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Characteristics of black South African adult and adolescent women who gave premature birth to growth-restricted infants at Kalafong hospital, Gauteng
Thesis (MNutr (Interdisciplinary Health Sciences. Human Nutrition))--University of Stellenbosch, 2006.
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| Format: | Thesis |
| Language: | English |
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Stellenbosch : University of Stellenbosch
2008
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| _version_ | 1867613740279529472 |
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| access_status_str | Open Access |
| author | Gilfillan, Marlene |
| author2 | Kennedy, Roy D. |
| author_browse | Gilfillan, Marlene Kennedy, Roy D. |
| author_facet | Kennedy, Roy D. Gilfillan, Marlene |
| author_sort | Gilfillan, Marlene |
| collection | Thesis |
| dc_rights_str_mv | University of Stellenbosch |
| description | Thesis (MNutr (Interdisciplinary Health Sciences. Human Nutrition))--University of Stellenbosch, 2006. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/2740 |
| institution | Stellenbosch University (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:40:56.936Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2008 |
| publishDateRange | 2008 |
| publishDateSort | 2008 |
| publisher | Stellenbosch : University of Stellenbosch |
| publisherStr | Stellenbosch : University of Stellenbosch |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/2740 Characteristics of black South African adult and adolescent women who gave premature birth to growth-restricted infants at Kalafong hospital, Gauteng Gilfillan, Marlene Kennedy, Roy D. Visser, Janicke University of Stellenbosch. Faculty of Health Sciences. Dept. of Interdisciplinary Health Sciences. Human Nutrition. Intra-uterine Growth nutrition Preterm Risk factors Fetus -- Growth Premature infants -- Diseases Neonatology -- Research Dissertations -- Nutrition Theses -- Nutrition Thesis (MNutr (Interdisciplinary Health Sciences. Human Nutrition))--University of Stellenbosch, 2006. INTRODUCTION: The objective of the study was to determine the prevalence of certain known risk factors for intra-uterine growth restriction (IUGR) in women who gave premature birth to growth-restricted infants at a large regional hospital (Kalafong) in the Gauteng province of South Africa and to investigate the possible associations between the presence of various risk factors and the severity of growth restriction found in these infants. METHOD: The study was designed as cross-sectional, descriptive and observational. The subjects included singleton growth-restricted premature infants (n=80), without congenital abnormalities and their mothers (n=80). Anthropometric data [weight, height, mid-upper arm circumference (MUAC) and triceps skinfold thickness (TSF)] were collected from these mothers three to four days post-partum. Infant birth weights were recorded at birth, while the lengths and head circumferences were recorded within 2 days post-partum. Additional information, such as birth spacing, maternal age, smoking habits and alcohol use, was collected by personal interview and blood pressure data and HIV status was obtained from medical records. Data capturing and descriptive statistics were done using Microsoft Excel and comparative analytical statistics were performed with the Statistical Package for the Social Sciences (SPSS), version 12.0. RESULTS: The study demonstrated a high prevalence (69%) of infants born with a birth weight <3rd percentile. In the sample, 81% of the mothers were aged 17-34 years and most (93%) had their children 18 months or longer apart. Malnutrition prevalence was moderate. In 58% of the mothers the BMI was normal (18.5-24.9 kg/m2) and in 47% the upper arm muscle area (UAMA) was between the 10th-85th percentile. Grade III overweight occurred in 3% and TSF ≤5th percentile occurred in 35% of the mothers. About half (51%) of the mothers in the sample population had hypertension during the second trimester of pregnancy. Smoking and alcohol use during pregnancy was rare (1% and 6% respectively) and the prevalence of HIV infection in the mothers was 26%. The prevalence (16%) of Grade II overweight among the mothers of symmetric growth-restricted (SGR) infants was higher than among the mothers of asymmetric growth-restricted (AGR) infants (7%). Of the hypertensive mothers, 55% had infants with SGR compared to 45% with AGR (p=0.47). Although rare, smoking occurred only in mothers with AGR infants (3%). No significant differences were found between the smoking and non-smoking group (p=0.21). Although the use of alcohol was more prevalent at 6% in mothers with SGA infants and 7% in mothers with AGR infants, no significant associations were found (p=0.95). Although not significant (p=0.76), there was a higher prevalence of HIV infection in mothers with SGR infants at 29%, compared to 23% of mothers of AGR infants. CONCLUSION: Although further studies are needed before intervention strategies can be planned and implemented, the findings of this study suggest that apart from the usual factors (maternal age and nutritional status, smoking and alcohol use during pregnancy and birth spacing) that may influence intra-uterine growth, hypertension may contribute greatly to IUGR in this study population. 2008-07-14T08:18:07Z 2010-06-01T08:57:08Z 2008-07-14T08:18:07Z 2010-06-01T08:57:08Z 2006-12 Thesis http://hdl.handle.net/10019.1/2740 en University of Stellenbosch application/pdf Stellenbosch : University of Stellenbosch |
| spellingShingle | Intra-uterine Growth nutrition Preterm Risk factors Fetus -- Growth Premature infants -- Diseases Neonatology -- Research Dissertations -- Nutrition Theses -- Nutrition Gilfillan, Marlene Characteristics of black South African adult and adolescent women who gave premature birth to growth-restricted infants at Kalafong hospital, Gauteng |
| title | Characteristics of black South African adult and adolescent women who gave premature birth to growth-restricted infants at Kalafong hospital, Gauteng |
| title_full | Characteristics of black South African adult and adolescent women who gave premature birth to growth-restricted infants at Kalafong hospital, Gauteng |
| title_fullStr | Characteristics of black South African adult and adolescent women who gave premature birth to growth-restricted infants at Kalafong hospital, Gauteng |
| title_full_unstemmed | Characteristics of black South African adult and adolescent women who gave premature birth to growth-restricted infants at Kalafong hospital, Gauteng |
| title_short | Characteristics of black South African adult and adolescent women who gave premature birth to growth-restricted infants at Kalafong hospital, Gauteng |
| title_sort | characteristics of black south african adult and adolescent women who gave premature birth to growth restricted infants at kalafong hospital gauteng |
| topic | Intra-uterine Growth nutrition Preterm Risk factors Fetus -- Growth Premature infants -- Diseases Neonatology -- Research Dissertations -- Nutrition Theses -- Nutrition |
| url | http://hdl.handle.net/10019.1/2740 |
| work_keys_str_mv | AT gilfillanmarlene characteristicsofblacksouthafricanadultandadolescentwomenwhogaveprematurebirthtogrowthrestrictedinfantsatkalafonghospitalgauteng |