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Predictors of low birth weight and preterm birth in rural Uganda: Findings from a birth cohort study

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Listed:
  • Jorick Bater
  • Jacqueline M Lauer
  • Shibani Ghosh
  • Patrick Webb
  • Edgar Agaba
  • Bernard Bashaasha
  • Florence M Turyashemererwa
  • Robin Shrestha
  • Christopher P Duggan

Abstract

Background: Approximately 20.5 million infants were born weighing 150 cm) (adjusted Odds Ratio (aOR) = 0.42 (95% CI = 0.24, 0.72)), multigravida (aOR = 0.62 (95% CI = 0.39, 0.97)), or with adequate birth spacing (>24 months) (aOR = 0.60 (95% CI = 0.39, 0.92)) had lower odds of delivering a LBW infant Mothers with severe household food insecurity (aOR = 1.84 (95% CI = 1.22, 2.79)) or who tested positive for malaria during pregnancy (aOR = 2.06 (95% CI = 1.10, 3.85)) had higher odds of delivering a LBW infant. In addition, in multivariable analysis, mothers who resided in the Southwest (aOR = 0.64 (95% CI = 0.54, 0.76)), were ≥20 years old (aOR = 0.76 (95% CI = 0.61, 0.94)), with adequate birth spacing (aOR = 0.76 (95% CI = 0.63, 0.93)), or attended ≥4 antenatal care (ANC) visits (aOR = 0.56 (95% CI = 0.47, 0.67)) had lower odds of delivering a preterm infant; mothers who were neither married nor cohabitating (aOR = 1.42 (95% CI = 1.00, 2.00)) or delivered at home (aOR = 1.25 (95% CI = 1.04, 1.51)) had higher odds. Conclusions: In rural Uganda, severe household food insecurity, adolescent pregnancy, inadequate birth spacing, malaria infection, suboptimal ANC attendance, and home delivery represent modifiable risk factors associated with higher rates of LBW and/or preterm birth. Future studies on interventions to address these risk factors may be warranted.

Suggested Citation

  • Jorick Bater & Jacqueline M Lauer & Shibani Ghosh & Patrick Webb & Edgar Agaba & Bernard Bashaasha & Florence M Turyashemererwa & Robin Shrestha & Christopher P Duggan, 2020. "Predictors of low birth weight and preterm birth in rural Uganda: Findings from a birth cohort study," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-16, July.
    • Handle: RePEc:plo:pone00:0235626
    DOI: 10.1371/journal.pone.0235626
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    1. Tanya Marchant & Barbara Willey & Joanne Katz & Siân Clarke & Simon Kariuki & Feiko ter Kuile & John Lusingu & Richard Ndyomugyenyi & Christentze Schmiegelow & Deborah Watson-Jones & Joanna Armstrong , 2012. "Neonatal Mortality Risk Associated with Preterm Birth in East Africa, Adjusted by Weight for Gestational Age: Individual Participant Level Meta-Analysis," PLOS Medicine, Public Library of Science, vol. 9(8), pages 1-13, August.
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