THE RELATIONSHIP BETWEEN SELECTED NEONATAL, MATERRNAL ANTHROPOMETRIC CHARACTERISTICS AND BIRTH WEIGHT AS PREDICTORS OF NEONATAL WELL- BEING, AMONGFULL-TERM SINGLETON BABIES IN KANO STATE NIGERIA
THE RELATIONSHIP BETWEEN SELECTED NEONATAL, MATERRNAL ANTHROPOMETRIC CHARACTERISTICS AND BIRTH WEIGHT AS PREDICTORS OF NEONATAL WELL- BEING, AMONGFULL-TERM SINGLETON BABIES IN KANO STATE NIGERIA
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Date
2021-03
Authors
MODIBBO, Musa Habibu
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Abstract
Neonatal and maternal anthropometric characteristics are fundamental in health
management. Numerous studies have established the relationship between birth weight
and other neonatal and maternal anthropometric parameters. Hospitals in rural (or busy)
settings in many cases lack appropriate tools for the measurement of neonatal as well as
maternal anthropometric parameters. The aim of the study is to evaluate impact of the
relationship between selected neonatal, maternal anthropometric characteristics and
birth weight as predictors of neonatal well- being, among full-term singleton babies in
Kano state nigeria. And (also) to develop appropriate stepwise multiple linear regression
equation models and to determine the cut off values for the select neonatal parameters
that discriminate between low and high birth weight for the urban and rural deliveries in
Kano State, Nigeria. The study involved a total of 1,203 mother-child pair from the
urban and rural hospitals in Kano State. Several selected neonatal anthropometric
parameters such as birth length, hand breadth, thigh circumference among others were
measured. Similarly, maternal anthropometric characteristics such as maternal height,
maternal arm circumference, and symphysio-fundal height together with maternal
haemoglobin, age, parity and educational level were also considered. The entire data
were collected from six hospitals (three from the urban and three from the rural areas).
Data collected were expressed as mean ± SD, independent sample t-test was used to
determine the differences between the variables. Pearson‘s correlation was used in
relating the variables with one another. Binary logistic regression was employed to
determine the effect of maternal characteristics, and Apgar score on the birth weight.
Stepwise multiple linear regression analyses were all carried out to provide models for
predicting birth weight among the neonates. The predictive probabilities for the
variables to discriminate between low and high birth weight were analyzed using ROC
curves. The data analyses were carried out using IBM SPSS version 25.0 statistical
software (Armonk, NY: IBM Corp.), and a P value of < 0.05 was considered
statistically significant. The study found a significant impact of the relationship between
the neonatal and maternal anthropometric characteristics (P < 0.001) on birth weight.
The mean birth weight, mean placental weight, mean value of ponderal index as well as
the placental-birth weight ratio among the neonates were also found to be 3079.30 ±
491.77kg, 526.02 ± 83.09kg, 2.66 ± 0.63 and 17.17 ± 1.73 (1:6) respectively. Among
the maternal anthropometric parameters, the mean maternal height stood at 160.22 ±
5.82cm. Other parameters such as the mean maternal arm circumference, the mean
symphysio-fundal height and the mean maternal haemoglobin level were also
determined as 26.60 ± 3.15cm, 37.46 ± 0.93 cm and 12.18 ± 1.40g/dl respectively.
Furthermore, stepwise multiple linear regression models were formed to ease birth
weight estimation among the neonates in Kano State, Nigeria. In conclusion, the study
has determined the mean values of the select neonatal and maternal anthropometric
characteristics in Kano State, Nigeria. Significant variations exist among the maternal
and the neonatal anthropometric parameters in the urban and rural areas of Kano State.
Stepwise multiple linear regression models were formed for the estimation of birth
weight. Receiver operator characteristic curve was also employed to discriminate
between low and high birth weight.
Description
A DISSERTATION SUBMITTED TO THE SCHOOL OF POSTGRADUATE
STUDIES, AHMADU BELLO UNIVERSITY ZARIA
IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE AWARD
OF PHILOSOPHY DEGREE IN HUMAN ANATOMY
DEPARTMENT OF HUMAN ANATOMY,
FACULTY OF BASIC MEDICAL SCIENCES,
COLLEGE OF MEDICAL SCIENCES,
AHMADU BELLO UNIVERSITY,
ZARIA
Keywords
SELECTED NEONATAL,, MATERRNAL ANTHROPOMETRIC CHARACTERISTICS,, BIRTH WEIGHT,, PREDICTORS OF NEONATAL WELL- BEING,,, AMONGFULL-TERM SINGLETON BABIES,, KANO STATE, NIGERIA