Poor birth weight recovery among low birth weightpreterm infants following hospital discharge in Kampala, Uganda 英文参考文献.docVIP
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Poor birth weight recovery among low birth weightpreterm infants following hospital discharge in Kampala, Uganda 英文参考文献
Namiiroetal.BMCPregnancyandChildbirth2012,12:1
/1471-2393/12/1
RESEARCH ARTICLE
OpenAccess
Poorbirthweightrecoveryamonglowbirth
weight/preterminfantsfollowinghospital
dischargeinKampala,Uganda
FlaviaBNamiiro1*,JamiirMugalu1,RyanMMcAdams2andGraceNdeezi1,3
Abstract
Background:Healthyinfantstypicallyregaintheirbirthweightby21daysofage;however,failuretodosomay
beduetomedical,nutritionalorenvironmentalfactors.Globally,theincidenceoflowbirthweightdeliveriesis
high,butfewstudieshaveassessedthepostnatalweightchangesinthiscategoryofinfants,especiallyinAfrica.
TheaimwastodeterminewhatproportionofLBWinfantshadnotregainedtheirbirthweightby21daysofage
afterdischargefromtheSpecialCareUnitofMulagohospital,Kampala.
Methods:Acrosssectionalstudywasconductedassessingweightrecoveryof235LBWinfantsattendingthe
KangarooClinicintheSpecialCareUnitofMulagoHospitalbetweenJanuaryandApril2010.Infantsaged21days
withadocumentedbirthweightandwhosemothersgaveconsenttoparticipatewereincludedinthestudy.
Baselineinformationwascollectedondemographiccharacteristics,historyonpregnancy,deliveryandpostnatal
outcomethroughinterviews.Pertinentinfantinformationlikegestationage,diagnosisandmanagementwas
obtainedfromthemedicalrecordsandsummarizedinthecasereportforms.
Results:Ofthe235LBWinfants,113(48.1%)hadnotregainedtheirbirthweightby21days.Durationof
hospitalizationformorethan7days(AOR:4.2;95%CI:2.3-7.6;pvalue0.001)andinitiationofthefirstfeedafter
48hours(AOR:1.9;95%CI1.1-3.4pvalue0.034)wereindependentlyassociatedwithfailuretoregainbirth
weight.Maternalfactorsandtheinfant’sphysicalexaminationfindingswerenotsignificantlyassociatedwithfailure
toregainbirthweightby21daysofage.
Conclusion:FailuretoregainbirthweightamongLBWinfantsby21daysofageisacommonprobleminMulago
HospitaloccurringinalmosthalfoftheneonatesattendingtheKangarooclinic.Currently,theburdenofmorbidity
inthisgroupofhigh-riskinfantsisundetectedandunaddressedinmanydevelopingcountries.Measuresfor
considerationtoimprovecareoftheseinfantswouldinclude;disc
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