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The epidemic characteristics of low birth weight and its influencing factors in Changsha from 2018 to 2021 |
ZHANG Aiping1, FAN Jing1, HUANG Zhi2, WANG Jinlian1, TAN Xia1, LI Weifang1, SU Xian1, WANG Tuanmei1 |
1. Changsha Maternal and Child Health Hospital Changsha, 410007, China; 2. Hunan University of Medicine, Huaihua 418000, China |
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Abstract Objective To analyze the incidence and influencing factors of the low birth weight in Changsha from 2018 to 2021, which provide evidences for making precision intervention measures. Methods 17506 live births who delivered in Changsha maternal and child health hospital from 2018 to 2021 were selected as the participants. The multivariate logistic regression analysis was used to explore the influencing factors of the low birth weight. Results The incidence of low birth weight of newborns in Changsha was 4.08 % from 2018 to 2021. The results of multivariate logistic regression analysis showed that pregnant woman with risk factors during initial diagnosis, neonatal growth restriction, preterm birth, multiple births, cesarean section and hip midwifery, birth defects for infants were the risk factors for low birth weight. Preterm birth (OR=75.67, 95%CI 60.38-94.82) , multiple births (OR=14.91, 95%CI 10.46-21.24) , and neonatal growth restriction (OR=11.33, 95%CI 5.09-25.20) were the main the risk factors of low birth weight. Moreover, the parity of mother was twice, the height of mother was higher than 155cm, and the weight of mother before delivery was higher than 60 kg were the protective factor for low birth weight. Conclusion There was a high level incidence of low birth weight in Changsha, which is affected by many factors. It is necessary to strengthen the management of pregnancy care for elderly parturient women and multiple pregnancies, and prevent the high risk factors of fetal growth restriction.
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Received: 26 March 2024
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