Trial Outcomes & Findings for KBTH-GIRHL Healthy Birth Weight Study: A Cross-Section (NCT NCT03062228)

NCT ID: NCT03062228

Last Updated: 2020-03-31

Results Overview

At delivery, birth weight will be measured and recorded in the participant's health record as a part of routine obstetric care at the Korle Bu Teaching Hospital.

Recruitment status

COMPLETED

Target enrollment

162 participants

Primary outcome timeframe

Within 48 hours of delivery of baby (on average, 38 - 40 weeks gestation)

Results posted on

2020-03-31

Participant Flow

Participants were recruited between April 28 2016 through February 22 2017, inclusive. Participants were recruited by the study recruiter from a sample of healthy, Ghanaian women presenting to the KBTH maternity wards and who delivered a live birth within the past 48 hours.

There were no significant events in the study after participant enrollment but prior to assignment to an arm or group. Two participants who were recruited were excluded from the study after it was discovered later that they did not fully meet the eligibility criteria (both had delivered stillborn infants).

Participant milestones

Participant milestones
Measure
Controls
Healthy, Ghanaian women who have recently delivered a live birth at the Korle Bu Teaching Hospital. No interventions will be administered.
Overall Study
STARTED
162
Overall Study
COMPLETED
162
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Two participants did not wish to disclose this information.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Controls
n=162 Participants
Healthy, Ghanaian women who have recently delivered a live birth at the Korle Bu Teaching Hospital. No interventions will be administered.
Age, Continuous
28.7 years
STANDARD_DEVIATION 4.4 • n=162 Participants
Sex: Female, Male
Female
162 Participants
n=162 Participants
Sex: Female, Male
Male
0 Participants
n=162 Participants
Race/Ethnicity, Customized
Ghanaian
162 Participants
n=162 Participants
Region of Enrollment
Ghana
162 Participants
n=162 Participants
Gravidity
Gravida 1
33 Participants
n=162 Participants
Gravidity
Gravida ≥2
129 Participants
n=162 Participants
Parity
Para 1
44 Participants
n=162 Participants
Parity
Para ≥2
118 Participants
n=162 Participants
Education level
Tertiary
21 Participants
n=162 Participants
Education level
Vocational
1 Participants
n=162 Participants
Education level
Senior High
52 Participants
n=162 Participants
Education level
Junior High
57 Participants
n=162 Participants
Education level
Primary
30 Participants
n=162 Participants
Education level
Undisclosed
1 Participants
n=162 Participants
Household Income
1144 Cedis per month
STANDARD_DEVIATION 665 • n=160 Participants • Two participants did not wish to disclose this information.
BMI upon entering third trimester for current pregnancy
27.7 kg/m^2
STANDARD_DEVIATION 4.1 • n=162 Participants
Pre-pregnancy BMI
25.8 kg/m^2
STANDARD_DEVIATION 3.9 • n=162 Participants
Nightly sleep duration
8.3 hours
STANDARD_DEVIATION 1.5 • n=162 Participants
In the last week, sleep onset position
Left
75 Participants
n=162 Participants
In the last week, sleep onset position
Supine
11 Participants
n=162 Participants
In the last week, sleep onset position
Right
76 Participants
n=162 Participants
In the last week, sleep onset position
Prone
0 Participants
n=162 Participants
In the last week, waking position
Left
67 Participants
n=162 Participants
In the last week, waking position
Supine
25 Participants
n=162 Participants
In the last week, waking position
Right
70 Participants
n=162 Participants
In the last week, waking position
Prone
0 Participants
n=162 Participants
When not pregnant, sleep onset position
Left
1 Participants
n=162 Participants
When not pregnant, sleep onset position
Supine
87 Participants
n=162 Participants
When not pregnant, sleep onset position
Right
24 Participants
n=162 Participants
When not pregnant, sleep onset position
Prone
50 Participants
n=162 Participants
When not pregnant, waking position
Left
0 Participants
n=162 Participants
When not pregnant, waking position
Supine
97 Participants
n=162 Participants
When not pregnant, waking position
Right
31 Participants
n=162 Participants
When not pregnant, waking position
Prone
34 Participants
n=162 Participants
Part of bed sleeps on
Left
50 Participants
n=162 Participants
Part of bed sleeps on
Right
108 Participants
n=162 Participants
Part of bed sleeps on
Center
1 Participants
n=162 Participants
Part of bed sleeps on
Other
3 Participants
n=162 Participants
Pillow use
None
16 Participants
n=162 Participants
Pillow use
Under head
146 Participants
n=162 Participants
Pillow use
Between knees
1 Participants
n=162 Participants
Pillow use
Under tummy
0 Participants
n=162 Participants
Pillow use
Behind back
0 Participants
n=162 Participants
Pillow use
Pregnancy pillow
0 Participants
n=162 Participants
Pillow use
Under feet
37 Participants
n=162 Participants
Pillow use
Under legs
0 Participants
n=162 Participants
Sleeps with bed partner
119 Participants
n=162 Participants
Uses insecticide treated bed net
50 Participants
n=162 Participants
Snores ≥3 nights per week
12 Participants
n=162 Participants
Past medical complications
4 Participants
n=162 Participants

PRIMARY outcome

Timeframe: Within 48 hours of delivery of baby (on average, 38 - 40 weeks gestation)

Population: Healthy, Ghanaian women who had recently (within 48 hours) delivered a live birth at the Korle Bu Teaching Hospital.

