ASSESSMENT OF DELIVERY OUTCOMES AND FACTORS ASSOCIATED WITH LOW BIRTH WEIGHT FOLLOWING THE INTRODUCTION OF SP-IPTP AS PART OF FOCUSED ANTENATAL CARE IN THE HOHOE MUNICIPALITY, GHANA
Journal Title: European Journal of Biomedical and Pharmaceutical Sciences - Year 2017, Vol 4, Issue 8
Abstract
Background: Intermittent Preventive Treatment with Sulphadoxine-Pyrimethamine (SP-IPTp) is a key component of malaria control in pregnancy. This study assessed delivery outcomes and factors associated with low birth weight (LBW) following the introduction SP-IPTp. Methods: A cross-sectional study carried out from March 2015 to February 2017 involving paucigravid women who delivered at the Hohoe Municipal Hospital. A semi-structured questionnaire was used to collect data on socio-demographic characteristics, obstetrics and medical history. Information on medical conditions and delivery outcomes were extracted from the antenatal care (ANC) book. Chi-square test and logistic regression were used to determine the association between dependent and independent variables. Results: Of the 1208 women, 90(7.5%) had babies with LBW, with 12.1% among primigravidae and 6.2% among multigravidae (χ2=10.53, p=0.001). The prevalence of LBW babies was also higher among women who took < 2 doses of SP-IPTp than those who took ≥ 2 doses (11.5% vs. 5.6%) (χ2=13.26, p<0.001). Prevalence of neonatal or stillbirths was 63(5.2%) and this was significantly associated with LBW (χ2 =4.50, p=0.034). Women aged 30-39 years, those with parity 4-6 children, those who visited ANC 5-6 times and those who slept inside LLIN were 77%, 83%, 65% and 51% less likely to have babies with LBW (AOR=0.33, p=0.028), (AOR=0.17, p=0.033), (AOR=0.35, p=0.050) and (AOR=0.49, p=0.021) respectively. Women with hypertension were 3.74 times more likely to have LBW babies (AOR=3.74, p<0.001). Conclusion: Prevalence of LBW babies was relatively low as compared to other parts of Ghana. This is probably due to increased number of ANC visits, intake of high doses of SP-IPTp and high LLIN utilisation. Primigravidity, parity and hypertension are risk factors for LBW; and LBW is a risk factor for neonatal death or stillbirth. Implementation of control measures for malaria in pregnancy has reduced the prevalence of LBW babies in the Hohoe Municipality.
Authors and Affiliations
Elvis Tarkang
Keywords
Related Articles
- EP ID EP628970
- DOI -
- Views 133
- Downloads 0
KNOWLEDGE OF PEOPLE ABOUT THE TUBERCULOSIS INFECTION IN THE HEALTH CENTER IN BAGHDAD
Background: Tuberculosis is the second-most common cause of death from infectious disease (after those due to HIV/AIDS). Aims: To identify the knowledge of people about TB disease in the health center, and to find out an...
EVALUATION OF TUBERCULOSIS DISEASE AWARENESS AND UNDERSTANDING AMONGST PHARMACY STUDENTS AT THE UNIVERSITY OF WOLVERHAMPTON
Introduction: Tuberculosis (TB) caused by the bacterium Mycobacterium tuberculosis is recognised as the leading cause of death due to infectious disease in the world. Pharmacies and pharmacy workers, together with GPs an...
CHALLENGES TO CONTROL TUBERCULOSIS
Tuberculosis (TB) is an infectious bacterial disease characterized by the growth of nodules or tubercules in the tissues, especially the lungs. It is caused by Mycobacterium tuberculosis. If not treated properly TB disea...
IN VITRO ANTIBACTERIAL AND ANTIFUNGAL ACTIVITIES OF AQUEOUS EXTRACT FROM MORINDA MORINDOIDES (BAKER) MILNE-REDHEAD (RUBIACEAE) LEAVES USED AS ANTIDIARRHOEAL REMEDY IN TRADITIONAL MEDICINE IN DEMOCRATIC REPUBLIC OF CONGO AND ITS ISOLATED CONSTITUENTS
The study reports the antibacterial and antifungal activities in vitro of aqueous extract (decoction) from Morinda morindoides leaves and of its soluble fractions, and isolated flavonoids and iridoids. Results revealed t...
ANTIMICROBIAL ACTIVITY OF ASPERGILLUS GLIOTOXIN ON S. AUREUS IN DIABETIC'S PATIENT'S TYPE-2
Background: Diabetes mellitus is a serious public health problem, S. aureus is the most common bacteria isolated from ulceration of diabetic patients, and increase the risk of S. aureus carriage in patients with diabetes...