care hospital. A checklist was used to identify maternal factors contributing to low birth weight and data analysis was done by descriptive statistics. Result : The maternal factors associated with low birth weight in this study were found to be mothers’ weight < 45 kg (64.6%), height < 146 cm (53.2%), psychological stress during pregnancy (84.8%), consumption of excess junk food during pregnancy (64.6%), family history of low-birth-weight babies (50.6%) and haemoglobin level less than 12 gm/dL during pregnancy period (68.4%). Conclusion: There are significant preventable maternal factors associated with low birth weight in newborns. Health professionals should create awareness among pregnant women so that these factors could be addressed at the earliest.
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