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. 2021 Jan 20;16(1):e0245528.
doi: 10.1371/journal.pone.0245528. eCollection 2021.

Stunting at birth and associated factors among newborns delivered at the University of Gondar Comprehensive Specialized Referral Hospital

Almaz Tefera Gonete  1 , Bogale Kassahun  1 , Eskedar Getie Mekonnen  2 , Wubet Worku Takele  3
Affiliations

Stunting at birth and associated factors among newborns delivered at the University of Gondar Comprehensive Specialized Referral Hospital

Almaz Tefera Gonete et al. PLoS One. .

Abstract

Background: Stunting at birth is a chronic form of undernutrition majorly attributable to poor prenatal nutrition, which could persist in children's later life and impact their physical and cognitive health. Although multiple studies have been conducted in Ethiopia to show the magnitude of stunting and factors, all are concentrated on children aged between 6 to 59 months. Therefore, this study was done to determine the prevalence and associated factors of stunting at birth among newborns delivered at the University of Gondar Comprehensive Specialized Referral Hospital, Northwest, Ethiopia.

Methods: An institution-based cross-sectional study was conducted from February 26th to April 25th/2020. A systematic random sampling technique was used, to select a total of 422 newborn-mother pairs. The binary logistic regression was employed to identify factors associated with stunting and all independent variables were entered into the multivariable logistic regression model to adjust for confounders. Variables that had significant association were identified based on p-value < 0.05 and the adjusted odds ratio with its respective 95% confidence interval was applied to determine the strength as well as the direction of the association.

Results: About 30.5% (95% CI: 26.3%, 35.1%) of newborns were stunted at birth. Being male [Adjusted odds ratio (AOR) = 2.9(1.62, 5.21)], newborns conceived in Kiremt(rainy season) [AOR = 2.7(1.49, 4.97)], being low birth weight [AOR = 3.1(1.64, 6.06)] were factors associated with stunting at birth. Likewise, newborns born to short stature mothers [AOR = 2.8(1.21, 6.62)] and chronically malnourished mothers [AOR = 15.3(8.12, 29.1)] were at greater risk of being stunted.

Conclusion: Just under a third of newborns are stunted at birth, implying a pressing public health problem. Newborns born to chronically malnourished and short stature mothers were more stunted. Besides, stunting was prevalently observed among male neonates, newborns conceived in Kiremet, and being low birth weight. Thus, policymakers and nutrition programmers should work on preventing maternal undernutrition through nutrition education to reduce the burden of low birth weight and stunting. Further, paying due attention to newborns conceived in Kiremet season to improve nutritional status is recommended.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. Birth weight of the newborns.
See this image and copyright information in PMC

References

    1. Sumarmi, S., Maternal short stature and neonatal stunting: an inter-generational cycle of malnutrition. 2016.
    1. Unicef, The state of the world’s children 2013: Children with disabilities. New York: UNICEF, 2013: p. 2013. https://www.unicef.org/publications/index_69379.html
    1. Victora C.G., et al., Worldwide timing of growth faltering: revisiting implications for interventions. Pediatrics, 2010. 125(3): p. e473–e480. 10.1542/peds.2009-1519 - DOI - PubMed
    1. Miller A.C., et al., How consistent are associations between stunting and child development? Evidence from a meta-analysis of associations between stunting and multidimensional child development in fifteen low-and middle-income countries. Public health nutrition, 2016. 19(8): p. 1339–1347. 10.1017/S136898001500227X - DOI - PMC - PubMed
    1. United Nations Children’s Fund (UNICEF), W.H.O., International Bank for Reconstruction and Development/The World Bank. Levels and trends in child malnutrition: Key Findings of the 2020 Edition of the Joint Child Malnutrition Estimates. Geneva: World Health Organization; 2020. Licence: CC BY-NC-SA 3.0 IGO. 2020; https://www.who.int/publications-detail-redirect/jme-2020-edition.

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