High Prevalence of Low Birth Weight Babies Born to Pregnant Women Referred to a District Hospital in Rural Zambia
Objectives Low birthweight (LBW) is a significant public health problem in sub-Saharan Africa and LBW in rural Zambia is high. Our study explored the prevalence of LBW for newborns whose mothers were referred from a rural health center to a district referral hospital in Lundazi, Zambia. Methods A fi...
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| Veröffentlicht in: | Maternal and child health journal 2021-08, Vol.25 (8), p.1182-1186 |
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| container_title | Maternal and child health journal |
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| creator | Buser, Julie M. Boyd, Carol J. Moyer, Cheryl A. Zulu, Davy Ngoma-Hazemba, Alice Jones, Andrew D. Lori, Jody R. |
| description | Objectives
Low birthweight (LBW) is a significant public health problem in sub-Saharan Africa and LBW in rural Zambia is high. Our study explored the prevalence of LBW for newborns whose mothers were referred from a rural health center to a district referral hospital in Lundazi, Zambia.
Methods
A five-month retrospective record review of Ministry of Health data was performed to examine birthweight characteristics of a convenience sample of newborns from ten facilities referring to one district hospital (
n
= 234).
Results
Among all cases, 21% (
n
= 49) of newborns were LBW. For LBW newborns, 73% (
n
= 36) were preterm with mothers having a pregnancy duration of less than 37 weeks. Newborns whose mothers experienced twin pregnancies (
p
= .021) and prolonged labor (
p
= .033) were more often LBW. However, regression models demonstrated no difference among newborns with and without LBW for prolonged labor (
p
= .344) and twin pregnancies (
p
= .324) when controlling for variables that could interact with the maternal-newborn delivery outcomes.
Conclusions
for Practice
Healthcare providers and policy makers need to address the short and long-term effects of LBW throughout the lifecycle in rural Zambia. More maternal-newborn health research is needed to understand the underlying socioeconomic, social, and cultural determinants influencing LBW in rural Zambia. |
| doi_str_mv | 10.1007/s10995-021-03190-8 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2541788954</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A668590736</galeid><sourcerecordid>A668590736</sourcerecordid><originalsourceid>FETCH-LOGICAL-c483t-bb22d584c2cef3dc178a6e8d51d33ebc63f61a2fc8efa4accab9727241e2100f3</originalsourceid><addsrcrecordid>eNp9kl1rFDEUhgdRsFb_gFcBQbxJzcdkJnPZrR8rLLQUpeBNyGROZlNmkm2SUfz3Zl2htiySixxynvfl5PBW1WtKzigh7ftESdcJTBjFhNOOYPmkOqGi5bhpmHxaatIx3MpWPK9epHRLSJGR-qS6W7txi64i_NATeAMoWLQJP9HKxbxFN1C6Ga107yChVYge5bCnR699RjdhBo-uwUKMMOxbGn1wKUdnMlqHtHNZT8gVZIml-K7n3umX1TOrpwSv_t6n1bdPH79erPHm8vOXi_MNNrXkGfc9Y4OQtWEGLB8MbaVuQA6CDpxDbxpuG6qZNRKsrrUxuu9a1rKaAit_s_y0enfw3cVwt0DKanbJwDRpD2FJiom6eMpO1AV98wi9DUv0ZbpCCVpTQVpxT41lVcp5G3LUZm-qzptGio60vCkUPkKN4KGsIHiwrjw_4M-O8OUMMDtzVPD2H8EW9JS3KUxLdsGnhyA7gCaGlCJYtYtu1vGXokTtU6MOqVElNepPapQsIn4QpQL7EeL9Kv6j-g2JdsH7</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2551415075</pqid></control><display><type>article</type><title>High Prevalence of Low Birth Weight Babies Born to Pregnant Women Referred to a District Hospital in Rural Zambia</title><source>SpringerLink Journals</source><creator>Buser, Julie M. ; Boyd, Carol J. ; Moyer, Cheryl A. ; Zulu, Davy ; Ngoma-Hazemba, Alice ; Jones, Andrew D. ; Lori, Jody R.</creator><creatorcontrib>Buser, Julie M. ; Boyd, Carol J. ; Moyer, Cheryl A. ; Zulu, Davy ; Ngoma-Hazemba, Alice ; Jones, Andrew D. ; Lori, Jody R.</creatorcontrib><description>Objectives
Low birthweight (LBW) is a significant public health problem in sub-Saharan Africa and LBW in rural Zambia is high. Our study explored the prevalence of LBW for newborns whose mothers were referred from a rural health center to a district referral hospital in Lundazi, Zambia.