At delivery, birth weight will be measured and recorded in the participant's health record as a part of routine obstetric care at the Korle Bu Teaching Hospital.

Outcome measures

Outcome measures
Measure
Controls
n=162 Participants
Healthy, Ghanaian women who have recently delivered a live birth at the Korle Bu Teaching Hospital. No interventions will be administered.
Birth Weight of Baby
3033 grams
Standard Deviation 514

PRIMARY outcome

Timeframe: Within 48 hours of delivery of baby (on average, 38 - 40 weeks gestation)

Population: Healthy, Ghanaian women who had recently (within 48 hours) delivered a live birth at the Korle Bu Teaching Hospital.

Individual customized birth weight centile calculated using the Gestation Network (Perinatal Institute; Birmingham, UK) Bulk Centile Calculator (BCC), which calculates customized birthweight centiles using the principles of the Gestation Related Optimal Weight (GROW) method. The main non-pathological factors affecting birth weight are gestational age, maternal height, maternal weight at booking, parity, and ethnic group. The sex of fetus/neonate, when known, should also be adjusted for. These six variables need to be adjusted for to calculate the true growth potential, which can be represented as individually customized fetal growth curves and birth weight percentiles using the principles of the GROW. This method for calculating growth potential has been validated in a number of international studies.

Outcome measures

Outcome measures
Measure
Controls
n=162 Participants
Healthy, Ghanaian women who have recently delivered a live birth at the Korle Bu Teaching Hospital. No interventions will be administered.
Customized Birth Weight Centile
46.0 percentile
Standard Deviation 30.5

SECONDARY outcome

Timeframe: Within 48 hours of delivery of baby (on average, 38 - 40 weeks gestation)

Population: Healthy, Ghanaian women who had recently (within 48 hours) delivered a live birth at the Korle Bu Teaching Hospital.

Gestational age at delivery (weeks) will be recorded in the participant's health record as a part of routine obstetric care at the Korle Bu Teaching Hospital.

Outcome measures

Outcome measures
Measure
Controls
n=162 Participants
Healthy, Ghanaian women who have recently delivered a live birth at the Korle Bu Teaching Hospital. No interventions will be administered.
Gestational Age at Delivery
38.3 Weeks
Standard Deviation 2.5

SECONDARY outcome

Timeframe: Within 48 hours of delivery of baby (on average, 38 - 40 weeks gestation)

Population: Healthy, Ghanaian women who had recently (within 48 hours) delivered a live birth at the Korle Bu Teaching Hospital.

Small for Gestational Age is defined as a birthweight centile ≤10th centile per the Gestation-Related Optimal Weight (GROW) standard.

Outcome measures

Outcome measures
Measure
Controls
n=162 Participants
Healthy, Ghanaian women who have recently delivered a live birth at the Korle Bu Teaching Hospital. No interventions will be administered.
Small for Gestational Age
25 Participants

SECONDARY outcome

Timeframe: Within 48 hours of delivery of baby (on average, 38 - 40 weeks gestation)

Population: Healthy, Ghanaian women who had recently (within 48 hours) delivered a live birth at the Korle Bu Teaching Hospital.

Low birth weight is defined has birth weight ≤ 2500 grams.

Outcome measures

Outcome measures
Measure
Controls
n=162 Participants
Healthy, Ghanaian women who have recently delivered a live birth at the Korle Bu Teaching Hospital. No interventions will be administered.
Low Birth Weight
21 Participants

SECONDARY outcome

Timeframe: Within 48 hours of delivery of baby (on average, 38 - 40 weeks gestation)

Population: Healthy, Ghanaian women who had recently (within 48 hours) delivered a live birth at the Korle Bu Teaching Hospital.

Sex of participant's newborn.

Outcome measures

Outcome measures
Measure
Controls
n=162 Participants
Healthy, Ghanaian women who have recently delivered a live birth at the Korle Bu Teaching Hospital. No interventions will be administered.
Sex of Newborn
Male
82 Participants
Sex of Newborn
Female
80 Participants

SECONDARY outcome

Timeframe: Within 48 hours of delivery of baby (on average, 38 - 40 weeks gestation)

Population: Healthy, Ghanaian women who had recently (within 48 hours) delivered a live birth at the Korle Bu Teaching Hospital.

Preterm delivery is defined as gestational age at birth \<37 weeks.

Outcome measures

Outcome measures
Measure
Controls
n=162 Participants
Healthy, Ghanaian women who have recently delivered a live birth at the Korle Bu Teaching Hospital. No interventions will be administered.
Preterm Delivery
42 Participants

SECONDARY outcome

Timeframe: Within 48 hours of delivery of baby (on average, 38 - 40 weeks gestation)

Population: Healthy, Ghanaian women who had recently (within 48 hours) delivered a live birth at the Korle Bu Teaching Hospital.

Mode of delivery (spontaneous vaginal, Cesarean section, instrumented) will be recorded in the participant's health record as a part of routine obstetric care at the Korle Bu Teaching Hospital.

Outcome measures

Outcome measures
Measure
Controls
n=162 Participants
Healthy, Ghanaian women who have recently delivered a live birth at the Korle Bu Teaching Hospital. No interventions will be administered.
Mode of Delivery
Spontaneous vaginal
122 Participants
Mode of Delivery
Caesarean section
40 Participants
Mode of Delivery
Instrumented
0 Participants

Adverse Events

Controls

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Allan Kember, Director of Programs

Global Innovations for Reproductive Health & Life

Phone: +1-902-580-8385

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place