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Assessment of Risk Factors for Low Birth weight of Infants in Zanjan Province Using Quantile Regression Analysis
Ramazan Fallah, Alireza Shoghli, Asghar Marzban, Mansor Sadeghzadeh, Nima Motamed,
Volume 6, Issue 4 (3-2017)
Abstract

Background: Low birth weight is one of the key indicators to assess the health of infants, and appropriate birth weight is one of the most important goals of any health system which also reflects the quality of prenatal care.

Objectives: The present research aimed to study some of the factors associated with low birth weight using quantile regression analysis.

Methods: A cross-sectional study was carried out on 621 infants born weighing less than 2500 grams in the period 2012-2013. The data were collected from the medical records of infants in health care centers of Zanjan Province which were selected based on multi-stage cluster sampling. The obtained data were statistically analyzed using quantile and multiple regression analysis in SAS-9.2.

Results: In this study, 320 infants (51.5%) were female, and the mean age of mothers and the mean weight of infants were 27.1±5.8 years and 2236±299 grams, respectively. The results showed that low birth weight is significantly related to age, educational attainment, and the number of children. In addition, there was a significant relationship between infant weight and maternal age only in the tenth percentile (P=0.007), while such a relationship was not found in the higher percentiles (50 and 90) (P=0.0, 953.585).

Conclusion: Some of the demographics of mothers such as educational attainment and gestational age were influential in the low birth weight of infants. Maternal age and birth weight were not statistically significant in all areas.


Factors Associated With Intraventricular Hemorrhage in Very Low Birth Weight Neonates in Mousavi Hospital in Zanjan in 2012-2013
Asghar Marzban, Saeideh Mazloomzadeh, Sanaz Vorteh Parvar,
Volume 7, Issue 1 (6-2017)
Abstract

Background: Intraventricular hemorrhage (IVH) is one of the most important causes of cognitive and motor disorder in children with very low birth weight  and is associated with high mortality and disability rate.
Objectives: The aim of this study was to determine IVH risk factors in the first days of life in neonates weighing less than 1500g (VLBW) so that the results can contribute  to the improvement of the therapeutic function of the delivery room and ultimately IVH risk prevention.
Methods: This descriptive study was conducted on 110 VLBW neonates who were admitted to the hospital affiliated to Zanjan University of Medical Sciences during the years 2012-2013 Zanjan-Iran.  Parameters including gender, birth weight, birth Apgar, regimens, and type of delivery were recorded in the questionnaire and data analysis  was conducted using Chi-square test in SPSS.
Results: From 110 studied neonates, 21(19%) had IVH, of which 11(52%), 5(23.8%) and 5(23.8%) suffered from Grade I, II and III IVH, respectively. Meanwhile, among the studied variables, recovery steps were taken in the delivery room in the IVH group. The cranial ultrasonography  was carried out for these neonates in the first 72 h of birth  and they were categorized as Grade one to four, based on evidence of brain hemorrhage. There was a significant difference between maternity and infant information and without IVH; but it was not statistically significant.
Conclusion: According to the present study, the recovery process seemed to be a risk factor for the incidence of IVH in neonates; therefore, the health level of neonates can be improved by optimizing the mentioned process and reducing this risk factor.
 


Investigating the Growth, Developmental Status, and Some Social Determinants Related to Children Under Five Years Old who were Referred to Comprehensive Urban Health Centers in Zanjan -2021
Asiyeh Bakeshlou, Masoumeh Namadian, Malihe Javidpoor, Asghar Marzban, Farzane Ahmadi,
Volume 13, Issue 2 (3-2023)
Abstract
Background: Considering the role of the growth and developmental status of children on their adulthood health status, and the effect of some related social determinants, the continuous assessment of these indices is very important.
Objectives: The present study was conducted to investigate the growth, and developmental status of children under five years, and some social factors related to in children referred to Zanjan urban comprehensive health centers in 2021.
Methods: This cross-sectional study was conducted on 397 children less than five years old (4 -60 months) using multi-stage random sampling according to the age and gender of children. The tools used in this study included demographic and social determinants questionnaires, Ages & Stages validated Questionnaires, and calibrated meters and scales to monitor growth and developmental status. The data were analyzed using Spss software 26.
Results: Almost 50% of fathers had a private job and 69.8% of mothers were housewives.  Nearly 34% of mothers and 39% of fathers had an academic higher education degree. The most normal cases of children's development have belonged to the area of gross movements (94.2%) and the least normal cases belonged to the area of delicate movements (90.7%). There was a significant relationship between the variables of father's occupation, father's corporal punishment experience, child's gender, neighborhood (geographical regions), and parents' age with developmental status. Children's growth was also significantly related to the neighborhood (geographical regions) (height: P=0.001, weight: P=0.008, head circumference: P=0.017), but it was not related to other demographic and social determinants. The results of the logistic regression test showed that for every one-year increase in the age of the father or mother, the chance of the child being abnormal in the field of gross movements decreased by 10%.
Conclusion: The neighborhood and physical environment (geographical regions) was the most important common social determinant in children who had a delay in growth or development. This shows the importance of attention, intervention, and more studies on equality and equity in health for areas that are involved with economic problems and poverty cultural issues, parents' knowledge and awareness of parenting methods, which lead to many problems in the growth and developmental status of children, their health and its complications.
 
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