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Croissance pondérale et survie des enfants de petit poids de naissance nés à terme en milieu rural africain (Burkina Faso)

par Kabore, Patrick;Potvliege, Catherine ;Sanou, Haby;Bawhere, Paluku;Dramaix Wilmet, Michèle
Référence Archives de pédiatrie, 11, 7, page (807-814)
Publication Publié, 2004-07

Article révisé par les pairs

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Résumé :

The objective of the study was to compare weight gain and mortality between full-term low birth weight (LBW) and normal birth weight (NBW) children. Methods. - One hundred and fifty-five full-term children born with LBW (<2500 g) and 280 NBW were recruited retrospectively in a rural health district of Burkina. Growth velocity, maternal characteristics and socio-economic status of families were investigated. Results. - Difference in weight means between the two groups decreased gradually from 3 months of age and did no more significantly differ from 8 months (P = 0.213). LBW, higher mother's BMI and number of antenatal care visits were associated with higher weight gain at 7 months. Lower weight gain was observed in children whose mothers had no education or high parity. Mortality risk was higher for LBW children (RR = 4.53; P = 0.005). LBW children's weight gain at 3 months was better than that of NBW infants. Nevertheless LBW children had a high mortality risk in the first year of life. Conclusion. - Our results suggest that it could be interesting to focus early attention on LBW children without spontaneous catch up growth, to improve maternal nutritional status and girl's education. © 2004 Elsevier SAS. Tous droits réservés.