Time to adequate weight gain and predictors among low-birth-weight preterm neonates at Neonatal Intensive Care Unit of hospitals in Bahir-Dar.

Dagnew Tigabu, Hailemariam Gezie, Fekadie Dagnew Baye, Shiferaw Birhanu, Hailemariam Mekonnen Workie

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Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 authors.

Dagnew TigabuDepartment of Pediatric and Child Health Nursing, College of Health Science, Woldia University, Woldia, Ethiopia. tigabudagnew@gmail.com.

Hailemariam GezieDepartment of Emergency and Critical Care Nursing, College of Health Science, Wollo University, Dessie, Ethiopia.

Fekadie Dagnew BayeDepartment of Pediatric and Child Health Nursing, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia.

Shiferaw BirhanuDepartment of Pediatric and Child Health Nursing, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.

Hailemariam Mekonnen WorkieDepartment of Pediatric and Child Health Nursing, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.

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6 · The paper itself

Abstract

Weight gain in low birth-weight babies remains a challenge to the management of the neonatal period in low and middle-income countries like Ethiopia. Therefore, this study aimed to determine the time to adequate weight gain and its predictors among low-birth-weight preterm neonates admitted to neonatal intensive care unit of public hospitals in Bahir Dar City. An institution-based retrospective follow-up study was conducted from March 4 to April 3, 2023, using three years of data. About 344 low-birth-weight preterm babies were recruited and followed up until 28 days of age. Model goodness-of-fit was checked by Cox Snell residuals test. The Cox-Proportional Hazards Model was used to assess predictors of weight gain with a statistically significant level of P-value < 0.05. The median weight gain time was 15 days with an overall incidence density rate of 6.3 per 100 person-day of observation (95% CI 0.055, 0.071). Absence of medical problems of mothers (AHR: 1.63, 95% CI 1.015, 4.614), spontaneous vaginal mode of delivery (AHR: 1.53, 95% CI 1.028, 2.593), and long duration of labor (AHR: 3.18, 95% CI 1.579, 6.413) were significant predictors. The time of adequate weight gain was long. Early detection and management of significant predictors is recommended.

Indexed as

Infant, Low Birth WeightIntensive Care Units, NeonatalWeight GainEthiopiaFemaleHumansInfant, NewbornMaleProportional Hazards ModelsRetrospective StudiesRisk FactorsTimeAdequate weight gainLow birth weightNeonatal intensive care unitPreterm neonates

Identifiers

PMID39060308

DOI10.1038/s41598-024-66856-7

PMCPMC11282294

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