Anthropometric measurements: options for identifying low birth weight newborns in Kumasi, Ghana.

<h4>Background</h4>In Ghana, 32% of deliveries take place outside a health facility, and birth weight is not measured. Low birth weight (LBW) newborns who are at increased risk of death and disability, are not identified; 13%-14% of newborns in Ghana are LBW. We aimed at determining whet...

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Autores principales:	Easmon Otupiri, Priscilla Wobil, Samuel Blay Nguah, Michelle J Hindin
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/f1d2da812e324070a4bffb2ad58d630d
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spelling	oai:doaj.org-article:f1d2da812e324070a4bffb2ad58d630d2021-11-25T06:00:27ZAnthropometric measurements: options for identifying low birth weight newborns in Kumasi, Ghana.1932-620310.1371/journal.pone.0106712https://doaj.org/article/f1d2da812e324070a4bffb2ad58d630d2014-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0106712https://doaj.org/toc/1932-6203<h4>Background</h4>In Ghana, 32% of deliveries take place outside a health facility, and birth weight is not measured. Low birth weight (LBW) newborns who are at increased risk of death and disability, are not identified; 13%-14% of newborns in Ghana are LBW. We aimed at determining whether alternative anthropometrics could be used to identify LBW newborns when weighing scales are not available to measure birth weight.<h4>Methods</h4>We studied 973 mother and newborn pairs at the Komfo Anokye Teaching and the Suntreso Government hospitals between November 2011 and October 2012. We used standard techniques to record anthropometric measurements of newborns within 24 hours of birth; low birth weight was defined as birth weight <2.5 kg. Pearson's correlation coefficient and the area under the curve were used to determine the best predictors of low birth weight. The sensitivity, specificity and predictive values were reported with 95% confidence intervals at generated cut-off values.<h4>Results</h4>One-fifth (21.7%) of newborns weighed less than 2.5 kg. Among LBW newborns, the following measurements had the highest correlations with birth weight: chest circumference (r = 0.69), mid-upper arm circumference (r = 0.68) and calf circumference (r = 0.66); the areas under the curves of these three measurements demonstrated the highest accuracy in determining LBW newborns. Chest, mid-upper arm and calf circumferences at cut-off values of ≤ 29.8 cm, ≤ 9.4 cm and ≤ 9.5 cm respectively, had the best combination of maximum sensitivity, specificity and predictive values for identifying newborns with LBW.<h4>Conclusions</h4>Anthropometric measurements, such as the chest circumference, mid-upper arm circumference and calf circumference, offer an opportunity for the identification of and subsequent support for LBW newborns in settings in Ghana, where birth weights are not measured by standardized weighing scales.Easmon OtupiriPriscilla WobilSamuel Blay NguahMichelle J HindinPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 9, p e106712 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Easmon Otupiri Priscilla Wobil Samuel Blay Nguah Michelle J Hindin Anthropometric measurements: options for identifying low birth weight newborns in Kumasi, Ghana.
description	<h4>Background</h4>In Ghana, 32% of deliveries take place outside a health facility, and birth weight is not measured. Low birth weight (LBW) newborns who are at increased risk of death and disability, are not identified; 13%-14% of newborns in Ghana are LBW. We aimed at determining whether alternative anthropometrics could be used to identify LBW newborns when weighing scales are not available to measure birth weight.<h4>Methods</h4>We studied 973 mother and newborn pairs at the Komfo Anokye Teaching and the Suntreso Government hospitals between November 2011 and October 2012. We used standard techniques to record anthropometric measurements of newborns within 24 hours of birth; low birth weight was defined as birth weight <2.5 kg. Pearson's correlation coefficient and the area under the curve were used to determine the best predictors of low birth weight. The sensitivity, specificity and predictive values were reported with 95% confidence intervals at generated cut-off values.<h4>Results</h4>One-fifth (21.7%) of newborns weighed less than 2.5 kg. Among LBW newborns, the following measurements had the highest correlations with birth weight: chest circumference (r = 0.69), mid-upper arm circumference (r = 0.68) and calf circumference (r = 0.66); the areas under the curves of these three measurements demonstrated the highest accuracy in determining LBW newborns. Chest, mid-upper arm and calf circumferences at cut-off values of ≤ 29.8 cm, ≤ 9.4 cm and ≤ 9.5 cm respectively, had the best combination of maximum sensitivity, specificity and predictive values for identifying newborns with LBW.<h4>Conclusions</h4>Anthropometric measurements, such as the chest circumference, mid-upper arm circumference and calf circumference, offer an opportunity for the identification of and subsequent support for LBW newborns in settings in Ghana, where birth weights are not measured by standardized weighing scales.
format	article
author	Easmon Otupiri Priscilla Wobil Samuel Blay Nguah Michelle J Hindin
author_facet	Easmon Otupiri Priscilla Wobil Samuel Blay Nguah Michelle J Hindin
author_sort	Easmon Otupiri
title	Anthropometric measurements: options for identifying low birth weight newborns in Kumasi, Ghana.
title_short	Anthropometric measurements: options for identifying low birth weight newborns in Kumasi, Ghana.
title_full	Anthropometric measurements: options for identifying low birth weight newborns in Kumasi, Ghana.
title_fullStr	Anthropometric measurements: options for identifying low birth weight newborns in Kumasi, Ghana.
title_full_unstemmed	Anthropometric measurements: options for identifying low birth weight newborns in Kumasi, Ghana.
title_sort	anthropometric measurements: options for identifying low birth weight newborns in kumasi, ghana.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/f1d2da812e324070a4bffb2ad58d630d
work_keys_str_mv	AT easmonotupiri anthropometricmeasurementsoptionsforidentifyinglowbirthweightnewbornsinkumasighana AT priscillawobil anthropometricmeasurementsoptionsforidentifyinglowbirthweightnewbornsinkumasighana AT samuelblaynguah anthropometricmeasurementsoptionsforidentifyinglowbirthweightnewbornsinkumasighana AT michellejhindin anthropometricmeasurementsoptionsforidentifyinglowbirthweightnewbornsinkumasighana
_version_	1718414316229623808

Anthropometric measurements: options for identifying low birth weight newborns in Kumasi, Ghana.

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