Maternal factors influencing birth weight of term babies among women who received antenatal care at a Nigerian voluntary agency health care facility

Authors

  • Victoria I. Olafimihan Department of Family Medicine, Sacred Heart Hospital, Lantoro, Abeokuta, Ogun State, Nigeria
  • Adekunle J. Ariba Department of Family Medicine, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria
  • Ademola Egunjobi Department of Family Medicine, Ogun State Hospitals Management Board, Ogun State, Nigeria
  • Olusanya Abiodun Department of Obstetrics and Gynaecology, Sacred Heart Hospital, Lantoro, Abeokuta, Ogun State, Nigeria

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20204783

Keywords:

Birthweight, Term babies, Maternal factors, Ante-natal care, Pre-conception care

Abstract

Background: Birthweight is an important indicator of babies’ health status and a reliable predictor of their postnatal survival. Maternal factors are regarded as major contributors to birthweight outcome due to their direct effects on foetal growth. Proper knowledge of these factors is essential for implementing preventive measures against suboptimal birthweight. Objective of the study sought to determine the proportion of term babies with normal birthweight and identify the maternal factors that influence birthweight.

Methods: This cross-sectional study was conducted on 257 booked pregnant women and their newborns delivered at the Sacred Heart Hospital (SHH), Abeokuta, Nigeria between August and November 2017. Selection was by systematic random sampling method. Data were collected with a pre-tested interviewer-administered questionnaire and analyzed with SPSS version 21 program.

Results: The mean age of the women was 30.73±5.17 years. Among the women, 95.7% had at least senior secondary education, 95% of them were married and employed. The mean birthweight was 3.25±0.47 kg and male babies had higher mean weight (male: 3.30±0.54 kg; female: 3.21±0.39 kg). NBW was recorded among 92.6% of the babies with 3.5 and 3.9% as LBW and HBW, respectively. Only maternal booking BMI (p=0.005) and chronic hypertension (p=0.007) were significantly associated with birthweight.

Conclusion: Most babies in this study had normal birthweights reflecting the influence of optimal maternal biological and socio-demographic characteristics. Chronic hypertension and subnormal booking BMI undermined achievement of optimal birthweight, underscoring the need for pre-conception care for intending mothers.

 

Author Biographies

Victoria I. Olafimihan, Department of Family Medicine, Sacred Heart Hospital, Lantoro, Abeokuta, Ogun State, Nigeria

Dr. Victoria I. Olafimihan is Fellow of the National postgraduate Medical College of Nigeria and a member of the West African Colleg of Physican. She has function as a research assistant and site coordinator of various researches. She is a facilitator with Oxygen for Life Initiative and a trainer of health caregivers on the use of oxygen therapy. She presently work as a Consultant Family Physican in the Medical services of the International Institute of Tropical Agriculture (IITA) in Ibadan Nigeria.

Adekunle J. Ariba, Department of Family Medicine, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria

Dr Adekunle J. Ariba is Consultant Family Physician at the Department of Family Medicine. He is a trainer and examinar of the National Postgraduate Medical Colleg of Nigeria and West African College of Physicain. He is an active member of the World Organization of Family Physicians (WONCA)

Ademola Egunjobi, Department of Family Medicine, Ogun State Hospitals Management Board, Ogun State, Nigeria

Dr. Ademola Egunjobi is Fellow and trainer of the West African College of Physician. He is a researcher and presently work as a Family Physician with the Ogun State Hospital Management board, Ogun state Nigeria

Olusanya Abiodun, Department of Obstetrics and Gynaecology, Sacred Heart Hospital, Lantoro, Abeokuta, Ogun State, Nigeria

Dr. Olusanya Abiodun is an Obstetrician and gynecologist, and a Fellow of the West African College of Surgeon. He is a researcher and currently the Medical Director of the Sacred Heart Hospital Lantoro, Abeokuta, Ogun State  Nigeria.

References

Zeleke BM, Zelalem M, Mohammed N. Incidence and correlates of low birth weight at a referral hospital in Northwest Ethiopia. Pan Afr Med J. 2012;12:4.

Metgud CS, Naik VA, Mallapur MD. Factors affecting birth weight of a newborn - A community based study in rural Karnataka, India. PLoS One. 2012;7(7):e40040.

Abubakari A, Kynast-Wolf G, Jahn A, Kramer M, McCormick M, Barker D et al. Maternal determinants of birth weight in northern Ghana. PLoS One. 2015;10(8):e0135641.

Ezegwui HU, Ikeako LC, Egbuji C. Fetal macrosomia: Obstetric outcome of 311 cases in UNTH, Enugu, Nigeria. Niger J Clin Pract. 2011;14(3):322-6.

Kaijser M, Bonamy A-KE, Akre O, Cnattingius S, Granath F, Norman M et al. Perinatal risk factors for diabetes in later life. Diabetes. 2009;58(3):523-6.

Roberts E, Wood P. Birth weight and adult health in historical perspective: Evidence from a New Zealand cohort, 1907-1922. Soc Sci Med. 2014;107:154-61.

