TITLE:
Low Birth Weight in Cameroon: Research and Analysis of Factors Associated with Their Occurrence in Douala Maternity Wards
AUTHORS:
Henri Essome, Merlin Boten Bounyom, Astrid Ndolo Kondo, Ingrid Doriane Ofakem Ilick, Charlotte Epossè Ekoube, Rita Bono Betoko, Hassanatou Iyawa, Fulbert Mangala Nkwele, Théophile Nana Njamen, Robert Tchounzou, Alphonse Ngalame Nyong, Charlotte Irène Cyrielle Edjoa Mboe, Moustapha Bilkissou, Junie Ngaha Yaneu, Marga Vanina Ngono Akam, Gervais Mounchikpou Ngouhouo, Grâce Tocki Toutou, Michel Roger Ekono, Nelly Noubi, Pascal Foumane
KEYWORDS:
Newborn, Low Birth Weight, Gestational Age, Douala
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.14 No.5,
May
23,
2024
ABSTRACT: Introduction: Low birth weight (LBW) is defined by the World Health Organization (WHO) as a birth weight strictly below 2500 g, whatever the term of pregnancy. It constitutes a major public health problem, both in developed and developing countries, due to its magnitude and its strong association with infant morbidity and mortality. Main objective was to study the factors associated with the occurrence of small-for-gestational-age newborns in Douala. Methodology: We carried out a cross-sectional analytical study with prospective data collection using a technical pretested sheet in the maternity wards of the Douala General Hospital, the Laquintinie Hospital, and the District hospitals of Deido, Nylon and Bonassama over a period of 4 months (January to April 2020). We were interested in any newborn, born alive, vaginally or by cesarean section, of low weight, seen in the first 24 hours from a full-term single-fetal pregnancy whose mother had given her consent. Our sampling was consecutive and non-exhaustive. We excluded newborns whose term was unclear and those with congenital malformations or signs of embryo-foetopathy. Data collection was done using survey sheets. Statistical analyzes were carried out with CS Pro 7.3 and SPSS version 25.0 software. The Student, Chi-square and Fischer tests were used to compare the means of the variables, the percentages with a significance threshold P value Results: During the study period, 305 full-term newborns were included, divided into 172 boys and 133 girls. The percentage of small-for-gestational-age newborns was 9.8%; after multivariate analysis by logistic regression to eliminate confounding factors, we found maternal factors associated with small for gestational age newborns; maternal age less than 20 years, primiparity, gestational age (37 - 38), a delay in prenatal visits greater than 14 weeks, anemia in pregnancy, positive toxoplasmosis serology in pregnancy, a body mass index of 2 at the start of pregnancy. Conclusion: Our study revealed the potential determinants of low birth weight at term in the Cameroonian urban context and specifically in Douala.