Micronutrient Status as Predictors of Low Birth Weight and PreTerm Delivery in Women Attending Antenatal Care in Challenge, Lusaka, Zambia. A Proposal for Research
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 2
Abstract
Low birth weight is a significant public health problem. Every year, about 16% of infants are born with a birth weight less than 2,500 gms, with 95% from the developing countries (1). Micronutrient supplementation of Ferrous sulphate and Folic acid for all pregnant women attending antenatal care in Zambia's healthcare facilities is being practised without estimating their serum concentrations. Available information states that excessive Iron stores are associated with higher risk of metabolic disorders such as hypertension, metabolic syndrome and cardiovascular disease (2-5). There might be a need for supplementation of other micronutrients in our setting apart from the ones currently being given. Based on current evidence, it is essential to determine the levels of micronutrients among pregnant women to inform policy and practice in Zambia. This study will estimate serum concentrations of Iron, Folic acid, Selenium and Calcium among pregnant women receiving antenatal care in Chilenje, Lusaka district of Zambia. The study will be a Crosssectional design; quantitative data will be collected at three-time points during the first, second and third trimester of pregnancy. A sample of 226 women attending antenatal care for the first time at Chilenje hospital will be considered for interviews and blood will be obtained for laboratory analysis. The hospital was chosen after random sampling and participants after systematic sampling. The women will have their nutritional status determined by getting the Mid-Upper Arm Circumference, and weight gain assessed during pregnancy. Ethical clearance will be obtained from the University of Zambia Biomedical Research Ethics Committee and the National Health Research Authority. Participants will be allowed to consent before participating in the study. A structured interview schedule will be used to obtain data on demographic characteristics and dietary intake. The analysis will be conducted using STATA version 13 and GraphPad Prism version 5.01. Descriptive statistics will be used to analyse demographic data and inferential statistics to determine whether levels of iron, Zinc, selenium and calcium have a relationship with low birth weight and preterm delivery. Appropriate recommendations will be made after analysing the data.
Authors and Affiliations
Sebean Mayimbo, Clara Maphosa Haruzivishe, Patrick Kaonga, Kanekwa Zyambo, Concepta Kwaleyela
Keywords
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- EP ID EP435726
- DOI 10.9790/1959-0702012227.
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