Methods
A five-month retrospective record review of Ministry of Health data was performed to examine birthweight characteristics of a convenience sample of newborns from ten facilities referring to one district hospital (
n
= 234).
Results
Among all cases, 21% (
n
= 49) of newborns were LBW. For LBW newborns, 73% (
n
= 36) were preterm with mothers having a pregnancy duration of less than 37 weeks. Newborns whose mothers experienced twin pregnancies (
p
= .021) and prolonged labor (
p
= .033) were more often LBW. However, regression models demonstrated no difference among newborns with and without LBW for prolonged labor (
p
= .344) and twin pregnancies (
p
= .324) when controlling for variables that could interact with the maternal-newborn delivery outcomes.
Conclusions
for Practice
Healthcare providers and policy makers need to address the short and long-term effects of LBW throughout the lifecycle in rural Zambia. More maternal-newborn health research is needed to understand the underlying socioeconomic, social, and cultural determinants influencing LBW in rural Zambia.</description><identifier>ISSN: 1092-7875</identifier><identifier>EISSN: 1573-6628</identifier><identifier>DOI: 10.1007/s10995-021-03190-8</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Birth weight ; Birth weight, Low ; Births ; Brief Reports ; Childrens health ; Gynecology ; Health aspects ; Hospitals ; Infants (Newborn) ; Maternal & child health ; Maternal and Child Health ; Medicine ; Medicine & Public Health ; Mothers ; Nursing schools ; Nutrition ; Obstetrics ; Pediatric research ; Pediatrics ; Population Economics ; Pregnancy ; Public Health ; Rural areas ; Rural population ; Sociology ; Statistics ; Womens health</subject><ispartof>Maternal and child health journal, 2021-08, Vol.25 (8), p.1182-1186</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021</rights><rights>COPYRIGHT 2021 Springer</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c483t-bb22d584c2cef3dc178a6e8d51d33ebc63f61a2fc8efa4accab9727241e2100f3</cites><orcidid>0000-0002-0346-0710</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10995-021-03190-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10995-021-03190-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids></links><search><creatorcontrib>Buser, Julie M.</creatorcontrib><creatorcontrib>Boyd, Carol J.</creatorcontrib><creatorcontrib>Moyer, Cheryl A.</creatorcontrib><creatorcontrib>Zulu, Davy</creatorcontrib><creatorcontrib>Ngoma-Hazemba, Alice</creatorcontrib><creatorcontrib>Jones, Andrew D.</creatorcontrib><creatorcontrib>Lori, Jody R.</creatorcontrib><title>High Prevalence of Low Birth Weight Babies Born to Pregnant Women Referred to a District Hospital in Rural Zambia</title><title>Maternal and child health journal</title><addtitle>Matern Child Health J</addtitle><description>Objectives
Low birthweight (LBW) is a significant public health problem in sub-Saharan Africa and LBW in rural Zambia is high. Our study explored the prevalence of LBW for newborns whose mothers were referred from a rural health center to a district referral hospital in Lundazi, Zambia.
Methods
A five-month retrospective record review of Ministry of Health data was performed to examine birthweight characteristics of a convenience sample of newborns from ten facilities referring to one district hospital (
n
= 234).
