A Case Control Study to Elucidate the Effects of Maternal Anthropometric Characteristics and Other Factors on Birth Weight of Newborn
Keywords:
Birth weight, maternal anthropometry, maternal complications during pregnancyAbstract
Background: Birth weight reflects mother’s health and nutritional status during pregnancy. This study was conducted to measure the effect of various maternal factors on birth weight; and also to study the strength of association between risk factors and low birth weight.
Methods: A case-control study was conducted among neonates delivered in tertiary care Hospital from June 2013 to July 2014 among mothers who delivered in the hospital and their singleton newborns. Birth weight was measured for all newborns and these mothers undergone anthropometric measurements and were asked relevant questions.
Results: The proportion of low birth weight was 27.73%. Maternal age of more than 30 years (odds ratio 1.98; χ2=3.86, P=0.04), gestational age at the time of birth (OR 4.37; χ2=44.21, P=0.000) occupation of mother (OR 1.69, χ2=4.54, P=0.03) maternal height <145 cm (OR 2.74, χ2=17.97, P= 0.000), maternal weight <45 kg (OR 1.90, X2 =8.19, P= 0.004) and complications during pregnancy (OR 1.78 χ2=6.55, P =0.01) have a significant association with LBW infant.
Conclusion: LBW rate was higher when Maternal age more than 30, early gestational age at the time of birth, occupation of mother, maternal height <145 cm, maternal weight < 45 kg and complications during pregnancy.
References
United Nations Children's Fund, World Health Organi-zation. Low Birth weight: Country, Regional and Global Estimates. New York, NY UNICEF 2004.
Kramer MS. Determinants of low birth weight—Methodological assessment and meta analysis. Bull WHO 1987, 65: 663-737.)
lee ac, katz j, blencowe h, cousens s, kozuki n, vogel jp, et al.; cherg sga-preterm birth working group. national and regional estimates of term and preterm babies born small for gestational age in 138 low-income and middle-income countries in 2010. lancet glob health. 2013 jul;1(1):e26–36. http://dx.doi.org/10.1016/s2214-109x(13)70006-8 pmid: 25103583
UNICEF global databases, 2014, based on Multiple In-dicator Cluster Surveys (MICS), Demographic and Health Surveys (DHS) and other nationally representa-tive surveys, 2009─2013
Assefa N, Berhane Y, Worku A. Wealth status, mid up-per arm circumference (MUAC) and antenatal care (ANC) are determinants for low birth weight in Kersa, Ethiopia. PLoS One. 2012;7(6):e39957. [PMC free arti-cle] [PubMed]
Lau C, Ambalavanan N, Chakraborty H, Wingate MS, Carlo WA. Extremely low birth weight and infant mor-tality rates in the United States. Pediatrics. 2013;131(5):855–860. [PubMed]
Metgud CS, Naik VA, Mallapur MD. Factors affecting birth weight of a newborn--a community based study in rural Karnataka, India. PLoS One. 2012;7(7):e40040. [PMC free article] [PubMed]
Office of the Registrar General. Sample Registration Sys-tem Statistical Report 2011. New Delhi: Ministry of Home Affairs, Government of India; 2013 Sep. Availa-ble at: http://censusindia.gov.in /vitalstatistics/SRS_Bulletins/SRS_BulletinsSeptember_2013.pdf Accessed on 1 July 2017.)
Selina Khatun and Mahmudur Rahman. Socioeconomic determinants of low birth weight in Bangladesh: A mul-tivariate approach. Bangladesh Med Res Counc Bull. 2008;34: 81-86
Shah U. P.,Parikh S. B., Bala D. V. Effect of different maternal factors on birth weight in the Odhav ward of Ahmedabad Municipal Corporation:A Case Control Study. healthline pISSN 2239-337X/eISSN 2320-1525 January-June 2013 ;4(1) :58-60
Deshpande Jayant D., Phalke D.B., Bangal V. B., D. Peeyuusha, Bhatt Sushen. Maternal risk factors for low birth weight Neonates: a hospital based case-control study in rural area of western Maharashtra, India. Na-tional Journal of Community Medicine. Oct-Dec 2011; 2 (3): 394-398.
Kiran Agarwal, Ashok Agarwal, V. K. Agrawal, Pooja Agrawal, Varsha Chaudhary .Prevalence and determi-nants of low birth weight among institutional deliveries. Annals of Nigerian Medicine.Jul-Dec 2011;5 (2): 48-52
Acharya D, Nagraj K, Nair NS, Bhat HV. Maternal de-terminants of intrauterine growth retardation: a case control study in Udupi District, Karnataka. Indian J Community Med. 2004;29:181-83.
M. A. Ullah, M. J. Haque, M .A .Hafez, Merina Khanam.Biological risk factors for low birth weight in rural Rajshahi. TAJ 2003; 16 (2) : 50-53
P. S. Thomre, A. L. Borle, J. D. Naik, S. S. Rajderkar .Maternal Risk Factors Determining Birth Weight of Newborns: A Tertiary Care Hospital Based Study. In-ternational Journal of Recent Trends in Science And Technology, ISSN 2277-2812 E-ISSN 2249-8109, 2012;5( 1) : 03-08
A. K. Choudhary, Asha Choudhary, S. C. Tiwari, R. Dwivedi .Factors associated with low birth weight among newborns in an urban slum community in Bho-pal. Indian Journal of Public Health; January-March, 2013 57(1): 20- 23.
H.S. Joshi, S.H. Subba, S.B. Dabral, S. Dwivedi, D. Ku-mar, S. Singh .Risk factors associated with low birth weight in newborns. Indian journal of community medi-cine. October December 2005 ; 30(4):142-143
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The authors retain the copyright of their article, with first publication rights granted to Medsci Publications.