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Association of adverse birth outcomes with exposure to fuel type use: A prospective cohort study in the northern region of Ghana

We aimed to investigate the potential associations between exposure to fuel types for cooking and birth outcomes in Northern Region of Ghana. Third trimester pregnant women were recruited during antenatal visit to the hospital and followed-up till delivery. Three questionnaires were administered cov...

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Autores principales: Hussein, Hawawu, Shamsipour, Mansour, Yunesian, Masud, Hasanvand, Mohammad Sadegh, Fotouhi, Akbar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7287244/
https://www.ncbi.nlm.nih.gov/pubmed/32551393
http://dx.doi.org/10.1016/j.heliyon.2020.e04169
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author Hussein, Hawawu
Shamsipour, Mansour
Yunesian, Masud
Hasanvand, Mohammad Sadegh
Fotouhi, Akbar
author_facet Hussein, Hawawu
Shamsipour, Mansour
Yunesian, Masud
Hasanvand, Mohammad Sadegh
Fotouhi, Akbar
author_sort Hussein, Hawawu
collection PubMed
description We aimed to investigate the potential associations between exposure to fuel types for cooking and birth outcomes in Northern Region of Ghana. Third trimester pregnant women were recruited during antenatal visit to the hospital and followed-up till delivery. Three questionnaires were administered covering baseline information, exposure to fuel types, and birth outcomes. Adjusting for potential confounding factors, log binomial regression model was applied to investigate the association between low birth weights (LBW), preterm birth and perinatal deaths in mothers and fuel types. Of the 1626 participants recruited at baseline, about 1323 women in the delivery period completed the study. At delivery period, maternal mean (SD) age was 27.3 (5.2) years. Mothers who used charcoal and firewood for cooking had 1.47 times (95% CI 1.04–2.05) and 1.18 times (95% CI 0.83–1.69) increased in risk of preterm birth respectively after controlling for potential confounding variables. Although, non-significant, mothers who used charcoal had 1.34 times (95% CI 0.45–3.97) increased risk in LBW, while those who used firewood had 1.23 times (95% CI 0.41–3.71) risk in LBW. Similarly, babies of mothers who used charcoal and those who used firewood respectively had 1.72 times (95% CI 0.52–5.65) and 1.70 times (95% CI 0.49–5.92) risk in small for gestational age after controlling for maternal BMI at first visit and anemia. Lastly, mothers who used charcoal and those who used firewood respectively had 1.87 times (95% CI 0.29–11.64) and 2.02 times (95% CI 0.31–13.04) increased risk in perinatal mortality after controlling for potential confounding variables. We observed a significant association between charcoal and preterm birth. Also, we observed a non-significant association between charcoal and firewood users and LBW, SGA and perinatal mortality respectively, compared to those using gas or electricity. This suggests cooking with charcoal and firewood could have health consequences on the outcome of pregnancy.
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spelling pubmed-72872442020-06-17 Association of adverse birth outcomes with exposure to fuel type use: A prospective cohort study in the northern region of Ghana Hussein, Hawawu Shamsipour, Mansour Yunesian, Masud Hasanvand, Mohammad Sadegh Fotouhi, Akbar Heliyon Article We aimed to investigate the potential associations between exposure to fuel types for cooking and birth outcomes in Northern Region of Ghana. Third trimester pregnant women were recruited during antenatal visit to the hospital and followed-up till delivery. Three questionnaires were administered covering baseline information, exposure to fuel types, and birth outcomes. Adjusting for potential confounding factors, log binomial regression model was applied to investigate the association between low birth weights (LBW), preterm birth and perinatal deaths in mothers and fuel types. Of the 1626 participants recruited at baseline, about 1323 women in the delivery period completed the study. At delivery period, maternal mean (SD) age was 27.3 (5.2) years. Mothers who used charcoal and firewood for cooking had 1.47 times (95% CI 1.04–2.05) and 1.18 times (95% CI 0.83–1.69) increased in risk of preterm birth respectively after controlling for potential confounding variables. Although, non-significant, mothers who used charcoal had 1.34 times (95% CI 0.45–3.97) increased risk in LBW, while those who used firewood had 1.23 times (95% CI 0.41–3.71) risk in LBW. Similarly, babies of mothers who used charcoal and those who used firewood respectively had 1.72 times (95% CI 0.52–5.65) and 1.70 times (95% CI 0.49–5.92) risk in small for gestational age after controlling for maternal BMI at first visit and anemia. Lastly, mothers who used charcoal and those who used firewood respectively had 1.87 times (95% CI 0.29–11.64) and 2.02 times (95% CI 0.31–13.04) increased risk in perinatal mortality after controlling for potential confounding variables. We observed a significant association between charcoal and preterm birth. Also, we observed a non-significant association between charcoal and firewood users and LBW, SGA and perinatal mortality respectively, compared to those using gas or electricity. This suggests cooking with charcoal and firewood could have health consequences on the outcome of pregnancy. Elsevier 2020-06-08 /pmc/articles/PMC7287244/ /pubmed/32551393 http://dx.doi.org/10.1016/j.heliyon.2020.e04169 Text en © 2020 Published by Elsevier Ltd. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Hussein, Hawawu
Shamsipour, Mansour
Yunesian, Masud
Hasanvand, Mohammad Sadegh
Fotouhi, Akbar
Association of adverse birth outcomes with exposure to fuel type use: A prospective cohort study in the northern region of Ghana
title Association of adverse birth outcomes with exposure to fuel type use: A prospective cohort study in the northern region of Ghana
title_full Association of adverse birth outcomes with exposure to fuel type use: A prospective cohort study in the northern region of Ghana
title_fullStr Association of adverse birth outcomes with exposure to fuel type use: A prospective cohort study in the northern region of Ghana
title_full_unstemmed Association of adverse birth outcomes with exposure to fuel type use: A prospective cohort study in the northern region of Ghana
title_short Association of adverse birth outcomes with exposure to fuel type use: A prospective cohort study in the northern region of Ghana
title_sort association of adverse birth outcomes with exposure to fuel type use: a prospective cohort study in the northern region of ghana
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7287244/
https://www.ncbi.nlm.nih.gov/pubmed/32551393
http://dx.doi.org/10.1016/j.heliyon.2020.e04169
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