Results
Among all cases, 21% (
n
= 49) of newborns were LBW. For LBW newborns, 73% (
n
= 36) were preterm with mothers having a pregnancy duration of less than 37 weeks. Newborns whose mothers experienced twin pregnancies (
p
= .021) and prolonged labor (
p
= .033) were more often LBW. However, regression models demonstrated no difference among newborns with and without LBW for prolonged labor (
p
= .344) and twin pregnancies (
p
= .324) when controlling for variables that could interact with the maternal-newborn delivery outcomes.
Conclusions
for Practice
Healthcare providers and policy makers need to address the short and long-term effects of LBW throughout the lifecycle in rural Zambia. More maternal-newborn health research is needed to understand the underlying socioeconomic, social, and cultural determinants influencing LBW in rural Zambia.</description><subject>Birth weight</subject><subject>Birth weight, Low</subject><subject>Births</subject><subject>Brief Reports</subject><subject>Childrens health</subject><subject>Gynecology</subject><subject>Health aspects</subject><subject>Hospitals</subject><subject>Infants (Newborn)</subject><subject>Maternal & child health</subject><subject>Maternal and Child Health</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mothers</subject><subject>Nursing schools</subject><subject>Nutrition</subject><subject>Obstetrics</subject><subject>Pediatric research</subject><subject>Pediatrics</subject><subject>Population Economics</subject><subject>Pregnancy</subject><subject>Public Health</subject><subject>Rural areas</subject><subject>Rural population</subject><subject>Sociology</subject><subject>Statistics</subject><subject>Womens health</subject><issn>1092-7875</issn><issn>1573-6628</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp9kl1rFDEUhgdRsFb_gFcBQbxJzcdkJnPZrR8rLLQUpeBNyGROZlNmkm2SUfz3Zl2htiySixxynvfl5PBW1WtKzigh7ftESdcJTBjFhNOOYPmkOqGi5bhpmHxaatIx3MpWPK9epHRLSJGR-qS6W7txi64i_NATeAMoWLQJP9HKxbxFN1C6Ga107yChVYge5bCnR699RjdhBo-uwUKMMOxbGn1wKUdnMlqHtHNZT8gVZIml-K7n3umX1TOrpwSv_t6n1bdPH79erPHm8vOXi_MNNrXkGfc9Y4OQtWEGLB8MbaVuQA6CDpxDbxpuG6qZNRKsrrUxuu9a1rKaAit_s_y0enfw3cVwt0DKanbJwDRpD2FJiom6eMpO1AV98wi9DUv0ZbpCCVpTQVpxT41lVcp5G3LUZm-qzptGio60vCkUPkKN4KGsIHiwrjw_4M-O8OUMMDtzVPD2H8EW9JS3KUxLdsGnhyA7gCaGlCJYtYtu1vGXokTtU6MOqVElNepPapQsIn4QpQL7EeL9Kv6j-g2JdsH7</recordid><startdate>20210801</startdate><enddate>20210801</enddate><creator>Buser, Julie M.</creator><creator>Boyd, Carol J.</creator><creator>Moyer, Cheryl A.</creator><creator>Zulu, Davy</creator><creator>Ngoma-Hazemba, Alice</creator><creator>Jones, Andrew D.</creator><creator>Lori, Jody R.</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0346-0710</orcidid></search><sort><creationdate>20210801</creationdate><title>High Prevalence of Low Birth Weight Babies Born to Pregnant Women Referred to a District Hospital in Rural Zambia</title><author>Buser, Julie M. ; Boyd, Carol J. ; Moyer, Cheryl A. ; Zulu, Davy ; Ngoma-Hazemba, Alice ; Jones, Andrew D. ; Lori, Jody R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c483t-bb22d584c2cef3dc178a6e8d51d33ebc63f61a2fc8efa4accab9727241e2100f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Birth weight</topic><topic>Birth weight, Low</topic><topic>Births</topic><topic>Brief Reports</topic><topic>Childrens health</topic><topic>Gynecology</topic><topic>Health aspects</topic><topic>Hospitals</topic><topic>Infants (Newborn)</topic><topic>Maternal & child health</topic><topic>Maternal and Child Health</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mothers</topic><topic>Nursing schools</topic><topic>Nutrition</topic><topic>Obstetrics</topic><topic>Pediatric research</topic><topic>Pediatrics</topic><topic>Population Economics</topic><topic>Pregnancy</topic><topic>Public Health</topic><topic>Rural areas</topic><topic>Rural population</topic><topic>Sociology</topic><topic>Statistics</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Buser, Julie M.