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Low birth weight and macrosomia in Tigray, Northern Ethiopia: who are the mothers at risk?

机译：埃塞俄比亚北部提格里的低出生体重和巨大儿：哪些母亲有危险？

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Background Infant birth weight, which is classified into low birth weight, normal birth weight and macrosomia, is associated with short and long-term health consequences, such as neonatal mortality and chronic disease in life. Macrosomia and low birth weight are double burden problems in developing counties, such as Ethiopia, but the paucity of evidence has made it difficult to assess the extent of this situation. As a result there has been inconsistency in the reported prevalence of low birth weight and macrosomia in Ethiopia. This study aimed to determine the incidence?and predictors of low birth weight and macrosomia in Tigray, Northern Ethiopia. Method We conducted a cross-sectional survey among a cohort of 1152 neonates delivered in Tigray Region at randomly selected hospitals between April and July 2014. We used the birth weight category described previously as an outcome variable. Data were collected using structured questionnaire by midwives. We entered and analyzed data using STATA? Version 11.0. Data were described using a frequency, percentage, relative risk ratio, and 95% confidence interval. Multinomial logistic regression was conducted to identify independent predictors of low birth weight and macrosomia. Result In this study, we found a 10.5% and 6.68% incidence of low birth weight and macrosomia, respectively. Seventy (57.8%) of all low birth weight neonates were term births. The predictors for low birth weight were: early marriage (Conclusion In this study, we found gestational age and gender of the neonate to be common risk factors for both low birth weight and macrosomia. Strengthening antenatal follow up, prevention of pre and post maturity, controlling body mass index, and improving socioeconomic status of mothers are recommendations to prevent the double burden (low birth weight and macrosomia) and associated short and long-term consequences.
机译：背景技术婴儿出生体重分为低出生体重，正常出生体重和巨大儿，与短期和长期健康后果（例如新生儿死亡率和生活中的慢性疾病）相关。巨大儿和低出生体重是埃塞俄比亚等发展中县的双重负担问题，但是由于缺乏证据，很难评估这种情况的严重性。结果，在埃塞俄比亚，低出生体重和巨大儿的患病率据报道不一致。这项研究的目的是确定埃塞俄比亚北部提格里低出生体重和巨大儿的发生率和预测因素。方法我们对2014年4月至2014年7月间在随机抽取的医院中提格雷地区分娩的1152例新生儿进行了横断面调查。我们使用先前描述的出生体重类别作为结果变量。助产士使用结构化问卷收集数据。我们使用STATA输入并分析了数据？ 11.0版。使用频率，百分比，相对风险比和95％置信区间描述数据。进行了多项逻辑回归分析，以识别出低出生体重和巨大儿的独立预测因素。结果在这项研究中，我们发现低出生体重和巨大儿的发生率分别为10.5％和6.68％。所有低出生体重的新生儿中有七十名（57.8％）为足月儿。低出生体重的预测因素有：早婚（结论：在本研究中，我们发现胎龄和性别是低出生体重和巨大儿的常见危险因素。加强产前随访，预防早产和产后，建议控制体重指数，改善母亲的社会经济地位，以防止双重负担（低出生体重和巨大儿）和相关的短期和长期后果。

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