Low birth weight and prenatal care in Colombia: a cross-sectional study

Ángela María Pinzón-Rondón, Vivian Gutiérrez-Pinzon, Humberto Madriñan-Navia, Jennifer Amin, Paula Aguilera-Otalvaro, Alfonso Hoyos-Martínez

Resultado de la investigación: Contribución a RevistaArtículo

8 Citas (Scopus)

Resumen

BACKGROUND: Low birth weight (LBW) is one of the most important factors affecting child morbidity and mortality worldwide; approximately one third of neonatal deaths are attributable to it. Most research and public health policy on LBW arise from developed nations, despite that most cases (96.5%) take place in developing countries. The specific features of prenatal care that prevent LBW in developing countries are unclear. This study aims to identify the characteristics of prenatal care associated with LBW in a developing country as Colombia.

METHODS: Observational cross-sectional study using data from the Colombian Demographic and Health Survey 2010. A total of 10,692 children were included. Descriptive statistics were calculated, followed by bivariate regressions of LBW with all other study variables. Finally, stepwise logistic binomial regression analyses were done.

RESULTS: A LBW prevalence of 8.7% was found. Quality of prenatal care (95%CI: 0.33, 0.92; OR = 0.55), number of prenatal visits (95%CI: 0.92, 0.93; OR = 0.92), and first prenatal visits during pregnancy (95%CI: 1.02, 1.07; OR = 1.08) were associated with LBW even after controlling for all the studied variables. The health care provider conducting prenatal checkup, and insurance coverage, were not associated with LBW.

CONCLUSION: This research provides information on the characteristics of prenatal care (quality, number of visits, and gestational age at first prenatal visit) which may strengthen LBW prevention in Colombia and possibly in countries with similar socioeconomic characteristics.

Idioma originalEnglish (US)
Páginas (desde-hasta)118
Número de páginas1
PublicaciónBMC Pregnancy and Childbirth
Volumen15
DOI
EstadoPublished - may 20 2015
Publicado de forma externa

Huella dactilar

Prenatal Care
Colombia
Low Birth Weight Infant
Cross-Sectional Studies
Developing Countries
Child Mortality
Insurance Coverage
Quality of Health Care
Public Policy
Health Policy
Research
Developed Countries
Health Personnel
Gestational Age
Public Health
Logistic Models
Regression Analysis
Demography
Morbidity
Pregnancy

Citar esto

Pinzón-Rondón, Á. M., Gutiérrez-Pinzon, V., Madriñan-Navia, H., Amin, J., Aguilera-Otalvaro, P., & Hoyos-Martínez, A. (2015). Low birth weight and prenatal care in Colombia: a cross-sectional study. BMC Pregnancy and Childbirth, 15, 118. https://doi.org/10.1186/s12884-015-0541-0
Pinzón-Rondón, Ángela María ; Gutiérrez-Pinzon, Vivian ; Madriñan-Navia, Humberto ; Amin, Jennifer ; Aguilera-Otalvaro, Paula ; Hoyos-Martínez, Alfonso. / Low birth weight and prenatal care in Colombia : a cross-sectional study. En: BMC Pregnancy and Childbirth. 2015 ; Vol. 15. pp. 118.
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abstract = "BACKGROUND: Low birth weight (LBW) is one of the most important factors affecting child morbidity and mortality worldwide; approximately one third of neonatal deaths are attributable to it. Most research and public health policy on LBW arise from developed nations, despite that most cases (96.5{\%}) take place in developing countries. The specific features of prenatal care that prevent LBW in developing countries are unclear. This study aims to identify the characteristics of prenatal care associated with LBW in a developing country as Colombia.METHODS: Observational cross-sectional study using data from the Colombian Demographic and Health Survey 2010. A total of 10,692 children were included. Descriptive statistics were calculated, followed by bivariate regressions of LBW with all other study variables. Finally, stepwise logistic binomial regression analyses were done.RESULTS: A LBW prevalence of 8.7{\%} was found. Quality of prenatal care (95{\%}CI: 0.33, 0.92; OR = 0.55), number of prenatal visits (95{\%}CI: 0.92, 0.93; OR = 0.92), and first prenatal visits during pregnancy (95{\%}CI: 1.02, 1.07; OR = 1.08) were associated with LBW even after controlling for all the studied variables. The health care provider conducting prenatal checkup, and insurance coverage, were not associated with LBW.CONCLUSION: This research provides information on the characteristics of prenatal care (quality, number of visits, and gestational age at first prenatal visit) which may strengthen LBW prevention in Colombia and possibly in countries with similar socioeconomic characteristics.",
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Pinzón-Rondón, ÁM, Gutiérrez-Pinzon, V, Madriñan-Navia, H, Amin, J, Aguilera-Otalvaro, P & Hoyos-Martínez, A 2015, 'Low birth weight and prenatal care in Colombia: a cross-sectional study', BMC Pregnancy and Childbirth, vol. 15, pp. 118. https://doi.org/10.1186/s12884-015-0541-0

Low birth weight and prenatal care in Colombia : a cross-sectional study. / Pinzón-Rondón, Ángela María; Gutiérrez-Pinzon, Vivian; Madriñan-Navia, Humberto; Amin, Jennifer; Aguilera-Otalvaro, Paula; Hoyos-Martínez, Alfonso.

