Reduction in the Prevalence of Low Birth Weight Infants after Implementing of the New Antenatal Program for Pregnant Women at Debaratana Nakorn ratchasima Hospital

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Published: Apr 28, 2023
Keywords:
Low birth weight (LBW) infants Nakorn ratchasima New antenatal program

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Nukun Puisungnoen
Department of Obstetrics and Gynecology, of Debaratana Nakorn ratchasima hospital, Nakorn Ratchasima Province, Thailand, 30280

Abstract

Objective: To access the effectiveness of the new antenatal program for high-risk pregnant women in 2019 by comparing the low birth weight prevalence in 2018 and 2021 at Debaratana Nakorn Ratchasima Hospital in Northeastern Thailand.
Methods: A cross-sectional observational study of pregnant women attending antenatal care (ANC) and giving birth at Debaratana Nakorn Ratchasima Hospital in 2018 and 2021. The study data were collected from medical records about maternal and neonatal outcomes. Data were analyzed by using descriptive statistics. Quantitative data were shown as means, standard deviation, range, median, and qualitative data were expressed as a percent and compare category data using Chi-square or fisher’s exact test
Results 852 cases were enrolled in this study, with 345 cases and 507 cases in 2018 and 2021 respectively. The LBW prevalence was 9.9% in 2018 and 6.3% in 2021, with a lowering of the LBW prevalence (3.5%) (p-value=0.06). A 269 high-risk pregnant women (53.1%) in 2021 had a statistically significant reduction in the LBW prevalence (p-value=0.01). Moreover, regarding the analysis found that the risk factors associated with a lowering of the LBW prevalence in our study were multiparous (p-value=0.04) preterm birth (p-value=0.005) pre-pregnancy weight more than 45 kg (p-value=0.02) pre-pregnancy body mass index 18.5 – 25 kg/m2 (p-value=0.03) poor weight gain (p-value=0.02) no history of previous preterm birth (p-value=0.048)
Conclusions: The new antenatal program in 2019 had a significant impact to decrease LBW incidences in high-risk pregnant women for LBW in our hospital.

Article Details

How to Cite
Puisungnoen, N. (2023). Reduction in the Prevalence of Low Birth Weight Infants after Implementing of the New Antenatal Program for Pregnant Women at Debaratana Nakorn ratchasima Hospital. MEDICAL JOURNAL OF SISAKET SURIN BURIRAM HOSPITALS, 38(1), 143–152. retrieved from https://he02.tci-thaijo.org/index.php/MJSSBH/article/view/261219
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Vol. 38 No. 1 (2023): January - April
Section
Original Articles
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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