Risk factors and newborns' body weight

Manana Davitaia, Irakli Pavlenishvili, Irma Korinteli, Tamar Kvirkvelia, Kote Bochorishvili, Zaza Zarnadze

Scientific Research K.Chachava Institute of Perinatal Medicine and Obstetrics and Gynecology, Tbilisi, Georgia

Main target of the work was the revealing and assess of main factors of risk negatively impacting the antenatal development (i.e. weight of fetus) and gaestacide age. To achieve our target and perform our assignment we applied the following methods and materials. We made up a protocol of the entire research, according to which the methodology of the given scientific research was defined. To minimize the system errors we applied the cohortive randomized controlled (parallel control) disguised design of research, to define it more specifically we applied ‘case-controlled’ method of survey on the basis of the retrospective data. To avoid occasional errors we increased the number of those being researched. According to the materials received by us among the factors of risk impacting the gaestacidal age and body weights of the newborn infants the most significant ones are as follows: social-economic factor (malnutrition) RR=5.4 (p<0.01), age of pregnant (<17 or >35) RR=5.3 (p<0.01), gaestosis of the pregnant RR=5.1 (p<0.01), infectious gynecological pathology RR=4.7 (p<0.05), the pregnant anemia RR=4.5 (p<0.05), group and Rhesus conflict RR=4.2 (p<0.01). Thus, in Georgia nowadays one can reveal a variety of factors of risk during the period of pregnancy (social-economic factors – malnutrition, age of the pregnant, infectious gynecological pathology, gaestosis, the pregnant anemia, group and Rhesus conflict). More frequently those factors impact the pregnant in combined forms and present the most hazardous factors for the premature delivering and antenatal hypotrophy development of fetus in the period of its being in the belly. All the mentioned above information is of great significance for the Georgian Public Health Service of Mother’s and Children’s Protection being in the process of its reformation. Taking into account all these data is sure to serve positively the cause of the optimization of the pre and perinatal service.

Keywords:  newborn, body weight, risk factors, antenatal care