Low Body Mass Index, Anaemia and Poor Perinatal Outcome in a Rural Hospital in Eastern Sudan

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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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