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Food insecurity as a risk factor for preterm birth: a prospective facility-based cohort study in rural Haiti

التفاصيل البيبلوغرافية
العنوان: Food insecurity as a risk factor for preterm birth: a prospective facility-based cohort study in rural Haiti
المؤلفون: Christophe Millien, Jean Paul Joseph, Aaron Richterman, Louise C Ivers, Molly F Franke, Maxi Raymonville, Azfar Hossain, Gregory Jerome
المصدر: BMJ Global Health, Vol 5, Iss 7 (2020)
بيانات النشر: BMJ Publishing Group, 2020.
سنة النشر: 2020
المجموعة: LCC:Medicine (General)
LCC:Infectious and parasitic diseases
مصطلحات موضوعية: Medicine (General), R5-920, Infectious and parasitic diseases, RC109-216
الوصف: Introduction Haiti has an estimated neonatal mortality rate of 32/1000 live births, the highest in the Western Hemisphere. Preterm birth and being born small for gestational age (SGA) are major causes of adverse neonatal outcomes worldwide. To reduce preterm birth and infants born SGA, it is important to understand which women are most at risk and how risk varies within countries. There are few studies estimating the prevalence and risk factors for these conditions in Haiti, particularly in rural regions.Methods We conducted a prospective cohort study of pregnant women at a rural tertiary care centre in Haiti from May to December 2017. We collected data during interviews and from the medical record. We built multivariable models to identify risk factors for preterm birth and being born SGA among women who had a facility-based delivery.Results 1089 pregnant women delivered at the hospital and were included in this analysis. Median gestational age at delivery was 38 weeks (IQR 36–40). In multivariable analyses, risk factors for preterm birth included maternal age 34 years (AOR 1.46, 95% CI 1.01 to 2.11) and severe hunger in the household (AOR 1.57, 95% CI 1.09 to 2.26). Risk factors for SGA were age >34 years (AOR 1.76, 95% CI 1.18 to 2.59), twin pregnancy (AOR 3.28, 95% CI 1.20 to 8.95) and first pregnancy (AOR 1.57, 95% CI 1.12 to 2.23). Number of prior abortions was associated with reduced risk for SGA (AOR 0.41, 95% CI 0.17 to 0.97).Conclusions Food insecurity as a risk factor for preterm birth stands out as an important addition to the understanding of the risk of neonatal morbidity and mortality. This association highlights a potentially important intervention target to improve birth outcomes and suggests that food support has an important role to play for pregnant women who are food insecure in low-income settings.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2059-7908
Relation: https://gh.bmj.com/content/5/7/e002341.full; https://doaj.org/toc/2059-7908
DOI: 10.1136/bmjgh-2020-002341
URL الوصول: https://doaj.org/article/a036febfb98a428d83e51bc3d9543060
رقم الأكسشن: edsdoj.036febfb98a428d83e51bc3d9543060
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:20597908
DOI:10.1136/bmjgh-2020-002341