[ Facteurs liés au faible poids à la naissance chez les nouveaux nés à la maternité de l’Hôpital Général de Référence de Gemena, Province de Sud Ubangi, RDC ]
Volume 44, Issue 1, November 2024, Pages 276–289
Clarice Webina Sana1, MAMBESA BAINAMBOKA Martin2, David Dole Dawili3, Maurice Mangi Bende4, Freddy Malaka Makongo5, Zachée Temopele Kombo6, and Desiré Mombela Ibele7
1 Institut Supérieur des Techniques Médicales (ISTM), Gemena, RD Congo
2 Licencié en sciences infirmières/EASI, RD Congo
3 Institut Supérieur des Techniques Médicales de Gemena, RD Congo
4 Institut Supérieur des Techniques Médicales (ISTM), Gemena, RD Congo
5 Institut Supérieur des Techniques Médicales (ISTM), Gemena, RD Congo
6 Institut Supérieur des Techniques Médicales (ISTM), Gemena, RD Congo
7 Institut Supérieur des Techniques Médicales (ISTM), Gemena, RD Congo
Original language: French
Copyright © 2024 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Low birth weight is one of the real public health problems. It is used as an indicator that reflects fetal growth within its mother but also predicts the future and growth of the child, at least in the first years of life. Several studies express the point of view that there would be a very high morbidity and mortality rate in children born with low birth weight than in other children. The general reference hospital being a 2nd level structure takes care of all people in need of health from the entire health zone. It has been noted according to our observation that there have been more and more children born with low birth weight, particularly at the maternity ward of the HGR of Gemena, a reason for any person with a scientific mind to seek to discover what the determinants may be. It should be noted that the study was conducted in the peri-urban area of Gemena and covered nine health areas out of the twenty-three in the health zone. Rural health areas were not taken into account in this study given the difficulties of access and financial constraints. Well beyond the ZSUR of Gemena and its particular typology (urban health areas and rural health areas), each health zone, depending on the context, can be full of specific factors that other studies can help to discover. Beyond the survey, our observation, our sense of apprehension and our curiosity were used to collect empirical data, analyze them and bring out the essential elements useful for providing guidance as results for our study. Overall, six factors were incriminated for which a positive association was found between the parameter analyzed and the occurrence of low birth weight (LBW). This set of factors identified and listed above are therefore not exhaustive. It should also be noted that since the study was prospective, only cases recorded during the period of our study were considered for analysis. Like the shadow that hides the forest, rural areas and those not analyzed may well hide many other factors.
Author Keywords: low, weight, birth, infant, maternal, child health.
Volume 44, Issue 1, November 2024, Pages 276–289
Clarice Webina Sana1, MAMBESA BAINAMBOKA Martin2, David Dole Dawili3, Maurice Mangi Bende4, Freddy Malaka Makongo5, Zachée Temopele Kombo6, and Desiré Mombela Ibele7
1 Institut Supérieur des Techniques Médicales (ISTM), Gemena, RD Congo
2 Licencié en sciences infirmières/EASI, RD Congo
3 Institut Supérieur des Techniques Médicales de Gemena, RD Congo
4 Institut Supérieur des Techniques Médicales (ISTM), Gemena, RD Congo
5 Institut Supérieur des Techniques Médicales (ISTM), Gemena, RD Congo
6 Institut Supérieur des Techniques Médicales (ISTM), Gemena, RD Congo
7 Institut Supérieur des Techniques Médicales (ISTM), Gemena, RD Congo
Original language: French
Copyright © 2024 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Low birth weight is one of the real public health problems. It is used as an indicator that reflects fetal growth within its mother but also predicts the future and growth of the child, at least in the first years of life. Several studies express the point of view that there would be a very high morbidity and mortality rate in children born with low birth weight than in other children. The general reference hospital being a 2nd level structure takes care of all people in need of health from the entire health zone. It has been noted according to our observation that there have been more and more children born with low birth weight, particularly at the maternity ward of the HGR of Gemena, a reason for any person with a scientific mind to seek to discover what the determinants may be. It should be noted that the study was conducted in the peri-urban area of Gemena and covered nine health areas out of the twenty-three in the health zone. Rural health areas were not taken into account in this study given the difficulties of access and financial constraints. Well beyond the ZSUR of Gemena and its particular typology (urban health areas and rural health areas), each health zone, depending on the context, can be full of specific factors that other studies can help to discover. Beyond the survey, our observation, our sense of apprehension and our curiosity were used to collect empirical data, analyze them and bring out the essential elements useful for providing guidance as results for our study. Overall, six factors were incriminated for which a positive association was found between the parameter analyzed and the occurrence of low birth weight (LBW). This set of factors identified and listed above are therefore not exhaustive. It should also be noted that since the study was prospective, only cases recorded during the period of our study were considered for analysis. Like the shadow that hides the forest, rural areas and those not analyzed may well hide many other factors.