Mzayek F, Cruickshank JK, Amoah D, Srinivasan S, Chen W, Berenson GS. Birth weight was longitudinally associated with cardiometabolic risk markers in mid-adulthood. Ann Epidemiol. 2016;26(9).

UNICEF. The State of the World’s Children 2009: Maternal and Newborn health. Available at: https://www.unicef.org/sowc09/report/report.php. Accessed 24 June 2017.

Yilgwan C, Abok I, Yinnang W, Vajime B. Prevalence and risk factors of low birth weight in Jos. Jos J Med. 2010;4(1):13-5.

Abubakari A, Kynast-Wolf G, Jahn A. Prevalence of abnormal birth weight and related factors in northern region, Ghana. BMC Pregnancy Childbirth. 2015;15(335):1-8.

Isiugo-abanihe UC, Oke OA. Maternal and environmental factors influencing infant birth weight in Ibadan, Nigeria. African Popul Stud. 2011;25:250-66.

Takai UI, Bukar M, Audu BM. A prospective study of maternal risk factors for low birth weight babies in Maiduguri, North-Eastern Nigeria. Niger J Basic Clin Sci. 2014;11(2):89-98.

Amosu A, Degun AM, Daniel TG. Maternal socio-demographic characteristics as correlates of newborn birth weight in urban Abeokuta, Nigeria. Biomed Res-India. 2014;25(254):612-6.

Kehinde OA, Njokanma OF, Olanrewaju DM. Parental socioeconomic status and birth weight distribution of Nigerian term newborn babies. Niger J Paed. 2013;40:299-302.

Kader M, Perera NK. Socio-economic and nutritional determinants of low birth weight in India. N Am J Med Sci. 2014;6(7):302-8.

Weise A. WHA global nutrition targets 2025: Low birth weight policy brief. WHO Publ.Geneva, New York. 2012;1-7.

González R, Rupérez M, Sevene E, Vala A, Maculuve S, Bulo H et al. Effects of HIV infection on maternal and neonatal health in southern Mozambique: A prospective cohort study after a decade of antiretroviral drugs roll out. PLoS One. 2017;12(6):e0178134.

United Nations. Sustainable development goals:17 goals to transform our world. United Nation Publications. 2015. Available at: http://www.un.org/sustainabledevelopment/health/. Accessed 11 July 2020.

World Bank Group. Mortality rate, neonatal (per 1,000 live births). The World Bank Data. 2017. Available at: https://data.worldbank.org/indicator/SH.DYN.NMRT. Accessed 7 July 2020.

Sacred Heart Hospital. Welcome to Sacred Heart Hospital, Lantoro, Abeokuta, Ogun State, Nigeria. 2016. Available at: http://sacredhearthospitallantoro.org/. Accessed 27 August 2017.

Araoye MO. Research methodology with statistics for health and social sciences. 1st ed. Ilorin: Nathadex; 2003:115-29.

Ndu IK, Edelu BO, Uwaezuoke SN, Chinawa JC, Ubesie A, Ogoke CC et al. Maternal risk factors associated with low birth weight neonates: A multi- centre, cross-sectional study in a developing country. J neonatal Biol. 2015;4(3):1-4.

Kader M, Perera NKPP. Socio-economic and nutritional determinants of low birth weight in India. N Am J Med Scirnet. 2014;6(7):302-8.

Jeminusi O, Sholeye O, Abosede O. Maternal anthropometry in rural and urban areas of Ogun-east senatorial district, Nigeria: A comparative study. Int J Nutr Metab. 2015;7(3):39-45.

Zanardo V, Mazza A, Parotto M, Scambia G, Straface G. Gestational weight gain and fetal growth in underweight women. Ital J Pediatr. 2016;42(1):74.

Feresu SA, Harlow SD, Woelk GB. Risk factors for low birth weight in Zimbabwean women: A secondary data analysis. PLoS One. 2015;10(6):e0129705.

Berhe AK, Kassa GM, Fekadu GA, Muche AA. Prevalence of hypertensive disorders of pregnancy in Ethiopia: a systemic review and meta-analysis. BMC Pregnancy Childbirth. 2018;18(1):34.

Amosu AM, Atulomah NOS, Olanrewaju MF, Akintunde TI, Babalola AO. Retrospective study of some factors influencing delivery of low birth weight babies in Ibadan, Oyo state, Nigeria. 2011;6(2):236-40.

Xiao P-L, Zhou Y-B, Chen Y, Yang M-X, Song X-X, Shi Y, et al. Association between maternal HIV infection and low birth weight and prematurity: a meta-analysis of cohort studies. BMC Pregnancy Childbirth. 2015;15:246.

Dahlui M, Azahar N, Oche OM, Aziz NA. Risk factors for low birth weight in Nigeria: evidence from the 2013 Nigeria demographic and health survey. Glob Health Action. 2016;9:28822.

Downloads

Published

2020-10-27

Issue

Section

Original Research Articles