Adverse birth outcomes among Orang Asli in Kelantan for years 2018-2020 : the proportions and associated maternal factors

Adverse birth outcomes refer to serious events that occurred to infants accompanying their birth and has the potential to impact their later life as well as the mothers. Adverse birth outcome includes low birth weight, preterm birth, stillbirth, early neonatal death and macrosomia. This secondary da...

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Main Author:	Khan, Erwan Ershad Ahmad
Format:	Thesis
Language:	English
Published:	2021
Subjects:	R Medicine
Online Access:	http://eprints.usm.my/52182/1/Erwan%20Ershad%20Ahmad%20Khan-24%20pages.pdf
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id	my-usm-ep.52182
record_format	uketd_dc
spelling	my-usm-ep.521822022-04-05T02:51:54Z Adverse birth outcomes among Orang Asli in Kelantan for years 2018-2020 : the proportions and associated maternal factors 2021-08 Khan, Erwan Ershad Ahmad R Medicine Adverse birth outcomes refer to serious events that occurred to infants accompanying their birth and has the potential to impact their later life as well as the mothers. Adverse birth outcome includes low birth weight, preterm birth, stillbirth, early neonatal death and macrosomia. This secondary data record review study aimed to measure the proportions of adverse birth outcomes and maternal factors associated with low birth weight among Orang Asli infants in Kelantan for years 2018 - 2020. This study utilised data from the birth registry, death registry and antenatal records. Proportionate stratified random sampling was done to select 327 samples from five antenatal centres involved with Orang Asli. Multiple logistic regression analysis was used to determine maternal factors associated with low birth weight among Orang Asli infants. The proportions of adverse birth outcomes were as follows: low birth weight is at 16.2%, preterm birth at 7.3%, stillbirth at 0.6%, early neonatal death at 0.6% and macrosomia at 0.9%. A total of 26.6% of primiparous mothers, 20.8% of mothers with anaemia in pregnancy and 41.7% of mothers with hypertension had low birth weight infants. Maternal factors associated with low birth weight infants include primiparity (AdjOR: 2.88, 95% CI: 1.44, 5.78), anaemia in pregnancy (AdjOR: 2.33, 95% CI: 1.18, 4.61) and hypertension (AdjOR: 4.21 95% CI: 1.23, 14.44). In conclusion, the proportions of adverse birth outcomes especially low birth weight among Orang Asli in Kelantan is higher than the general population and comparable to other indigenous groups from other parts of the world. Explicit preventive measures against low birth weight and its determining factors and the development of practical and focused strategies should be adopted by the stakeholders to reduce the proportions of low birth weight among Orang Asli. 2021-08 Thesis http://eprints.usm.my/52182/ http://eprints.usm.my/52182/1/Erwan%20Ershad%20Ahmad%20Khan-24%20pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	R Medicine
spellingShingle	R Medicine Khan, Erwan Ershad Ahmad Adverse birth outcomes among Orang Asli in Kelantan for years 2018-2020 : the proportions and associated maternal factors
description	Adverse birth outcomes refer to serious events that occurred to infants accompanying their birth and has the potential to impact their later life as well as the mothers. Adverse birth outcome includes low birth weight, preterm birth, stillbirth, early neonatal death and macrosomia. This secondary data record review study aimed to measure the proportions of adverse birth outcomes and maternal factors associated with low birth weight among Orang Asli infants in Kelantan for years 2018 - 2020. This study utilised data from the birth registry, death registry and antenatal records. Proportionate stratified random sampling was done to select 327 samples from five antenatal centres involved with Orang Asli. Multiple logistic regression analysis was used to determine maternal factors associated with low birth weight among Orang Asli infants. The proportions of adverse birth outcomes were as follows: low birth weight is at 16.2%, preterm birth at 7.3%, stillbirth at 0.6%, early neonatal death at 0.6% and macrosomia at 0.9%. A total of 26.6% of primiparous mothers, 20.8% of mothers with anaemia in pregnancy and 41.7% of mothers with hypertension had low birth weight infants. Maternal factors associated with low birth weight infants include primiparity (AdjOR: 2.88, 95% CI: 1.44, 5.78), anaemia in pregnancy (AdjOR: 2.33, 95% CI: 1.18, 4.61) and hypertension (AdjOR: 4.21 95% CI: 1.23, 14.44). In conclusion, the proportions of adverse birth outcomes especially low birth weight among Orang Asli in Kelantan is higher than the general population and comparable to other indigenous groups from other parts of the world. Explicit preventive measures against low birth weight and its determining factors and the development of practical and focused strategies should be adopted by the stakeholders to reduce the proportions of low birth weight among Orang Asli.
format	Thesis
qualification_level	Master's degree
author	Khan, Erwan Ershad Ahmad
author_facet	Khan, Erwan Ershad Ahmad
author_sort	Khan, Erwan Ershad Ahmad
title	Adverse birth outcomes among Orang Asli in Kelantan for years 2018-2020 : the proportions and associated maternal factors
title_short	Adverse birth outcomes among Orang Asli in Kelantan for years 2018-2020 : the proportions and associated maternal factors
title_full	Adverse birth outcomes among Orang Asli in Kelantan for years 2018-2020 : the proportions and associated maternal factors
title_fullStr	Adverse birth outcomes among Orang Asli in Kelantan for years 2018-2020 : the proportions and associated maternal factors
title_full_unstemmed	Adverse birth outcomes among Orang Asli in Kelantan for years 2018-2020 : the proportions and associated maternal factors
title_sort	adverse birth outcomes among orang asli in kelantan for years 2018-2020 : the proportions and associated maternal factors
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2021
url	http://eprints.usm.my/52182/1/Erwan%20Ershad%20Ahmad%20Khan-24%20pages.pdf
_version_	1747822142228004864

Adverse birth outcomes among Orang Asli in Kelantan for years 2018-2020 : the proportions and associated maternal factors

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