</creatorcontrib><creatorcontrib>Boyd, Carol J.</creatorcontrib><creatorcontrib>Moyer, Cheryl A.</creatorcontrib><creatorcontrib>Zulu, Davy</creatorcontrib><creatorcontrib>Ngoma-Hazemba, Alice</creatorcontrib><creatorcontrib>Jones, Andrew D.</creatorcontrib><creatorcontrib>Lori, Jody R.</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Maternal and child health journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Buser, Julie M.</au><au>Boyd, Carol J.</au><au>Moyer, Cheryl A.</au><au>Zulu, Davy</au><au>Ngoma-Hazemba, Alice</au><au>Jones, Andrew D.</au><au>Lori, Jody R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>High Prevalence of Low Birth Weight Babies Born to Pregnant Women Referred to a District Hospital in Rural Zambia</atitle><jtitle>Maternal and child health journal</jtitle><stitle>Matern Child Health J</stitle><date>2021-08-01</date><risdate>2021</risdate><volume>25</volume><issue>8</issue><spage>1182</spage><epage>1186</epage><pages>1182-1186</pages><issn>1092-7875</issn><eissn>1573-6628</eissn><abstract>Objectives
Low birthweight (LBW) is a significant public health problem in sub-Saharan Africa and LBW in rural Zambia is high. Our study explored the prevalence of LBW for newborns whose mothers were referred from a rural health center to a district referral hospital in Lundazi, Zambia.
Methods
A five-month retrospective record review of Ministry of Health data was performed to examine birthweight characteristics of a convenience sample of newborns from ten facilities referring to one district hospital (
n
= 234).
Results
Among all cases, 21% (
n
= 49) of newborns were LBW. For LBW newborns, 73% (
n
= 36) were preterm with mothers having a pregnancy duration of less than 37 weeks. Newborns whose mothers experienced twin pregnancies (
p
= .021) and prolonged labor (
p
= .033) were more often LBW. However, regression models demonstrated no difference among newborns with and without LBW for prolonged labor (
p
= .344) and twin pregnancies (
p
= .324) when controlling for variables that could interact with the maternal-newborn delivery outcomes.
Conclusions
for Practice
Healthcare providers and policy makers need to address the short and long-term effects of LBW throughout the lifecycle in rural Zambia. More maternal-newborn health research is needed to understand the underlying socioeconomic, social, and cultural determinants influencing LBW in rural Zambia.</abstract><cop>New York</cop><pub>Springer US</pub><doi>10.1007/s10995-021-03190-8</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-0346-0710</orcidid><oa>free_for_read</oa></addata></record> |
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| language | eng |
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| source | SpringerLink Journals |
| subjects | Birth weight Birth weight, Low Births Brief Reports Childrens health Gynecology Health aspects Hospitals Infants (Newborn) Maternal & child health Maternal and Child Health Medicine Medicine & Public Health Mothers Nursing schools Nutrition Obstetrics Pediatric research Pediatrics Population Economics Pregnancy Public Health Rural areas Rural population Sociology Statistics Womens health |
| title | High Prevalence of Low Birth Weight Babies Born to Pregnant Women Referred to a District Hospital in Rural Zambia |
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