7579-7588
ASSOCIATION OF MATERNAL SOCIODEMOGRAPHIC CHARACTERISTICS AND PREPREGNANCY BIOMETRIC INDICES WITH BIRTH WEIGHT OUTCOME AMONG GHANAIAN WOMEN IN THE KUMASI METROPOLIS
Authors: Samuel Bimpong, Chrissie Stansie Abaidoo *, Atta Kusi Appiah, Joshua Tetteh.
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Background: Maternal sociodemographic characteristics affect birth weight, an important predictor of neonatal morbidity and mortality. Maternal lipid levels during pregnancy have been linked to abnormal birth weight. Notwithstanding, there is lack of data on the maternal sociodemographic characteristics and early maternal lipid levels on birth weight outcomes in Ghana. This study therefore sought to determine the relationship between maternal sociodemographic characteristics, early maternal lipid levels and birth weight outcome among Ghanaian women in the Kumasi Metropolis of Ghana.
Methods: Maternal lipid levels were assessed in the first trimester from 246 pregnant women attending Antenatal Clinic in the Kumasi Metropolis, Ghana, between January 2014 and October 2016. Maternal sociodemographic information was collected through standard medical record forms at first antenatal visit. Pregnancy was tracked till delivery and birth weight measured.
Results: The mean maternal age was 27.42±6.10 years and that of parity was 2.57±1.42. Mean gestational age was 36.60±2.46 weeks. The proportion of study participants decreased from those whose highest education was JHS, no formal education, SHS, primary and then university. The means of maternal pre-pregnancy systolic and diastolic blood pressures were 118.81±25.15 mmHg and 75.04±14.02 mmHg respectively. Both total cholesterol and triglycerides had their respective means and ranges of 4.02±0.09 mmol/L and 1.47±0.05 mmol/L.
Conclusion: The birth weight of neonates of mothers with no formal education was significantly higher compared to mothers with formal education at <95th percentile of pre-pregnancy maternal triglycerides. Mean neonatal birth weight of the Akan mothers was significantly lower than that of the Northerners but higher than their Fante counterparts at <95th percentile of pre-pregnancy maternal total cholesterol level.