Young maternal age is a risk factor for child undernutrition in Tamale Metropolis, Ghana.
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ABSTRACT:
SUBMITTER: Wemakor A
PROVIDER: S-EPMC6288872 | biostudies-other | 2018 Dec
REPOSITORIES: biostudies-other
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Young maternal age is a risk factor for child undernutrition in Tamale Metropolis, Ghana.
Wemakor Anthony A Garti Humphrey H Azongo Thomas T Garti Helene H Atosona Ambrose A
BMC research notes 20181210 1
<h4>Objective</h4>Malnutrition is a common cause of morbidity and mortality in children. The aim of this study was to compare the nutritional status of children under 5 years of teenage and adult mothers in Tamale Metropolis, Ghana. A case-control study involving 300 (150 cases, 150 controls) mother-child pairs was carried out. A questionnaire was used to collect data on socio-demographic characteristics of mothers and children and anthropometry was used to assess the nutritional status of child ...[more]
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Project description:BackgroundOver decades, obstetricians have evaluated a range of risk factors to improve the prediction of adverse birth outcomes.ObjectiveThis study aimed to assess the effectiveness of the Child-Mother Index as a risk factor indicator for selected adverse maternal birth outcomes.Study designWe assessed the Child-Mother Index by multinomial regression models using register-based data containing all singleton births in Denmark in 2009 with a gestational age between 37+0 and 41+6 weeks. The Child-Mother Index is defined as the weight of the newborn divided by the squared maternal height.ResultsData from 47,007 births were included. Both the Child-Mother Index mean and Child-Mother Index median were 12.6 hg/m2 (range, 4.8-22.4). In the multivariable model, the relative risk ratios for Child-Mother Index above 14.1 hg/m2 were 2.2 (95% confidence interval, 1.6-3.1) for third- and fourth-degree perineal tears, 2.0 (1.6-2.5) for nonelective cesarean delivery, and 1.0 (0.8-1.3) for instrumental procedures. Equivalent figures for a Child-Mother Index below 11.2 hg/m2 were 0.6 (0.4-1.0), 1.0 (0.8-1.2), and 0.7 (0.6-0.9), respectively.By comparing a multivariable model with the Child-Mother Index included with a model without the Child-Mother Index included using a likelihood ratio test, a statistically significant difference was found in favor of the Child-Mother Index inclusion (P<.001).ConclusionThe Child-Mother Index constitutes a potential useful risk factor indicator for statistical analyses on data after birth. The value of the Child-Mother Index based on the estimated fetal weight before birth deserves evaluation.
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