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Birth weight and delivery practice in a Vietnamese rural district during 12 year of rapid economic development.
Nordic Council of Ministers, Nordic School of Public Health NHV. Research Institute for Child Health, National Hospital of Pediatrics, 18/879 La Thanh road, Hanoi, Dong Da district, Vietnam..
Nordic Council of Ministers, Nordic School of Public Health NHV.
Nordic Council of Ministers, Nordic School of Public Health NHV. Family Medicine Department, Hanoi Medical University, Vietnam.
Nordic Council of Ministers, Nordic School of Public Health NHV.
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2013 (English)In: BMC pregnancy and childbirth, ISSN 1471-2393, Vol. 13, 41- p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Since the Doi Moi reform 1986 economic conditions in Vietnam have changed significantly and positive health and health care developments have been observed. International experience shows that improved economic conditions in a country can reduce the risk of perinatal mortality, decrease the risk of low birth weight and increase the mean birth weight in newborns. The Health and Demographic Surveillance Site (HDSS) FilaBavi in Bavi district outside Hanoi city has been operational since 1999. An open cohort of more than 12,000 households (52,000 persons) has been followed primarily with respect to demography, economy and education. The aim of this research is to study trends in birth weight as well as birth and delivery practices over the time period 1999-2010 in FilaBavi in relation to the social and economic development.

METHODS: Information about birth weight, sex, place and method of delivery, mother's age and education as well as household economy of 10,114 children, born from 1999 to 2010, was obtained from the routine data collection in the HDSS.

RESULTS: Over the study period the mean birth weight remained at the same level, about 3,100 g, in spite of increased economic resources and technology development. At the individual child level we found associations between birth weight and household economy as well as the education of the mother. Hospital delivery increased from about 35% to 65% and the use of Caesarian section increased from 2.6% to 10.1%.

CONCLUSION: During the twelve years studied, household income as well as the use of modern technology increased rapidly. In spite of that, the mean and variation of birth weight did not change systematically. It is suggested that increasing gaps in economic conditions and misallocation of resources, possibly to overuse of technology, are partly responsible.

Place, publisher, year, edition, pages
2013. Vol. 13, 41- p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:norden:org:diva-3593DOI: 10.1186/1471-2393-13-41PubMedID: 23418725OAI: oai:DiVA.org:norden-3593DiVA: diva2:781406
Available from: 2015-01-16 Created: 2015-01-16 Last updated: 2015-01-20Bibliographically approved
In thesis
1. Birth weight and growth during the first two years of life: a study in urban and rural Vietnam
Open this publication in new window or tab >>Birth weight and growth during the first two years of life: a study in urban and rural Vietnam
2014 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Background: Differences in health and living conditions between urban and rural settings can be seen as an important example of gaps between population groups. Birth weight and child growth are important predictors for the future health of a person and at aggregate level, for the public health of a population.The general aim of this thesis is to describe and discuss birth weight, physical growth and breastfeeding of children, as well as associated factors, from birth to 24 months of age in urban and rural areas of Vietnam, thus contributing to the evidence base for health strategy and policy.

Methods: Two Health and Demographic Surveillance Sites in Hanoi were used; urban Dodalab and FilaBavi in the rural part. To study rural birth weight 1999 to 2010 information was obtained for 10,114 newborn in FilaBavi. To study urban rural growth disparities 2008-2010, 1,466 children were followed for two years after birth with measurements of weight and length. A study of breastfeeding included 2,572 mothers followed for one year after delivery. Background information about households and mothers was taken from routine surveys in the two sites.

Results: The mean birth weight in FilaBavi remained stable at about 3,100 grams, over the 12 years studied despite rapid economic and technological development. At the individual level we found birth weight to be associated with household economy and the education of mothers. In the urban rural comparison, the mean birth weight for urban boys and girls were 3,298 and 3,203 g as compared with 3,105 and 3,057 g for the rural infants. Children in the urban area grew faster than those in the rural area. There were markedly higher frequencies of stunting in the rural area compared with the urban. The initiation of breastfeeding during the first hour of life was more frequent in the urban area. Exclusive breastfeeding during the first three months of age was more commonly reported in the rural than in the urban area. Both birth weight and child growth were statistically significantly and positively associated with economic conditions and mother’s education.

Conclusion: The results of the studies presented in this thesis show that there are large and important differences in child birth weight, child growth and infant breastfeeding between urban and rural areas. There are also major differences between the areas with respect to education and economic resources. All predictors of child birth weight and growth discussed are directly or indirectly associated with the social and economic conditions. Globalization and urbanization means obvious risks for increasing gaps between as well as within the rural and urban areas. Large discrepancies in a society will lead to serious public health problems in all segments of the population, not only the underprivileged.

Place, publisher, year, edition, pages
Nordic School of Public Health NHV Göteborg, Sweden, 2014. 64 p.
Series
NHV Reports and Doctor of Public Health-Theses, ISSN 0283-1961 ; NHV Report 2014:1
Keyword
Key words: Birth weight, child growth, breast feeding, urban rural discrepancy, Vietnam
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:norden:org:diva-3607 (URN)978-91-86739-65-2 (ISBN)
Public defence
2014-03-28, Nordic School of Public Health NHV, Box 12133, 40242 Göteborg, Sweden, 13:45 (English)
Opponent
Supervisors
Available from: 2015-01-20 Created: 2015-01-20 Last updated: 2015-01-22Bibliographically approved

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