77,208 research outputs found

    Mood and anxiety disorders in very preterm/very low-birth weight individuals from 6 to 26 years

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    Background Very preterm (<32 weeks’ gestational age; VP) or very low–birth weight (<1,500 g; VLBW) birth has been associated with increased risk for anxiety and mood disorders and less partnering in adulthood. The aim was to test whether (a) VP/VLBW are at increased risk of any anxiety or mood disorders from 6 to 26 years compared with term-born individuals; (b) social support from romantic partners is associated with protection from anxiety and mood disorders; and (c) VP/VLBW adults’ lower social support mediates their risk for any anxiety and mood disorders. Methods Data are from a prospective geographically defined longitudinal whole-population study in South Bavaria (Germany). Two hundred VP/VLBW and 197 term individuals were studied from birth to adulthood. Anxiety and mood disorders were assessed at 6, 8, and 26 years with standardized diagnostic interviews and social support via self-report at age 26. Results At age 6, VP/VLBW children were not at increased risk of any anxiety or mood disorder. At age 8, VP/VLBW more often had any anxiety disorder than term comparisons (11.8% vs. 6.6%, OR = 2.10, 95% CI [1.08–4.10]). VP/VLBW adults had an increased risk for any mood (27.5% vs. 18.8%, OR = 1.65 [1.02–2.67]) but not for any anxiety disorder (33.0% vs. 28.4%, OR = 1.27 [0.82–1.96]). None of the significant differences survived correction for multiple testing. Social support was associated with a lower risk of anxiety or mood disorders in both groups (OR = 0.81 [0.68–0.96]) and mediated the association of VP/VLBW birth with any anxiety or any mood disorders at age 26. Conclusions This study does not show a persistently increased risk for any anxiety or mood disorder after VP/VLBW birth. Low social support from a romantic partner mediates the risk for anxiety or mood disorders after VP/VLBW birth

    Teen Smoking and Birth Outcomes

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    In the U.S. teen mothers are more likely to give birth to low birth weight babies than non-teen mothers. There is also substantial evidence that smoking is a risk factor correlated with low birth weight. Low birth weight is a costly outcome in both the short and long term for parents, children, and society at large. This paper examines the causal link between teen age smoking behavior and low birth weight. We use a variety of empirical techniques including fixed effects and a matching estimator to identify the impact of smoking on babies of teen and non-teen mothers. We find that both OLS and matching estimator results yield large impacts of smoking on birth weight for teens and adults. However, when we control for unobservables through a fixed effects model, the impact of smoking on birth weight is diminished and there are relatively small differences in the impact of smoking on birth weight between teens and non-teens.

    A Correlative Study of An At-Risk Population and Low Birth Weight/Infant Mortality in a Northeast Oklahoma City Community

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    Studies show that numerous and complex variables influence pregnancy outcomes and infant mortality rates. These variables include demographic, medical, physical, environmental, behavioral, and attitudinal factors and prenatal care. Improving the health of mothers and infants is a national challenge. In 1987, more than 3.8 million infants were born in the United States. Of these, 38,408 died before their first birthday. Although the infant mortality rate is at an all-time low, the pace of progress has slowed. According to Dr. Robert Deppen of the Oklahoma State Health Department, In 1992, Oklahoma ranked 29th in the United States for infant mortality and 21st for low birth weight. For that year there were 404 infant deaths (White - 297, Black - 79, Indian - 24, Other - 3, and no race given - 1 ) - Very low birth weight is considered under 1500g. The total number of births for 1993 was 46,165. Births for the Caucasian race numbered 36,010. Of those, 334 infants exhibited very low birth weight, and 1,861 had low birth weight. The total number of African American births was 4,923. Of those, 148 had very low birth weight and 457 low birth weight. Indian births totaled 4,412; of those, 30 had very low birth weight, and 191 low birth weight. The number of Indian infant deaths recorded is falsely low because Indians are considered white. Infants of other races totaled 737; of those 7 had very low birth weight, 35 low birth weight. A total of eighty-three infants were born for which the race was not recorded, and of those, none had very low birth weight, and 2 had low birth weight. The total number of births to teens (under 20 years old) was 7,800. Of that number, 111 had very low birth weight and 542 low birth weight. Even though the number of low birth weight infants is an all time low, there continues to be a problem. The literature reveals that certain risk factors correlate with low birth weight. These risk factors all relate to the lifestyle of the mother-to-be. The purpose of this study is to determine how many women participating in this study from a given area in which disadvantaged individuals who have low income live are at risk for giving birth to a low birth weight infant

