| Low birth weight incidence in Lundu, Sarawak. | |
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MedLine Citation:
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PMID: 8090096 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The overall mean birth weight of the total deliveries (1986-1988) in Lundu Hospital was 2.96 kg. The mean birth weight for the male babies was 2.94 kg. The Chinese babies had a significantly higher mean birth weight (3.12 kg) than the other ethnic groups (p < 0.05). The overall incidence of low birth weight (LBW) in this study was 11.84 per cent. The Chinese again had a lower incidence of LBW of 6.73 per cent compared to Ibans who had the highest incidence of LBW, 13.59 per cent, with the Bidayuhs 12.97 per cent and Malays, 12.45 per cent. It was also noticed that of the 14.9 per cent preterm deliveries, 37.5 per cent were LBW. The very young mothers (15-19 years) and older mothers (> 40 years) seem to have a higher incidence of LBW. Mothers who had medical conditions like anaemia, hypertension, pre-eclampsia also had a higher incidence of LBW when compared to mothers who did not have a medical condition. Special emphasis should be given to mothers who have medical conditions, and to very young and very old mothers during antenatal care, to prevent incidence of LBW. An analysis of all deliveries in Lundu Hospital during 1986-1988 (1088) in western Sarawak, Malaysia, was conducted to examine and compare the incidence of low birth weight (LBW) of the various ethnic groups. Hospital deliveries comprised 58.1% of all deliveries in Lundu district. 40.9%, 33.1%, 16.4%, and 9.5% of deliveries were Bidayuhs, Malays, Chinese, and Ibans, respectively. 11.8% of all hospital deliveries were LBW infants. Only 1.64% of infants weighed less than 2 kg. The incidence of LBW for the Ibans and Bidayuhs was significantly higher than that of the Chinese (13.6%, 12.9%, and 6.7%, respectively; p 0.05). The Chinese had the highest mean birth weight, while the Ibans had the lowest mean birth weight (3.13 vs. 2.89 kg; p 0.05). The overall mean birth weight was 2.96 kg. The incidence of LBW was highest among 15-19 year old mothers (17.5%) and mothers 40 years old and older (15.2-50%). This pattern was the same for all ethnic groups, except for the Ibans. The highest incidence of LBW among Ibans occurred in 25-29 year olds (14.8% vs. 2.5-14.2%). 14.9% of all deliveries were premature deliveries. Premature infants were more likely to have a LBW than term infants (37.5% vs. 8.7%; p 0.05). The 58 mothers who had medical conditions during pregnancy (i.e., preeclampsia, anemia, hypertension, and prepartum hemorrhage) were more likely to have a LBW infant than those who had no such conditions (44.8% vs. 10%; p 0.05). These findings show that prenatal care services should be emphasized among the very young and older mothers who have a medical condition, particularly if they are Iban or Bidayuh. Increased emphasis on these high-risk groups coupled with health education will lower the incidence of LBW in Lundu. |
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Authors:
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H Yadav |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Medical journal of Malaysia Volume: 49 ISSN: 0300-5283 ISO Abbreviation: Med. J. Malaysia Publication Date: 1994 Jun |
Date Detail:
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Created Date: 1994-10-20 Completed Date: 1994-10-20 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0361547 Medline TA: Med J Malaysia Country: MALAYSIA |
Other Details:
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Languages: eng Pagination: 164-8 Citation Subset: IM; J |
Affiliation:
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Medical & Health Services of Johor, Ministry of Health, Johor Baru. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Birth Weight Female Humans Incidence Infant, Low Birth Weight* Infant, Newborn Malaysia / epidemiology Male Maternal Age Middle Aged |
| Comments/Corrections | |
Comment In:
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Med J Malaysia. 1995 Mar;50(1):120
[PMID:
7752969
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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