1887
Volume 2012, Issue 2
  • ISSN: 0253-8253
  • E-ISSN: 2227-0426

Abstract

To analyze the association between maternal ethnicity and gestational age with the incidence of low birth weight and intrauterine growth restriction. Prospective, analytic study The study was conducted between March 14th and April 4th 2011 in Women's Hospital HMC. The data was ascertained from the delivery register of labor ward on daily basis using predesigned, structured questionnaire. Data was stratified according to the maternal ethnicity groups and gestational age at birth (term and preterm). The total deliveries during the study period were 890; 35.5% Qatari ( 316) and 64.5% non-Qatari ( 574). The incidence of LBW was 12.36% ( 110). The difference of LBW incidence between Qatari (13.6% 43) and non-Qatari (11.67% 67) groups was non significant (RR 1.17, 95% CI 0.82-1.67,  = 0.401). The same was between non-Qatari sub groups ( < 0.05). The incidence of IUGR was 6% ( 54; 49.09% of LBW). The incidence of IUGR between Qatari (5.7% 18) and non-Qatari (6.27% 36) groups was significant (RR 0.45, 95% CI 0.3-0.6 >0.05).

The incidence of LBW was 7.85% ( 60) in term babies and 39.68% ( 50) in preterm babies. The incidence if IUGR was 3.79% ( 29) in term babies and 19.84% ( 25) in preterm babies. Preterm babies had a five times higher risk of both being LBW (RR 5.05; 95%CI 3.65-6.99;  < 0.001) and IUGR (RR 5.23; 95% CI 3.17-8.62;  < 0.001). The incidence of low birth weight is independent of maternal ethnicity in Qatar. However, the incidence of IUGR is significantly higher among the non-Qatari population. The relative risk of being LBW or IUGR is five times higher in preterm babies. Further in depth studies are indicated.

Loading

Article metrics loading...

/content/journals/10.5339/qmj.2012.2.10
2013-11-01
2019-10-23
Loading full text...

Full text loading...

/deliver/fulltext/qmj/2012/2/qmj.2012.2.10.html?itemId=/content/journals/10.5339/qmj.2012.2.10&mimeType=html&fmt=ahah

