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Journal of Tropical Pediatrics Advance Access originally published online on December 21, 2007
Journal of Tropical Pediatrics 2008 54(3):202-204; doi:10.1093/tropej/fmm110
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© The Author [2007]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Brief Reports

Low Body Mass Index, Anaemia and Poor Perinatal Outcome in a Rural Hospital in Eastern Sudan

Ishag Adama, Saud Babikerb, Ahmed A. Mohmmedc, Magdi M. Salihd, Martin H. Prinse and Zaki M. Zakia

aFaculty of Medicine, University of Khartoum, Khartoum, Sudan
bFaculty of Medical Technical Sciences, Alzaiem Alazharai University, Sudan
cFaculty of Medicine, Ribat University, Sudan
dFaculty of Medical laboratory Sciences, University of Khartoum, Khartoum, Sudan
eDepartment of Epidemiology, Care and Public Health Research Institute, University of Maastricht, The Netherlands

Correspondence: Ishag Adam, Department of Obstetrics & Gynecology, Faculty of Medicine University of Khartoum, Khartoum, Sudan. Tel. +249 912168988. Fax: +249183224799. E-mail: <ishagadam{at}hotmail.com>.


   Abstract

Background: The first step in improving early neonatal survival is to document rate of these deaths, identify the common causes. Objectives: the study was conducted at New Halfa hospital, eastern Sudan to investigate the prevalence and possible risk factors for a poor perinatal outcome, mainly low birth weight (LBW), APGAR score <5 at 1 min, fetal anaemia and perinatal mortality. Results: LBW occurred in 15.3%, the perinatal death was 9.2%. Maternal low body mass index (BMI) was significantly associated with LBW (OR = 1.8, 95% CI = 1.0–3.2; p = 0.02), which was a risk factor for APGAR score <5 at 1 min (OR = 11.5, 95% CI = 5.9–22.5; p < 0.001) and perinatal mortality (OR = 6.5, 95% CI = 2.9–14.8, p < 0.00001). Maternal anaemia was a risk factor for fetal anaemia (OR = 2.1, 95% CI = 1.4–3.1; p < 0.001). Conclusion: More attention to maternal nutrition and in an attempt to prevent anaemia may lead to improvement in the perinatal outcome.

Key Words: Anaemia • malaria • pregnancy • BMI • perinatal • Sudan


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