Evidence map›Paper›PMID 35382792›Full record

ArticleBMC pregnancy and childbirth2022

Antenatal care attendance and low birth weight of institutional births in sub-Saharan Africa.

Alirah Emmanuel Weyori, Abdul-Aziz Seidu, Richard Gyan Aboagye, Francis Arthur- Holmes, Joshua Okyere, Bright Opoku Ahinkorah

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Article in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

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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

35 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

6 authors.

Alirah Emmanuel WeyoriInstitute of Development and Agricultural Economics, Leibniz Universitat Hannover, Hannover, Germany.
Abdul-Aziz SeiduDepartment of Real Estate Management, Faculty of Build and Natural Environment, Takoradi Technical University, Takoradi, Ghana.
Richard Gyan AboagyeDepartment of Family and Community Health, School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.
Francis Arthur- HolmesDepartment of Sociology and Social Policy, Lingnan University, TuenMun, 8 Castle Peak Road, Tuen Mun, Hong Kong.
Joshua OkyereDepartment of Population and Health, University of Cape Coast, Cape Coast, Ghana. joshuaokyere54@gmail.com.
Bright Opoku AhinkorahSchool of Public Health, Faculty of Health, University of Technology Sydney, Sydney, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow birth weight (LBW) remains a major health problem that affects newborns worldwide. However, there has been growing evidence that antenatal care (ANC) is associated with LBW. Yet, there is a dearth of research investigating the association between ANC attendance and LBW in sub-Saharan Africa (SSA). This study examined the association between the number of ANC visits and LBW using data from 10 sub-Saharan African countries.

methodsThis study pooled data from the recent Demographic and Health Survey (DHS) of 10 sub-Saharan African countries conducted from 2018 to 2020. A total of 33,585 women aged 15-49 who had live births in the five years preceding the survey were included in this study. Bivariable and multivariable multilevel regression models were fitted to show the association between the number of ANC visits and LBW. Crude odds ratio (cOR) and adjusted odds ratio (aOR) at 95% confidence intervals (CIs) were used in presenting the results of the regression analysis.

resultsThe pooled prevalence of LBW was 5.7%. The highest prevalence of LBW was recorded in Gambia (7.2%) with the lowest found in Sierra Leone (2.9%). In terms of eight or more ANC visits, the overall prevalence was 14.5%. Nigeria had the highest prevalence of eight or more ANC visits (43.5%) with the lowest in Rwanda (0.2%). We found a statistically significant association between the number of ANC visits and LBW. Mothers who had eight or more ANC visits were less likely to have LBW children compared to mothers who had less than eight ANC visits [cOR = 0.66; CI = 0.55 - 0.79] and this persisted after controlling for the covariates [aOR = 0.68; CI = 0.56 - 0.82]. Covariates associated with LBW were maternal age, marital status, level of education, age of child, and wealth index.

conclusionThis study has shown a statistically significant association between ANC and LBW in SSA, with women who had eight or more ANC visits being at lower risks of giving birth to children with LBW. We found that eight or more ANC attendance was a protective factor against LBW in SSA. Therefore, it is important for sub-Saharan African countries with low prevalence of eight or more ANC attendance and high LBW prevalence to channel their efforts towards promoting more ANC attendance.

Indexed as

Infant, Low Birth WeightPrenatal CareAdolescentAdultAfrica South of the SaharaChildFemaleHumansInfant, NewbornMiddle AgedMothersParturitionPregnancyYoung AdultAntenatal careInstitutional birthsLow birth weightSub-Saharan African countries

Identifiers

PMID35382792
PMCPMC8985289

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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.