References

  1. [1]. Basso   O., , Wilcox   AJ., , Weinberg   CR. . Birth weight and mortality: causality or confounding?.   Am J Epidemiol . 2006; ;164: : 303– 311 .
    [Google Scholar]
  2. [2]. Wilcox   AJ. . On the importance—and the unimportance—of birthweight. . Int J Epidemiol . 2001; ;30: : 1233– 1241 .
    [Google Scholar]
  3. [3]. Europeristat Project. Perinatal Health Report 2008 (www.europeristat.com) accessed July 10, 2011 .
  4. [4]. Kramer   MS. . Determinants of low birth weight: methodological assessment and meta-analysis. . Bull World Health Organ . 1987; ;65: : 663– 737 .
    [Google Scholar]
  5. [5]. Johnston   LB., , Clark   AJ., , Savage   MO. . Genetic factors contributing to birth weight. . Arch Dis Child Fetal Neonatal . 2002; ;86: : F2– F3 .
    [Google Scholar]
  6. [6]. Agency for Healthcare Research and Quality. National Healthcare Disparities Report-2003. Available at: http://www.ahrq.gov/qual/nhdr03/nhdrsum03.htm. (accessed April 6, 2011) .
  7. [7]. Salameh   K., , Rahman   S., , Al Rifai   H., , Masoud   A., , Lutfi   S., , Abdouh   G., , Omar   F., , Khan   Su., , Bener   A. . An analytic study of trends in perinatal and neonatal mortality rates in the State of Qatar over a 30 years period (1977–2007): A comparative study with regional and developed countries. . J Perinatol . 2009; ;29: : 765– 770 .
    [Google Scholar]
  8. [8]. Rahman   S., , Salameh   K., , Bener   A., , El Ansari   W. . Socioeconomic associations of improved maternal, neonatal, and perinatal survival in Qatar. . IJWH . 2010; ;2: : 311– 318 .
    [Google Scholar]
  9. [9]. Parappil   H., , Rahman   S., , Salama   H., , Al Rifai   H., , Parambil   NK., , El Ansari   W. . Outcomes of 28+1 to 32+0 weeks gestation babies in the State of Qatar: Finding facility-based cost effective options for improving the survival of preterm neonates in low income countries. . Int J Enviro Res Public Health . 2010; ;7: : 2526– 2542 .
    [Google Scholar]
  10. [10]. Rajaratnam   JK., , Marcus   JR., , Flaxman   AD. . Neonatal, post neonatal, childhood, and under-5 mortality for 187 countries, 1970–2010: a systematic analysis of progress towards millennium development goal 4. . Lancet . 2010; ;375: : 1988– 2008 .
    [Google Scholar]
  11. [11]. World Health Statistics 2010. World Health Organisation. www.who.int/gho (accessed July 6, 2011) .
  12. [12]. Qatar Statistics Authority www.qsa.gov.qa/QatarCensus/. Accessed July 19, 2011 .
  13. [13]. Low birth weight newborns. World Health Organization. 2008 http://www.who.int/whosis/indicators/compendium/2008/2bwn/en/index.html. Accessed March 20, 2011 .
  14. [14]. Hamad Medical Corporation Annual Health Report 2009. (www.hmc.org.qa. Accessed July 20, 2011) .
  15. [15]. World Health Organization UNICEF. Low birth weight - country regional and global estimates, 2004 (http://whqlibdoc.who.int) (Accessed March 30th 2011) .
  16. [16]. Dawodu   A., , Bener   A., , Koutouby   GA., , Varady   E., , Abdulrazzaq   Y. . Size at birth in a rapidly developing economy: intrauterine growth pattern in UAE infants. . Ann Hum Biol . 2008; ;35: : 615– 623 .
    [Google Scholar]
  17. [17]. The Centers for Disease Control and Prevention, National Vital Statistics Reports. Births: Final data for 2008, Vol. 59 No. 01, December 2010 (http://www.cdc.gov/nchs/data/). Accessed July 20, 2011 .
  18. [18]. Badshah   S., , Masom   L., , Mckelvie   K., , Pane   R., , Lisbos   PJG. . Risk factors for low birth weight in the public-hospitals at Peshawar, NWFP-Pakistan. . BMC Public Health . 2008; ;8: : 197 .
    [Google Scholar]
  19. [19]. Badshah   S., , Masom   L., , Mckelvie   K., , Pane   R., , Lisbos   PJG. . Maternal risk factors in Afghan-refugees compared to Pakistani mothers in Peshawar, NWFP Pakistan. . J Pak Med Assoc . 2011; ;61: : 161– 164 .
    [Google Scholar]
  20. [20]. Musaigar   AO. . Factors associated with birth weight in Bahrain. . J Trop Med Hyg . 1985; ;88: : 31– 36 .
    [Google Scholar]
  21. [21]. Reichman   NE., , Hamilton   ER., , Hummer   RA. . Racial and ethnic disparities in low birth weight among urban unmarried mothers. . Maternal Child Health J . 2008; ;12: : 204– 215 .
    [Google Scholar]
  22. [22]. Lang   JM., , Cohen   A., , Liberman   E. . Risk factors for small-for-gestational-age birth in a preterm population. . Am J Obstet Gynecol . 1992; ;166: : 1374– 1378 .
    [Google Scholar]
  23. [23]. Thompson   JM., , Clark   PM., , Robinson   E., , Becroft   DM., , Pattison   NS., , Glavish   N., , Pryor   JE., , Wild   CJ., , Rees   K., , Mitchell   EA. . Risk factors for small-for-gestational age babies: The Auckland Birth weight Collaborative Study. . J Paediatric Child . 2001; ;37: : 369– 375 .
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journals/10.5339/qmj.2012.2.10
Loading
/content/journals/10.5339/qmj.2012.2.10
Loading

Data & Media loading...

Supplements

Supplementary File 1

  • Article Type: Research Article
Keyword(s): ethnicity , intrauterine growth restriction , low birth weight and Qatar
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error