MATERNAL SOCIO-DEMOGRAPHIC CHARACTERISTICS AND BIRTH OUTCOMES IN ABUTH SHIKA, ZARIA

Authors

  • Y. A. MUSA
  • A. R. BURBA
  • D. CHIA

DOI:

https://doi.org/10.33003/jaat.2021.0702.042

Abstract

Low birth weight and other birth outcomes are indicators of both present and future morbidity and mortality of every child. The relationship between socio-demographic characteristics of pregnant women and the birth outcomes in ABUTH Shika, Zaria was evaluated in this study. A cross-sectional comparative study involving 103 subjects that had live, singleton births within a 28- 42 weeks’ gestation period was carried out. The incidence of babies born with Low birth weight was 21.4%. Their Maternal socio-demographic characteristics were assessed. The socio-demographic characteristics of the pregnant women in ABUTH Shika, Zaria revealed that 90.29% of the pregnant women were between the age range of 15-34 years, 25.24% had no formal education, 43.68% were full time house wives and 21.36% of them earned less than the minimum wage monthly income. Their nutritional status distribution using MUAC revealed that 0% were severely malnourished 14.6% were moderately malnourished while 85.4% were normal. Correlating socio-demographic characteristics with birth outcome; the household income had a significant association with birth outcome (χ2=37.694, p=0.000) those with lower income were more prone to low birth outcome compared to those with higher income. Strong significant correlation was found between maternal height, weight measurements and MUAC with the birth weight of neonates (r=0.690 p=0.000, r=0.593 p=0.003, and r=0.489, p=0.000) respectively. This study has established that socio-demographic characteristics of pregnant women are major contributors to their birth outcome. Therefore, this study recommends urgent public health interventions that will reduce the incidence of low birth weight through awareness and other programs that will improve both maternal and child health.

References

Adinma, J. I. B., Umeononihu, O. S., and Umeh, M. N. (2017). Maternal Nutrition in Nigeria. Tropical Journal of Obstetrics and Gynaecology, 34(2), 79.

Aparna, J. (2013). Late Teenage Pregnancy and Reproductive Outcomes. Anals of Biol Res, 4(11), 67-9.

Auger, N., Daniel, M., Platt, R. W., Luo, Z. C., Wu, Y., and Choinière, R. (2008). The Joint Influence of Marital Status, Interpregnancy Interval, and Neighborhood On Small for Gestational Age Birth: A Retrospective Cohort Study. BMC Pregnancy and Childbirth, 8(1), 7.

Baye, K. (2017). The Sustainable Development Goals Cannot Be Achieved Without Improving Maternal and Child Nutrition. Journal of public health policy, 38(1), 137-145.

Bhutta, Z. A., Das, J. K., Rizvi, A., Gaffey, M. F., Walker, N., Horton, S., ... and Maternal and Child Nutrition Study Group. (2013). Evidence-Based Interventions for Improvement of Maternal and Child Nutrition: What Can Be Done and At What Cost? The lancet, 382(9890), 452-477.

Bhutta, Z. A., Darmstadt, G. L., Hasan, B. S., and Haws, R. A. (2005). Community-Based Interventions for Improving Perinatal and Neonatal Health Outcomes in Developing Countries: A Review of the Evidence. Pediatrics, 115(Supplement 2), 519-617.

Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., De Onis, M., and Uauy, R. (2013). Maternal and Child Undernutrition and Overweight in Low-Income and Middle-Income Countries. The Lancet, 382(9890), 427-451.

Corgill Bruce. (2003). Anthropometry Indicator Measurement Guide. Washington DC: Food and nutrition Technical Assistance (FANTA) Project FHI 36.

Demissie, T., and Kogi-Makau, W. (2017). Food Taboos Among Pregnant Women In Hadiya Zone, Ethiopia. The Ethiopian Journal of Health Development (EJHD), 12(1).

Fareeha S, Rubina H, Fariha Z, Abdul B, and Asher F (2014). Maternal Dietary Intake and Anthropometric Measurements Of Newborns At Birth. Diabetes Journal 7.14-19.

Gluckman, P. D., and Hanson, M. A. (2004). Maternal Constraint of Fetal Growth And Its Consequences. In Seminars In Fetal and Neonatal Medicine (Vol. 9, No. 5, Pp. 419-425). WB Saunders.

He, Z., Bishwajit, G., Yaya, S., Cheng, Z., Zou, D., and Zhou, Y. (2018). Prevalence Of Low Birth Weight And Its Association With Maternal Body Weight Status In Selected Countries In Africa: A Cross-Sectional Study. BMJ open, 8(8), e020410.

