Determinante male telesne težine na rođenju u javnim zdravstvenim ustanovama zone Kembata Tembaro, Južna Etiopija

Abstract

Objective. The study is aimed to assess the determinants of low birth weight among term neonates born in the health facilities of Kambata Tembaro Zone, Ethiopia. Methods. An Institution-based case control study was conducted. Term neonates born with birth weight less than 2500.00 g (LBW) were grouped into cases, and those term neonates with weight greater or equal to 2500.00 g were grouped as controls. A total of 282 participants (57 cases and 225 controls) were included with controls to cases ratio of 4:1. Binary logistic regression was done to get candidate variables. An adjusted odd ratio (aOR) was estimated from multivariable analysis with corresponding confidence interval to assess the strength of the association and statistical significance between the independent and the outcome variable. Results. A total of 282 term neonates (57 cases and 225 controls) comprised the study participants. The mean birth weight of the neonates was 2041.23 g (standard deviation-SD 339.00) for cases and 376.00 g (438.572) for controls. Among mothers of neonates 38 (66.7%) cases' and 146 (64.9%) controls' were age > 24 years old. Household food insecu­rity (aOR=6.74; 95% confidence interval-CI 2.78-16.36), gen­der of neonates (aOR=2.74, 1.24-6.05), iron supplementation (aOR=9.71, 3.51-26.88), additional food during pregnancy (aOR=5.49, 2.49-12.11) and anemia (aOR=3.51, 1.56-7.85) were significantly associated with LBW at term. Conclusion. Neonatal, maternal and dietary factors are mu­tually associated with low birth weight among term neonates included in our study.