    Parity and Risk of Low Birth Weight Infant in Full Term Pregnancy

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    Latar belakang: Berat badan lahir rendah meningkatkan morbiditas dan mortalitas pada bayi baru lahir. Hasil Riskesdas 2010 dan 2013 menunjukkan penurunan angka prevalensi berat badan lahir rendah dari 11,1% menjadi 10,2%. Tujuan penelitian ini adalah mengidentifikasi faktor risiko yang berkaitan dengan kejadian berat badan lahir rendah pada kehamilan cukup bulan. Metode: Penelitian potong lintang di dua rumah sakit di Jakarta dengan menggunakan data sekunder. Data rekam medik wanita yang melahirkan pada periode 1 Januari sampai 31 Desember 2011 dipilih secara purposif. Berat badan lahir rendah adalah berat badan kurang dari 2500g pada bayi baru lahir. Analisis data dilakukan dengan menggunakan regresi logistik. Hasil: Pada analisis ini didapatkan 2242 subyek yang memenuhi kriteria, dari 4191 subyek. Proporsi berat badan lahir rendah adalah 9,5%. Jika dibandingkan dengan primipara, wanita nullipara memiliki risiko melahirkan bayi dengan berat badan lahir rendah 46% lebih tinggi [adjusted odds ratio (ORa) = 1.46; P=0.030]. Selanjutnya, jika dibandingkan dengan bayi laki-laki, bayi perempuan memiliki risiko 42% lebih tinggi mengalami berat lahir rendah (ORa = 1.42; P=0.017) Kesimpulan: Bayi berat badan lahir rendah pada kehamilan cukup bulan lebih sering ditemukan pada wanita nullipara dan bayi perempuan. Kata kunci: paritas, jenis kelamin bayi, berat badan lahir rendahBackground: Low birth weight infants tend to increase the occurence of early infant mortality and morbidity. The survey in Indonesia suggested that the prevalence of low birth weight declined from 11.1% in 2010 to 10.2% in 2013. This study aims to identify the risk factors of low birth weight infant in full term pregnancy. Methods: This was a cross-sectional study using secondary data from two hospitals in Jakarta. The data was obtained from medical records of pregnant women who gave birth during the period of January 1 to December 31, 2011. Multivariat logistic regression model with stepwise method was used to analyze the risks of low birth weight. Results: The sample size in this study was 4191 subjects. Out of them 2242 subjects met the inclusion criteria. The proportion of low birth weight was 9.5%. Compared with primipara, nullipara had 46 % increased risk to have LBW infant (ORa = 1.46; P=0.030), meanwhile primipara and nullipara did not have significant difference for having LBW infants (ORa = 0.90; P=0.614). In term of sex of infants, female infant had 42% higher risk of having LBW infant compared with male infant (ORa = 1.42; P=0.017). Conclusion : Low birth weight infants in full term pregnancies are more common in nullipara and most of the LBW infants are femal

    Relationship between breast feeding and obesity in children with low birth weight

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    Background: Breast feeding appears to play a role in determining obesity and abdominal obesity during childhood, specifically in children with a history of low birth weight. Objective: The purpose of this study is to investigate the relation of breast-feeding with either of abdominal obesity and obesity among Iranian school children. Materials and Methods: A total of 1184 students (625 girls and 559 boys), aged 10 to 13 years old, were selected from 112 governmental elementary schools in Iran. Height, weight, waist circumference and blood pressure were measured using standard instruments and a pretested standardized questionnaire was performed for compiling information about family economics and educational level, first–degree family history of obesity, history of breast feeding, food pattern and birth weight, as well. Results: 13.68% (n = 160) of students had a history of low birth weight, and 26.41% of them had abdominal obesity. Of all participants, 22.04% were overweight and 5.32% were obese which was more prevalent in girls than in boys (P = 0.03). First-degree family history of obesity (P = 0.001), excessive gestational weight gain (P = 0.001) and birth weight (P = 0.01) were significantly correlated with the prevalence of obesity and abdominal obesity during childhood. Moreover the prevalence of abdominal obesity in children with low birth weight was significantly correlated with breast feeding (P = 0.04); But this relation was not significantly about obesity in our participants (P = 0.9). Furthermore duration of breast feeding was significantly and inversely correlated with obesity and abdominal obesity in schoolchildren with low birth weight (P = 0.01). Conclusions: The results suggest that Breast feeding and its long-term consequences were important factors for preventing metabolic syndrome criteria in childhood and later years of life span. With regard to the increasing prevalence of obesity in children, more research is urgently needed to clarify whether breast feeding have negative consequences for the risk of chronic disease in children, especially in children with low birth weight


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    Low Birth Weight (LBW) was a condition when a baby was born less than 2500 grams. LBW was one of the causes of neonatal death. The percentage of LBW in Yogyakarta City started from 2013 to 2015 increased from 5.2% to 6.45%. LBW was caused by multi factors. One of the factors was the maternal factor. To investigate the relationship between maternal characteristics which included maternal age, parity, spacing, disease, maternal education, and third trimester Hemoglobin (Hb) concentration with the incident of LBW. This research was an analytical survey and used cross sectional design. Purposive sampling was used as the sampling technique and the subjects of this research were 155 delivering mothers at Yogyakarta City Public Hospital in 2016. The data were collected from medical record in 2016 which had been adjusted with inclusion and exclusion criteria. The data were analyzed using Logistic Regression. There was a significant correlation between maternal age (p = 0,022), parity (p = 0,015), and third trimester Hb (p = 0,008) with incident of LBW. There was no statistically significant relationship between birth spacing (p = 0.328), maternal disease (p = 0.801), and maternal education (p = 0.802) with LBW incidence. The conclusion of this research was mother's age 35, parity 1 or ≥4, and third trimester Hemoglobin (Hb) concentration <11 gr/dL was correlated with LBW. There was a significant correlation between maternal age, parity, and third trimester Hb and LBW. Hb levels in the third trimester are the factors that most influence the occurrence of LBW. Keywords: Low Birth Weight, Maternal Characteristics