Hinkle, S. N., Albert, P. S., Mendola, P., Sjaarda, L. A., Yeung, E., Boghossian, N. S., and Laughon, S. K. (2014). The Association Between Parity And Birthweight In A Longitudinal Consecutive Pregnancy Cohort. Paediatric and perinatal epidemiology, 28(2), 106-115.

Kayode, G. A., Amoakoh-Coleman, M., Agyepong, I. A., Ansah, E., Grobbee, D. E., and Klipstein-Grobusch, K. (2014). Contextual Risk Factors for Low Birth Weight: A Multileve l Analysis. PloS one, 9(10), e109333.

Kominiarek, M. A., and Rajan, P. (2016). Nutrition Recommendations In Pregnancy And Lactation. Medical Clinics, 100(6), 1199-1215.

Mohanty, C., Prasad, R., Srikanth Reddy, A., Ghosh, J. K., Singh, T. B., and Das, B. K. (2005). Maternal Anthropometry as Predictors of Low Birth Weight. Journal of Tropical Pediatrics, 52(1), 24-29.

National Bureau of Statistics (2018). Demographic Statistics Bulletin. Fiscal Statistics Federation Income and Distribution for June, 2016. https://www.nigerianstat.gov.ng/

National Population Commission / ICF Macro (2006). National Demographic Health Survey. Calverton, Maryland USA/Abuja Nigeria and ORC/Macro. Nigeria Abuja, Nigeria.

NDHS, (2013). Nigerian Demographic and Health Survey. Calverton, Maryland USA/Abuja Nigeria and ORC/Macro. Nigeria Abuja, Nigeria.

Rani N., Phuljhele S., and Beck P. (2017). Correlation Between Mid Upper Arm Circumference And Neonatal Anthropometry: International Journal Of Medical Research And Review vol 5, No 07.

Rowe, B. H., Singh, M., Villa-Roel, C., Leiter, L. A., Hramiak, I., Edmonds, M. L., ... & Riley, J. (2015). Acute management and outcomes of patients with diabetes mellitus presenting to Canadian emergency departments with hypoglycemia. Canadian journal of diabetes, 39(1), 55-64.

Shah, P. S. (2010). Parity and Low Birth Weight and Preterm Birth: A Systematic Review and Meta-Analyses. Acta Obstetricia Et Gynecologica Scandinavica, 89(7), 862-875.

Sharma, S. R., Giri, S., Timalsina, U., Bhandari, S. S., Basyal, B., Wagle, K., and Shrestha, L. (2015). Low Birth Weight at Term and Its Determinants In A Tertiary Hospital Of Nepal: A Case-Control Study. PloS one, 10(4), e0123962.

Sommer, C., Sletner, L., Jenum, A. K., Mørkrid, K., Andersen, L. F., Birkeland, K. I., and Mosdøl, A. (2013). Ethnic Differences In Maternal Dietary Patterns Are Largely Explained By Socio-Economic Score And Integration Score: A Population-Based Study. Food & nutrition research, 57(1), 21164.

Stewart, C. P., Katz, J., Khatry, S. K., Leclerq, S. C., Shrestha, S. R., West Jr, K. P., and Christian, P. (2007). Preterm Delivery but Not Intrauterine Growth Retardation Is Associated with Young Maternal Age Among Primiparae In Rural Nepal. Maternal & Child Nutrition, 3(3), 174-185.

Toledano, E., Zussman, N., Frish, R., and Gottlieb, D. (2013). Family Income and Birth Weight.

UNAIDS. Global AIDS update. 2018. http://www.unaids.org/sites/default/files/m edia_asset/miles-to-go_en.pdf.Accessed Jun 6 2021.

Ververs, M. T., Antierens, A., Sackl, A., Staderini, N., and Captier, V. (2013). Which Anthropometric Indicators Identify A Pregnant Woman As Acutely Malnourished And Predict Adverse Birth Outcomes In The Humanitarian Context? PLoS currents, 5.

Wardlaw, T., You, D., Hug, L., Amouzou, A., and Newby, H. (2014). UNICEF Report: Enormous Progress in Child Survival but Greater Focus On Newborns Urgently Needed. Reproductive health, 11(1), 82.

World Health Organization, and Unicef. (2019). WHO Child Growth Standards and the Identification of Severe Acute Malnutrition in Infants and Children: Joint Statement by the World Health Organization and the United Nations Children's Fund.

World Health Organization (2020). Physical Status and Interpretation of Anthropometry. Report of A World Health Organization Expert Committee. Technical Report Series 854. Geneva.

Downloads

Published

2022-06-03