poor birth weight recovery among low birth weightpreterm infants following hospital discharge in kampala, uganda可怜的婴儿出生体重低出生weightpreterm复苏也在坎帕拉出院之后,乌干达.pdfVIP

Namiiro et al. BMC Pregnancy and Childbirth 2012, 12:1 /1471-2393/12/1 RESEARCH ARTICLE Open Access Poor birth weight recovery among low birth weight/preterm infants following hospital discharge in Kampala, Uganda 1* 1 2 1,3 Flavia B Namiiro , Jamiir Mugalu , Ryan M McAdams and Grace Ndeezi Abstract Background: Healthy infants typically regain their birth weight by 21 days of age; however, failure to do so may be due to medical, nutritional or environmental factors. Globally, the incidence of low birth weight deliveries is high, but few studies have assessed the postnatal weight changes in this category of infants, especially in Africa. The aim was to determine what proportion of LBW infants had not regained their birth weight by 21 days of age after discharge from the Special Care Unit of Mulago hospital, Kampala. Methods: A cross sectional study was conducted assessing weight recovery of 235 LBW infants attending the Kangaroo Clinic in the Special Care Unit of Mulago Hospital between January and April 2010. Infants aged 21 days with a documented birth weight and whose mothers gave consent to participate were included in the study. Baseline information was collected on demographic characteristics, history on pregnancy, delivery and postnatal outcome through interviews. Pertinent infant information like gestation age, diagnosis and management was obtained from the medical records and summarized in the case report forms. Results: Of the 235 LBW infants, 113 (48.1%) had not regained their birth weight by 21 days. Duration of hospitalization for more than 7 days (AOR: 4.2; 95% CI: 2.3 - 7.6; p value 0.001) and initiation of the first feed after 48 hours (AOR: 1.9; 95% CI 1.1 - 3.4 p value 0.034) were independently associ