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. 2008 Jun;54(3):202-4.
doi: 10.1093/tropej/fmm110. Epub 2007 Dec 21.

Low body mass index, anaemia and poor perinatal outcome in a rural hospital in eastern Sudan

Ishag Adam  1 , Saud Babiker, Ahmed A Mohmmed, Magdi M Salih, Martin H Prins, Zaki M Zaki
Affiliations

Low body mass index, anaemia and poor perinatal outcome in a rural hospital in eastern Sudan

Ishag Adam et al. J Trop Pediatr. 2008 Jun.

Abstract

Background: The first step in improving early neonatal survival is to document rate of these deaths, identify the common causes.

Objectives: the study was conducted at New Halfa hospital, eastern Sudan to investigate the prevalence and possible risk factors for a poor perinatal outcome, mainly low birth weight (LBW), APGAR score <5 at 1 min, fetal anaemia and perinatal mortality.

Results: LBW occurred in 15.3%, the perinatal death was 9.2%. Maternal low body mass index (BMI) was significantly associated with LBW (OR = 1.8, 95% CI = 1.0-3.2; p = 0.02), which was a risk factor for APGAR score <5 at 1 min (OR = 11.5, 95% CI = 5.9-22.5; p < 0.001) and perinatal mortality (OR = 6.5, 95% CI = 2.9-14.8, p < 0.00001). Maternal anaemia was a risk factor for fetal anaemia (OR = 2.1, 95% CI = 1.4-3.1; p < 0.001).

Conclusion: More attention to maternal nutrition and in an attempt to prevent anaemia may lead to improvement in the perinatal outcome.

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