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022 _aeISSN: 1022-9272
028 _b Phone: +255 28 298 3384
028 _b Fax: +255 28 298 3386
028 _b Email: vc@bugando.ac.tz
028 _b Website: www.bugando.ac.tz
040 _bEnglish
_cDLC
041 _aEnglish
100 _aShangwe Ezekiel Kibona
_923505
222 _a Neonatal Outcomes, Low Birth Weight, Tanzania
245 _aImmediate Seven Day Outcomes and Risk Factors of Low Birth Weight Neonates at Referral Hospitals in Mwanza City, Tanzania in October 2020
260 _aMwanza, Tanzania:
_bAfrican Journal of Health Sciences &
_b Catholic University of Health and Allied Sciences [CUHAS – Bugando]
_c2021/9/9
300 _aPages 451-463
490 _vAfrican Journal of Health Sciences Volume 34 Issue 4
520 _aAbstract: Background: Every year more than 20 million neonates worldwide are born with low birth weight (LBW) per year. Ninety-five percent of LBW births occur in developing countries. The aim of this study was to determine Immediate Seven Day Outcomes and Risk Factors of Low Birth Weight Neonates at Referral Hospitals in Mwanza City. Materials and Methods: This was a hospital based observational prospective cohort study of neonates with LBW whom were followed up for seven days in the neonatal wards at referral hospitals in Mwanza city. Maternal social-demographic, newborns clinical data and vitality outcomes were collected. Categorical and continuous variables were summarized and presented in tables or bar charts. Any p-value of < 0.05, at 95% confidence interval was regarded as statistically significant. Results: Total of 200 neonates with median age of 0.8 days at baseline were enrolled. Amongst 148 (74 %) had prolonged hospitalization; due to sickness 88 (59%), and 60 (40%) due to poor weight gain. Whereas, the remaining 42 (21%) were discharged and 10 (5%) died within seven days. Prolonged hospitalization was associated with family income (p-value= <0.001) and place of delivery (p-value = <0.001). Neonatal death was associated with family income (p-value =0.035) and birth weight (p-value = 0.019). Early discharge associated with gestational age at first antenatal visit, family income, mode of delivery, APGAR score at one minute, time interval between delivery and admission and timing of medication initiation. Conclusion:LBW neonates are at high risk of death and prolonged hospitalization due to sickness or due to poor weight gain. Associated factors of these outcomes were family income, place of delivery, birth weight, gestation age during first antenatal visit, mode of delivered and low APGAR score.
700 _a Helena Marco Gemuhay
_923502
700 _aAmbroce Modest Stephen
_946219
700 _aKija Nchambi Malale
_946220
700 _a Tumaini Mhada
_922832
700 _aRose Mjawa Laisser
_923503
700 _a Haruna Ismail Dika
_923504
700 _a Edson Elias Sungwa
_923500
856 _uhttps://www.ajol.info/index.php/ajhs/article/view/214150
942 _2ddc
_cVM
999 _c19786
_d19786