Study of maternal risk factors for low birth weight neonates: a case–control study
Journal Title: International Journal of Medical Science and Public Health - Year 2015, Vol 4, Issue 7
Abstract
Background: Low birth weight (LBW) is an important indicator of reproductive health and general health status of population. Weight at birth is directly influenced by general level of health status of the mother. The maternal risk factors are biologically and socially interrelated; most are, however, modifiable, which vary from one area to another, depending on geographic, socioeconomic, and cultural factors. Objectives: This study was undertaken to evaluate maternal risk factors associated with LBW neonates. Materials and Methods: A case–control study was conducted in a tertiary care government hospital in Solapur, Maharashtra. A total of 220 cases (vaginal delivery or cesarean delivery) and 220 controls who delivered a live-born singleton baby without congenital malformation enrolled within 1 day of delivery. Mothers who had multiple births were excluded. All babies were weighed within 24 h after the birth. The information was gathered from the maternal health records and interviewing the mothers of these infants. Results: The mean age of mothers in case group was 22.6 years and that of controls was 23.92 years. Mean weight gain during pregnancy of mothers in case group was 4.2 kg and that of controls was 5.9 kg. Mean weight of the newborn of cases and controls was 1664.97 and 2548.35 g, respectively. Spacing <2 years between this and last pregnancy, pregnancy-induced hypertension, tobacco exposure, lower socioeconomic status (class IV+V), prepregnancy weight <45 kg, late antenatal care (ANC) registration were identified as significant risk factors for LBW neonates. Significant association was found between maternal education (illiterate/primary), prematurity, cesarean delivery, age of mother <20 or >30 years, height <145 cm, maternal occupation (laborer), nuclear family, primigravida, anemia, inadequate ANC, and LBW. Conclusion: Health education, socioeconomic development, maternal nutrition, and increasing the use of health services during pregnancy are all important factors for reducing LBW.
Authors and Affiliations
Manisha L Bendhari, Santosh J Haralkar
Keywords
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- EP ID EP164001
- DOI 10.5455/ijmsph.2015.20032015203
- Views 55
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