Author Keywords: low, weight, birth, infant, maternal, child health.
Abstract: (french)
Le faible poids à la naissance est un des vrais problèmes de santé publique. Il est utilisé comme un indicateur qui traduit la croissance fœtale au sein de sa mère mais aussi présage l’avenir et la croissance de l’enfant, du moins dans les premières années de sa vie. Plusieurs études émettent le point de vue selon lequel, il y aurait une forte morbi-mortalité très élevée chez les enfants nés avec faible poids qu’il n’y en a chez les autres enfants. L’hôpital général de référence étant une structure de 2ème échelon prend en charge l’ensemble des personnes en besoin de santé venant de toute l’étendue de la zone de santé. Il a été constaté selon notre observation, qu’il y a eu de plus en plus d’enfants naissant avec un faible poids notamment à la maternité de l’HGR de Gemena, une raison pour toute personne animée d’un esprit scientifique de chercher à découvrir quels en peuvent être les déterminants. Signalons que l’étude a été menée dans la zone péri urbaine de Gemena et a couvert neuf aires de santé sur les vingt-trois que compte la zone de santé. Les aires de santé rurales n’ont pas été prises en compte dans cette étude compte tenu des difficultés d’accès et aux contraintes financières. Bien au-delà de la ZSUR de Gemena et sa typologie particulière (aires de santé urbaines et aires de santé rurales), chaque zone de santé, selon les contextes peuvent regorger des facteurs particuliers que d’autres études peuvent permettre de découvrir. Au-delà de l’enquête, notre observation, notre sens d’appréhension et notre curiosité ont été mises à contribution pour collecter les données empiriques, les analyser et en ressortir les éléments essentiels utiles à donner des orientations comme résultats pour notre étude. Dans l’ensemble, six facteurs ont été incriminés pour lesquels une association positive a été trouvée entre le paramètre analysé et la survenue de faible poids à la naissance (FPN). Cet ensemble des facteurs identifiés et énumérés ci-haut ne sont donc pas exhaustifs. Il convient aussi de noter que l’étude étant prospective, seuls les cas enregistrés pendant la période de notre étude ont été considérés pour être analysés. Comme l’ombre qui cache la forêt, les zones rurales et celles non analysées peuvent bien cacher beaucoup d’autres facteurs.
Author Keywords: faible, poids, naissance, nourrisson, santé maternelle, infantile.
How to Cite this Article
Clarice Webina Sana, MAMBESA BAINAMBOKA Martin, David Dole Dawili, Maurice Mangi Bende, Freddy Malaka Makongo, Zachée Temopele Kombo, and Desiré Mombela Ibele, “Factors associated with low birth weight in newborns at the maternity ward of the Gemena General Reference Hospital, Sud Ubangi Province, DRC,” International Journal of Innovation and Applied Studies, vol. 44, no. 1, pp. 276–289, November 2024.
