Evidence map›Paper›PMID 33109640›Full record

ArticleBMJ open2020

Exploring the association between adverse maternal circumstances and low birth weight in neonates: a nationwide population-based study in Bangladesh.

Md Mostaured Ali Khan, Md Golam Mustagir, Md Rafiqul Islam, Md Sharif Kaikobad, Hafiz Ta Khan

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
6.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

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  16. Factors Associated with Low Birthweight in Low-and-Middle Income Countries in South Asia.International journal of environmental research and public health · 2022
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  20. Pathogens (Basel, Switzerland) · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Md Mostaured Ali KhanDepartment of Population Science and Human Resource Development, University of Rajshahi, Rajshahi 6205, Bangladesh.ORCID 0000-0001-7837-3251
Md Golam MustagirDepartment of Population Science and Human Resource Development, University of Rajshahi, Rajshahi 6205, Bangladesh.
Md Rafiqul IslamDepartment of Population Science and Human Resource Development, University of Rajshahi, Rajshahi 6205, Bangladesh rafique_pops@yahoo.com.
Md Sharif KaikobadDepartment of Population Science and Human Resource Development, University of Rajshahi, Rajshahi 6205, Bangladesh.
Hafiz Ta KhanProfessor of Public Health & Statistics, College of Nursing, Midwifery and Healthcare, University of West London, Brentford TW8 9GB, UK.ORCID 0000-0002-1817-3730
University of Rajshahi · BDUniversity of West London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study is concerned with helping to improve the health and care of newborn babies in Bangladesh by exploring adverse maternal circumstances and assessing whether these are contributing towards low birth weight (LBW) in neonates. STUDY DESIGNS AND SETTINGS: Data were drawn and analysed from the Bangladesh Demographic and Health Survey, 2014. Any association between LBW and adverse maternal circumstances were assessed using a Chi-square test with determinants of LBW identified by multivariate logistic regression analysis.

participantsThe study is based on 4728 children aged below 5 years and born to women from selected households.

resultsThe rate of LBW was around 19.9% (199 per 1000 live births) with the highest level found in the Sylhet region (26.2%). The rate was even higher in rural areas (20.8%) and among illiterate mothers (26.6%). Several adverse maternal circumstances of the women included in the survey were found to be significant for increasing the likelihood of giving birth to LBW babies. These circumstances included the women being underweight (adjusted odds ratio (AOR) 1.26, 95% CI 1.06 to 1.49); having unwanted births (AOR 1.22, 95% CI 1.03 to 1.44); had previous pregnancies terminated (AOR 1.28, 95% CI 1.05 to 1.57); were victims of intimate partner violence (AOR 1.23, 95% CI 1.05 to 1.45) and taking antenatal care <4 times (AOR 1.23, 95% CI 1.03 to 1.48). Other important risk factors that were revealed included age at birth <18 years (AOR 1.42, 95% CI 1.11 to 1.83) and intervals between the number of births <24 months (AOR 1.25, 95% CI 1.01 to 1.55). When taking multiple fertility behaviours together such as, the ages of the women at birth (<18 years with interval <24 months (AOR 1.26, 95% CI 1.02 to 1.57) and birth order (>3 with interval <24 months (AOR 1.68, 95% CI 1.18 to 2.37), then the risk of having LBW babies significantly increased.

conclusionThis study finds that adverse maternal circumstances combined with high-risk fertility behaviours are significantly associated with LBW in neonates. This situation could severely impede progress in Bangladesh towards achieving the sustainable development goal concerned with the healthcare of newborns.

Indexed as

Infant, Low Birth WeightMothersAdolescentBangladeshBirth WeightChildChild, PreschoolFemaleHumansInfantInfant, NewbornPregnancyPrenatal CareRisk Factorscommunity child healthneonatologynutrition

Identifiers

PMID33109640
PMCPMC7592295
OpenAlexW3095376327

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.