En: BMC Pregnancy and Childbirth, Vol. 15, 20.05.2015, p. 118.

Resultado de la investigación: Contribución a RevistaArtículo

TY - JOUR

T1 - Low birth weight and prenatal care in Colombia

T2 - a cross-sectional study

AU - Pinzón-Rondón, Ángela María

AU - Gutiérrez-Pinzon, Vivian

AU - Madriñan-Navia, Humberto

AU - Amin, Jennifer

AU - Aguilera-Otalvaro, Paula

AU - Hoyos-Martínez, Alfonso

PY - 2015/5/20

Y1 - 2015/5/20

N2 - BACKGROUND: Low birth weight (LBW) is one of the most important factors affecting child morbidity and mortality worldwide; approximately one third of neonatal deaths are attributable to it. Most research and public health policy on LBW arise from developed nations, despite that most cases (96.5%) take place in developing countries. The specific features of prenatal care that prevent LBW in developing countries are unclear. This study aims to identify the characteristics of prenatal care associated with LBW in a developing country as Colombia.METHODS: Observational cross-sectional study using data from the Colombian Demographic and Health Survey 2010. A total of 10,692 children were included. Descriptive statistics were calculated, followed by bivariate regressions of LBW with all other study variables. Finally, stepwise logistic binomial regression analyses were done.RESULTS: A LBW prevalence of 8.7% was found. Quality of prenatal care (95%CI: 0.33, 0.92; OR = 0.55), number of prenatal visits (95%CI: 0.92, 0.93; OR = 0.92), and first prenatal visits during pregnancy (95%CI: 1.02, 1.07; OR = 1.08) were associated with LBW even after controlling for all the studied variables. The health care provider conducting prenatal checkup, and insurance coverage, were not associated with LBW.CONCLUSION: This research provides information on the characteristics of prenatal care (quality, number of visits, and gestational age at first prenatal visit) which may strengthen LBW prevention in Colombia and possibly in countries with similar socioeconomic characteristics.

AB - BACKGROUND: Low birth weight (LBW) is one of the most important factors affecting child morbidity and mortality worldwide; approximately one third of neonatal deaths are attributable to it. Most research and public health policy on LBW arise from developed nations, despite that most cases (96.5%) take place in developing countries. The specific features of prenatal care that prevent LBW in developing countries are unclear. This study aims to identify the characteristics of prenatal care associated with LBW in a developing country as Colombia.METHODS: Observational cross-sectional study using data from the Colombian Demographic and Health Survey 2010. A total of 10,692 children were included. Descriptive statistics were calculated, followed by bivariate regressions of LBW with all other study variables. Finally, stepwise logistic binomial regression analyses were done.RESULTS: A LBW prevalence of 8.7% was found. Quality of prenatal care (95%CI: 0.33, 0.92; OR = 0.55), number of prenatal visits (95%CI: 0.92, 0.93; OR = 0.92), and first prenatal visits during pregnancy (95%CI: 1.02, 1.07; OR = 1.08) were associated with LBW even after controlling for all the studied variables. The health care provider conducting prenatal checkup, and insurance coverage, were not associated with LBW.CONCLUSION: This research provides information on the characteristics of prenatal care (quality, number of visits, and gestational age at first prenatal visit) which may strengthen LBW prevention in Colombia and possibly in countries with similar socioeconomic characteristics.

U2 - 10.1186/s12884-015-0541-0

DO - 10.1186/s12884-015-0541-0

M3 - Article

C2 - 25989797

VL - 15

SP - 118

JO - BMC Pregnancy and Childbirth

JF - BMC Pregnancy and Childbirth

SN - 1471-2393

ER -

Pinzón-Rondón ÁM, Gutiérrez-Pinzon V, Madriñan-Navia H, Amin J, Aguilera-Otalvaro P, Hoyos-Martínez A. Low birth weight and prenatal care in Colombia: a cross-sectional study. BMC Pregnancy and Childbirth. 2015 may 20;15:118. https://doi.org/10.1186/s12884-015-0541-0