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Title: Statistical Analysis Of Retroviral (Hiv) Status And Other Maternal Risk Factors Associated With Low Birth Weight And Low Apgar Score Of Infants: Evidence From The Greater Accra Regional Hospital.
Authors: Mettle, F. O.
Doku-Amponsah, K.
Mensah, E. Y. D.
University of Ghana, College of Basic and Applied Sciences, School of Physical and Mathematical Sciences, Department of Statistics
Issue Date: Jun-2015
Publisher: University of Ghana
Abstract: Low birth weight and low Apgar score are major determinants of morbidity, mortality and disability in infancy and childhood. These are very important health indicators, but little is known about their causes among HIV-infected mothers in Ghana. They are also risk factors for long-term impact on health outcomes in adult life. Quantitatively, birth weight and Apgar score of an infant summarizes the morbidity conditions (LBW and LAS), with Apgar score measuring the extent of asphyxia. The study comprised data obtained through personal interviews from mothers in their postpartum at Ridge Hospital, and a secondary data generated from the mother’s antenatal book. The study sought to identify risk factors associated with LBW and LAS. The study encompassed 330 women who delivered at Ridge Hospital between February and March 2015. The prevalence of LBW and LAS at Ridge Hospital were 18.8% and 15.2% respectively. Using logistic regression, the significant risk factors associated with LBW were found to be Retroviral (HIV) status of the mother, Gestational Age, Daily Hours Rested, Frequency of Eating and Type of Cooking Fuel used. The factors that significantly influenced LAS were Retroviral (HIV) status of the mother, Gestational Age and Daily Expenditure. The results have shown that HIV-Positive Mothers are more likely to give birth to a newborn with LBW and LAS. There is also evidence that significant differences exist between the two levels of Retroviral (HIV) status with regards to birth weight and Apgar score using multivariate analysis of variance (MANOVA). Retroviral (HIV) status of the mother was found to be the most important determinant for both LBW and LAS. Therefore, it is recommended that mothers infected with HIV should be made aware so that this knowledge can facilitate early counseling and treatment to prevent LBW and LAS, and the transmission from mother-to-child. Also during pregnancy, antenatal clinic services should be encouraged especially on health education.
Description: Thesis (MPhil.) - University of Ghana, 2015
Appears in Collections:Department of Statistics

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