Journal article
Prognostic factors associated with small for gestational age babies in a tertiary care hospital of Western Nepal: a cross-sectional study.
- Abstract:
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Background
Small for gestational age (SGA) is common among newborns in low‐income countries like Nepal and has higher immediate mortality and morbidities.
Objectives
To study the prevalence and prognostic factors of SGA babies in Western Nepal.
Methods
A cross‐sectional study (November 2016‐October 2017) was conducted in a tertiary care hospital in Western Nepal. Socio‐demographic, lifestyle factors including diet, and exposures including smoking and household air pollution in mothers who delivered newborns appropriate for gestational age (AGA), SGA and large for gestational age (LGA) were recorded. Logistic regression was carried out to find the odds ratio of prognostic factors after adjusting for potential confounders.
Results
Out of 4000 delivered babies, 77% (n = 3078) were AGA, 20.3% (n = 813) were SGA and 2.7% (n = 109) were LGA. The proportion of female‐SGA was greater in comparison to male‐SGA (n = 427, 52.5% vs n = 386, 47.5%). SGA babies were born to mothers who had term, preterm, and postterm delivery in the following proportions 70.1%, 19.3%, and 10.6%, respectively. The average weight gain (mean ± SD) by mothers in AGA pregnancies was 10.3 ± 2.4 kg, whereas in SGA were 9.3 ± 2.4 kg. In addition to low socioeconomic status (OR 1.9, 95% CI 1.1, 3.2), other prognostic factors associated with SGA were lifestyle factors such as low maternal sleep duration (OR 5.1, CI 3.6, 7.4) and monthly or less frequent meat intake (OR 5.0, CI 3.2, 7.8). Besides smoking (OR 8.8, CI 2.1, 36.3), the other major environmental factor associated with SGA was exposure to household air pollution (OR 5.4, 4.1, 6.9) during pregnancy. Similarly, some of the adverse health conditions associated with a significantly higher risk of SGA were anemia, oligohydramnios, and gestational diabetes.
Conclusions
SGA is common in Western Nepal and associated with several modifiable prognostic factors.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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(Preview, Version of record, 870.5KB, Terms of use)
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- Publisher copy:
- 10.1002/hsr2.250
Authors
- Publisher:
- Wiley Open Access
- Journal:
- Health science reports More from this journal
- Volume:
- 4
- Issue:
- 1
- Article number:
- e250
- Publication date:
- 2021-02-15
- Acceptance date:
- 2021-01-21
- DOI:
- EISSN:
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2398-8835
- ISSN:
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2398-8835
- Pmid:
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33614985
- Language:
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English
- Keywords:
- Pubs id:
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1163951
- Local pid:
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pubs:1163951
- Deposit date:
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2021-04-22
Terms of use
- Copyright holder:
- Chaudhary et al.
- Copyright date:
- 2021
- Rights statement:
- ©2021 The Authors. Health Science Reports published by Wiley Periodicals LLC. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
- Licence:
- CC Attribution (CC BY)
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