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
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