Incidence and Determinants of Low birth weight babies at rural tertiary care hospital in central Uttar Pradesh
DOI:
https://doi.org/10.47203/IJCH.2023.v35i01.015Keywords:
Low birth weight, Incidence, Determinants of LBW, Tertiary Care HospitalsAbstract
Background: An infant’s birth weight is a reliable index of intrauterine growth and a sensitive predictor of newborn chances of survival, growth and long-term physical and psychosocial development. Low birth weight has been defined as birth weight <2.5 kg regardless of gestational age. The incidence of low birth weight (LBW) in India varies between 25–30% and of which 60–65% are because of intrauterine growth retardation.
Aim & Objective: To determine the incidence and various determinants of low birth weight among babies delivered at rural tertiary care hospitals in central Uttar Pradesh.
Methods and Material: The study was conducted at UPUMS, Saifai, Etawah, among pregnant women who delivered babies from 1st January 2018 to 31st December 2018. Details regarding age of the mother, gravida, parity, gestation period, presence of complications, the procedure for delivery and birth weight of the newborn were recorded and analyzed using SPSS software (version 23)
Results: A total of 7615 deliveries were conducted (53.2% were males, 46.8% were females). The mean birth weight of babies was 2.65 Kg with S.D ± 0.52. Preterm babies were 32% while 67% were term babies and 23% of babies were low birth weight. There was a statistically significant association between birth weight of babies and factors like age of mother, parity of mother, gestation period, and presence of complications during the antenatal period.
Conclusions: Prompt identification of high-risk factors, prevention of premature delivery, increasing the use of health services during pregnancy and management of the risk factors would reduce the incidence of low birth weight.
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References
World Health Organization, International statistical classification of diseases and related health problems, tenth revision, World Health Organization, Geneva, 1992.
Kramer MS. Determinants of Low Birth Weight: Methodological Assessment and Meta-Analysis. Bull World Health Organ.
;65(5):663-737
Yerushalmy J, Erhardt C, Jacobziner H. Birth Weight and Gestation as Indices of Immaturity: Neonatal Mortality and Congenital Anomalies of the Immature. American Journal of Diseases of Children. 1965 Jan 1;109(1):43-57.
Barker DJ. The Foetal and Infant Origins of Adult Disease. BMJ: British Medical Journal. 1990 Nov 11;301(6761):1111.
Wilcox AJ. On The Importance and The Unimportance of Birthweight. International Journal of Epidemiology. 2001 Dec 1;30(6):1233-41.
Tellapragada C. Risk Factors for Preterm Birth and Low Birth Weight Among Pregnant Indian Women: A Hospital-based Prospective Study. J Prev Med Public Health. 2016 May;49(3):165-75.
World Health Organization and United Nations Children’s Fund (?UNICEF)?2004?..Low birthweight: country, regional and global estimates. World Health Organization. Available from: https://apps.who.int/iris/handle/10665/43184
World Health Organization. Low Birth Weight: A tabulation of available information, WHO/MCH/92.2, World Health Organization, Geneva, and UNICEF, New York, 1992.
Singh M. Care of The New Born. Revised 8th ed (2017). CBS Publishers & Distributors Private Limited; 2017 Nov 30.
WHO Technical Consultation. Towards the Development of a Strategy For Promoting Optimal Foetal Growth, Report of a Meeting (draft), World Health Organization, Geneva, 2004.
Kumari R. A Study on Maternal Factors Affecting Low Birth Weight in Institutional Deliveries. IOSR Journal of Dental and Medical Sciences. 2015 Jan; 14(1):45-48.
Sarika M, Vishwakarma R, Rao R. Study of Low Birthweight Babies and their Association With Maternal Risk Factors. Pediatric Rev Int J Pediatr Res. 2020;7(7):379-387.
Gupta RD, Swasey K, Burrowes V, Hashan MR, Al Kibria GM. Factors Associated with Low Birth Weight In Afghanistan: A Cross-Sectional Analysis Of The Demographic And Health Survey-2015. BMJ Open. 2019 May 1;9(5):46-51.
Manna N, Sarkar J, Baur B, Basu G, Bandyopadhyay L. Socio-Biological Determinants of Low Birth Weight: A Community Based Study From Rural Field Practice Area of Medical College, Kolkata, West Bengal (India). IOSR J Dent Med Sci. 2013; 201:4.
Malik S, Ghidiyal RG, Udani R, Waingankar P. Maternal Biosocial Factors Affecting Low Birth Weight. The Indian Journal of Pediatrics. 1997 May 1;64(3):373-7.
Choudhary AK, Choudhary A, Tiwari SC, Dwivedi R. Factors Associated with Low Birth Weight Among Newborns in an Urban Slum Community in Bhopal. Indian Journal of Public Health. 2013 Jan 1; 57(1):20.
Di?kut? J, Padaiga Ž, Grabauskas VJ, Nadišauskien? RJ, Basys V, Gaižauskien? A. Maternal Socio-Economic Factors and The Risk of Low Birth Weight in Lithuania. Medicina. 2004;
(5):475-82.
Cam HH, Haruno?ullar? M, Polat Y. A Study of Low Birth Weight Prevalence and Risk Factors Among Newborns in a Public-Hospital at Kilis, Turkey. Afri Health Sci. 2020;
(2):709-714.
Agarwal A, Rai S, Prasad R. Impact of the Integrated Child Development Services (ICDS) on Maternal Nutrition and Birth Weight in Rural Varanasi. Indian Pediatrics. 2000; 37:1321-7.
Amin N, Abel R, Sampath V. Maternal Risk Factors Associated with Low Birth Weight. The Indian Journal of Pediatrics. 1993 Mar 1; 60(2):269-74.
Khatun S, Rahman M. Socio-Economic Determinants of Low Birth Weight in Bangladesh: A Multivariate Approach. Bangladesh Medical Research Council Bulletin. 2008;
(3):81-6.
Joshi SM, Pai NP. Effect of the Maternal Bio-Social Determinants on the Birth Weight in a Slum Area of Greater Mumbai. Indian Journal of Community Medicine. 2000 Jul 1; 25(3):121-126.
Agarwal N, Reddaiah VP. Factors Affecting Birthweight in a Suburban Community. Health Popul Perspect. 2005 Apr;
(1):189-96.
Deshpande JD, Phalke DB, Bangal VB, D Peeyuusha BS. Maternal Risk Factors for Low-Birth-Weight Neonates: A Hospital Based Case Control Study in Rural Area of Western Maharashtra, India. National Journal of Community Medicine.
Oct; 2(3):394-8.
Kramer MS. Determinants of Low Birth Weight: Methodological Assessment and Meta-Analysis. Bulletin of the World Health
Organization. 1987;65(5):663.
Mavalankar DV, Trivedi CC, Gray RH. Maternal Weight, Height and Risk of Poor Pregnancy Outcome in Ahmedabad, India. Indian Pediatrics. 1994 Oct 1; 31:1205-1209.
Pahari K, Ghosh A. Study of Pregnancy Outcome Over a Period of Five Years in a Postgraduate Institute of West Bengal. Journal of the Indian Medical Association. 1997 Jun;95(6):172-4.
Onyiriuka AN. Incidence of Delivery of Low Birthweight Infants in Twin Gestations. Nigerian Journal of Clinical Practice. 2010;13(4):17-22.
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Copyright (c) 2023 Kripashankar Nayak, Jyoti Mehra, Naresh Pal Singh, Ankita Sharma, Pankaj Kumar Jain, Kiran Krishnappa
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