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When husband migrate: effects of international migration of husbands on fetal outcomes, body mass index and gestational weight of female spouses that stay behind

BACKGROUND: International labour migration continues to be an integral component in Sri Lanka’s economic development. Previous research indicates an adverse perinatal outcome in association with low maternal pre-pregnancy body mass index (PBMI) and gestational weight gain (GWG). However, evidence of...

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Autores principales: Jayatissa, Renuka, Wickramage, Kolitha, Denuwara, Buddhini Herath, Herath, Himali, Jayawardana, Ranbanda, Perera, Amila Gayan, De Alwis, Nawamali
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8805333/
https://www.ncbi.nlm.nih.gov/pubmed/35105324
http://dx.doi.org/10.1186/s12889-022-12615-0
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author Jayatissa, Renuka
Wickramage, Kolitha
Denuwara, Buddhini Herath
Herath, Himali
Jayawardana, Ranbanda
Perera, Amila Gayan
De Alwis, Nawamali
author_facet Jayatissa, Renuka
Wickramage, Kolitha
Denuwara, Buddhini Herath
Herath, Himali
Jayawardana, Ranbanda
Perera, Amila Gayan
De Alwis, Nawamali
author_sort Jayatissa, Renuka
collection PubMed
description BACKGROUND: International labour migration continues to be an integral component in Sri Lanka’s economic development. Previous research indicates an adverse perinatal outcome in association with low maternal pre-pregnancy body mass index (PBMI) and gestational weight gain (GWG). However, evidence of this association is limited in migrant families. This study aims to investigate the associations between PBMI, GWG among lactating mothers (LM), and fetal outcomes in migrant households, where the father is the migrant worker. METHODS: A secondary data analysis was done using a nationally representative sample of 7,199 LM. There were 284 LM whose husbands were international migrant workers. Maternal factors were taken as PBMI<18.5 kg/m(2) and GWG<7kg. Preterm birth and low birth weight (LBW) were taken as fetal outcomes. Binary logistic regression was performed to assess the associated factors. RESULTS: There was significant difference between LM from migrant and non–migrant households with regards to place of residency, ethnicity, household monthly income, household food security, average household members, husband’s education and husband’s age. Among migrant, PBMI<18.5 kg/m(2) was associated with current BMI and mode of delivery. Migrant LM had significantly higher weight gain (≥12 kg) during pregnancy (p=0.005), were multiparous (p=0.008), delivered in private hospital (p=0.000), lesser percentage of underweight (p=0.002) and higher birthweight (p=0.03) than non-migrant LM. Logistic regression model revealed that for each kilogram increment in birthweight and GWG, preterm delivery decreased by 89%(OR=0.11;95%CI:0.04-0.28) and LBW decreased by 12%(OR=0.89;95%CI:0.81-0.97) respectively. Caesarean deliveries were positively associated with low GWG. CONCLUSION: Our study showed LM in migrant families had invested remittances to utilize private health facilities for deliveries, to improve weight gain during pregnancy and adequate PBMI to deliver higher birth weight babies. In depth study is needed to understand further utilisation of remittances to improve fetal outcomes by increasing birthweight and GWG in migrant families.
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spelling pubmed-88053332022-02-03 When husband migrate: effects of international migration of husbands on fetal outcomes, body mass index and gestational weight of female spouses that stay behind Jayatissa, Renuka Wickramage, Kolitha Denuwara, Buddhini Herath Herath, Himali Jayawardana, Ranbanda Perera, Amila Gayan De Alwis, Nawamali BMC Public Health Research BACKGROUND: International labour migration continues to be an integral component in Sri Lanka’s economic development. Previous research indicates an adverse perinatal outcome in association with low maternal pre-pregnancy body mass index (PBMI) and gestational weight gain (GWG). However, evidence of this association is limited in migrant families. This study aims to investigate the associations between PBMI, GWG among lactating mothers (LM), and fetal outcomes in migrant households, where the father is the migrant worker. METHODS: A secondary data analysis was done using a nationally representative sample of 7,199 LM. There were 284 LM whose husbands were international migrant workers. Maternal factors were taken as PBMI<18.5 kg/m(2) and GWG<7kg. Preterm birth and low birth weight (LBW) were taken as fetal outcomes. Binary logistic regression was performed to assess the associated factors. RESULTS: There was significant difference between LM from migrant and non–migrant households with regards to place of residency, ethnicity, household monthly income, household food security, average household members, husband’s education and husband’s age. Among migrant, PBMI<18.5 kg/m(2) was associated with current BMI and mode of delivery. Migrant LM had significantly higher weight gain (≥12 kg) during pregnancy (p=0.005), were multiparous (p=0.008), delivered in private hospital (p=0.000), lesser percentage of underweight (p=0.002) and higher birthweight (p=0.03) than non-migrant LM. Logistic regression model revealed that for each kilogram increment in birthweight and GWG, preterm delivery decreased by 89%(OR=0.11;95%CI:0.04-0.28) and LBW decreased by 12%(OR=0.89;95%CI:0.81-0.97) respectively. Caesarean deliveries were positively associated with low GWG. CONCLUSION: Our study showed LM in migrant families had invested remittances to utilize private health facilities for deliveries, to improve weight gain during pregnancy and adequate PBMI to deliver higher birth weight babies. In depth study is needed to understand further utilisation of remittances to improve fetal outcomes by increasing birthweight and GWG in migrant families. BioMed Central 2022-02-01 /pmc/articles/PMC8805333/ /pubmed/35105324 http://dx.doi.org/10.1186/s12889-022-12615-0 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Jayatissa, Renuka
Wickramage, Kolitha
Denuwara, Buddhini Herath
Herath, Himali
Jayawardana, Ranbanda
Perera, Amila Gayan
De Alwis, Nawamali
When husband migrate: effects of international migration of husbands on fetal outcomes, body mass index and gestational weight of female spouses that stay behind
title When husband migrate: effects of international migration of husbands on fetal outcomes, body mass index and gestational weight of female spouses that stay behind
title_full When husband migrate: effects of international migration of husbands on fetal outcomes, body mass index and gestational weight of female spouses that stay behind
title_fullStr When husband migrate: effects of international migration of husbands on fetal outcomes, body mass index and gestational weight of female spouses that stay behind
title_full_unstemmed When husband migrate: effects of international migration of husbands on fetal outcomes, body mass index and gestational weight of female spouses that stay behind
title_short When husband migrate: effects of international migration of husbands on fetal outcomes, body mass index and gestational weight of female spouses that stay behind
title_sort when husband migrate: effects of international migration of husbands on fetal outcomes, body mass index and gestational weight of female spouses that stay behind
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8805333/
https://www.ncbi.nlm.nih.gov/pubmed/35105324
http://dx.doi.org/10.1186/s12889-022-12615-0
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