Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Jul 25;14(1):17139.
doi: 10.1038/s41598-024-66856-7.

Time to adequate weight gain and predictors among low-birth-weight preterm neonates at Neonatal Intensive Care Unit of hospitals in Bahir-Dar

Dagnew Tigabu  1 , Hailemariam Gezie  2 , Fekadie Dagnew Baye  3 , Shiferaw Birhanu  4 , Hailemariam Mekonnen Workie  4
Affiliations

Time to adequate weight gain and predictors among low-birth-weight preterm neonates at Neonatal Intensive Care Unit of hospitals in Bahir-Dar

Dagnew Tigabu et al. Sci Rep. .

Abstract

Weight gain in low birth-weight babies remains a challenge to the management of the neonatal period in low and middle-income countries like Ethiopia. Therefore, this study aimed to determine the time to adequate weight gain and its predictors among low-birth-weight preterm neonates admitted to neonatal intensive care unit of public hospitals in Bahir Dar City. An institution-based retrospective follow-up study was conducted from March 4 to April 3, 2023, using three years of data. About 344 low-birth-weight preterm babies were recruited and followed up until 28 days of age. Model goodness-of-fit was checked by Cox Snell residuals test. The Cox-Proportional Hazards Model was used to assess predictors of weight gain with a statistically significant level of P-value < 0.05. The median weight gain time was 15 days with an overall incidence density rate of 6.3 per 100 person-day of observation (95% CI 0.055, 0.071). Absence of medical problems of mothers (AHR: 1.63, 95% CI 1.015, 4.614), spontaneous vaginal mode of delivery (AHR: 1.53, 95% CI 1.028, 2.593), and long duration of labor (AHR: 3.18, 95% CI 1.579, 6.413) were significant predictors. The time of adequate weight gain was long. Early detection and management of significant predictors is recommended.

Keywords: Adequate weight gain; Low birth weight; Neonatal intensive care unit; Preterm neonates.

PubMed Disclaimer

Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
The outcome (weight gain) status of low-birth-weight preterm neonates admitted to the NICU of public hospitals in Bahir Dar city during the follow-up period, northwest Ethiopia, 2023.
Figure 2
Figure 2
The Kaplan–Meier survival estimates of time to adequate weight gain and predictors among admit low-birth-weight preterm neonate admitted to the NICU of public hospitals in Bahir Dar-city, northwest Ethiopia, 2023.
Figure 3
Figure 3
Cox Snell residual test to the goodness of fit of Cox proportional hazard model among low-birth-weight preterm neonates admitted to the NICU of public hospitals in Bahir Dar city, northwest Ethiopia, 2023.
See this image and copyright information in PMC

References

    1. Khandre, V., Potdar, J. & Keerti, A. Preterm birth: An overview. Cureus.14(12), 10–15 (2022). - PMC - PubMed
    1. Luther, V. S. E. E. Suman, V. & Luther, E. E. Preterm Labor. [Updated 2023 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from https//www.ncbi.nlm.nih.gov/books/NBK536939/. 2023.
    1. Smid, M. C., Stringer, E. M. & Stringer, J. S. A. A worldwide epidemic: The problem and challenges of preterm birth in low- and middle-income countries. Vol. 33, American Journal of Perinatology. Thieme Medical Publishers, Inc.; 2016. p. 276–89. - PubMed
    1. Tudehope, D. I. Human milk and the nutritional needs of preterm infants. J. Pediatrics. 2013. - PubMed
    1. Steward, D. K. Growth outcomes of preterm infants in the neonatal intensive care unit: Long-term considerations. Newborn Infant. Nurs. Rev.12(4), 214–220 (2012). 10.1053/j.nainr.2012.09.009 - DOI

LinkOut - more resources