Incidence, recurrence and predictors associated with recurrence of low birth weight in Northern Tanzania
ABSTRACT Background Low birth weight (LBW) is an important indicator of newborn survival and is associated with higher risk of infant mortality, morbidity and long term health consequences later in life. Little has been explored on the recurrence of LBW and associated risk factors in developing cou...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Swansea University
2017-04-01
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| Series: | International Journal of Population Data Science |
| Online Access: | https://ijpds.org/article/view/14 |
| _version_ | 1797427953314824192 |
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| author | Michael Johnson Mahande Joseph Obure Miriam Hamisi Mvunta |
| author_facet | Michael Johnson Mahande Joseph Obure Miriam Hamisi Mvunta |
| author_sort | Michael Johnson Mahande |
| collection | DOAJ |
| description | ABSTRACT
Background
Low birth weight (LBW) is an important indicator of newborn survival and is associated with higher risk of infant mortality, morbidity and long term health consequences later in life. Little has been explored on the recurrence of LBW and associated risk factors in developing countries including Tanzania. This study aimed to determine incidence, recurrence and associated risk factors for in Northern Tanzania.
Methods
This was a retrospective cohort study using maternally-linked data from Kilimanjaro Christian Medical Centre (KCMC) medical birth registry. A total of 48,008 births from 8,417 women who delivered live born between 2000 and 2014 were followed for subsequent deliveries. Recurrence risk with 95% CI for LBW and associated risk factors were estimated in a multivariate log binomial model while accounting for correlation between births of the same mother.
Results
Incidence of LBW was 7.9%. The recurrence rate of LBW was 24.9% compared with 5.9% for those who had normal birth weight babies in first pregnancy. This corresponded to a relative risk of 3.7 (95% CI: 3.10 – 4.52). Some maternal conditions in the first pregnancy were associated with increased risk of LBW in the subsequent pregnancy. These include; HIV positive status (RR 2.0; 95% CI 1.26 – 3.21), preterm birth (RR 1.2; 95% CI 1.03 – 1.63) and preeclampsia (RR 1.8; 95% CI 1.26 – 2.45). Only preeclampsia in the first pregnancy was associated with increased risk of recurrent of LBW (RR: 1.6 95% CI 1.01-2.54).
Conclusion
Although the incidence of LBW is low in the study population, but the recurrence risk is high. Preeclampsia in the first pregnancy was associated with recurrent LBW. Early prenatal identification of women at risk of preeclampsia to address modifiable risk factors and counsel mothers on persisting risk factors for recurrence will mitigate the risk of recurrence of LBW. |
| first_indexed | 2024-03-09T08:51:06Z |
| format | Article |
| id | doaj.art-80f06f10dfb54aff9747deaa1aa2c097 |
| institution | Directory Open Access Journal |
| issn | 2399-4908 |
| language | English |
| last_indexed | 2024-03-09T08:51:06Z |
| publishDate | 2017-04-01 |
| publisher | Swansea University |
| record_format | Article |
| series | International Journal of Population Data Science |
| spelling | doaj.art-80f06f10dfb54aff9747deaa1aa2c0972023-12-02T14:17:16ZengSwansea UniversityInternational Journal of Population Data Science2399-49082017-04-011110.23889/ijpds.v1i1.1414Incidence, recurrence and predictors associated with recurrence of low birth weight in Northern TanzaniaMichael Johnson MahandeJoseph ObureMiriam Hamisi MvuntaABSTRACT Background Low birth weight (LBW) is an important indicator of newborn survival and is associated with higher risk of infant mortality, morbidity and long term health consequences later in life. Little has been explored on the recurrence of LBW and associated risk factors in developing countries including Tanzania. This study aimed to determine incidence, recurrence and associated risk factors for in Northern Tanzania. Methods This was a retrospective cohort study using maternally-linked data from Kilimanjaro Christian Medical Centre (KCMC) medical birth registry. A total of 48,008 births from 8,417 women who delivered live born between 2000 and 2014 were followed for subsequent deliveries. Recurrence risk with 95% CI for LBW and associated risk factors were estimated in a multivariate log binomial model while accounting for correlation between births of the same mother. Results Incidence of LBW was 7.9%. The recurrence rate of LBW was 24.9% compared with 5.9% for those who had normal birth weight babies in first pregnancy. This corresponded to a relative risk of 3.7 (95% CI: 3.10 – 4.52). Some maternal conditions in the first pregnancy were associated with increased risk of LBW in the subsequent pregnancy. These include; HIV positive status (RR 2.0; 95% CI 1.26 – 3.21), preterm birth (RR 1.2; 95% CI 1.03 – 1.63) and preeclampsia (RR 1.8; 95% CI 1.26 – 2.45). Only preeclampsia in the first pregnancy was associated with increased risk of recurrent of LBW (RR: 1.6 95% CI 1.01-2.54). Conclusion Although the incidence of LBW is low in the study population, but the recurrence risk is high. Preeclampsia in the first pregnancy was associated with recurrent LBW. Early prenatal identification of women at risk of preeclampsia to address modifiable risk factors and counsel mothers on persisting risk factors for recurrence will mitigate the risk of recurrence of LBW.https://ijpds.org/article/view/14 |
| spellingShingle | Michael Johnson Mahande Joseph Obure Miriam Hamisi Mvunta Incidence, recurrence and predictors associated with recurrence of low birth weight in Northern Tanzania International Journal of Population Data Science |
| title | Incidence, recurrence and predictors associated with recurrence of low birth weight in Northern Tanzania |
| title_full | Incidence, recurrence and predictors associated with recurrence of low birth weight in Northern Tanzania |
| title_fullStr | Incidence, recurrence and predictors associated with recurrence of low birth weight in Northern Tanzania |
| title_full_unstemmed | Incidence, recurrence and predictors associated with recurrence of low birth weight in Northern Tanzania |
| title_short | Incidence, recurrence and predictors associated with recurrence of low birth weight in Northern Tanzania |
| title_sort | incidence recurrence and predictors associated with recurrence of low birth weight in northern tanzania |
| url | https://ijpds.org/article/view/14 |
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