Maternal factors associated with low birth weight babies

Sulay R. Kathrani; Rutwa D. Patel; Sheetal B. Jamkhandi; Kavita A. Chandnani

doi:10.18203/2320-1770.ijrcog20223483

Authors

Sulay R. Kathrani Department of Obstetrics and Gynaecology, SBKS MIRC, Baroda, Gujarat, India
Rutwa D. Patel Department of Obstetrics and Gynaecology, SBKS MIRC, Baroda, Gujarat, India
Sheetal B. Jamkhandi Department of Obstetrics and Gynaecology, SBKS MIRC, Baroda, Gujarat, India
Kavita A. Chandnani Department of Obstetrics and Gynaecology, SBKS MIRC, Baroda, Gujarat, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20223483

Keywords:

Anemia, Birth weight, Antenatal visits, PIH

Abstract

Background: To identify and evaluate various maternal factors associated with low birth weight babies delivered at term and to find out prevalence of LBW babies delivered at term at Dhiraj hospital.

Methods: A single arm cross-sectional observational study was conducted in obstetrics & gynaecology department of Dhiraj Hospital, from June 2021 to December 2021. A total 250 patients fulfilling inclusion and exclusion criteria were enrolled. Data was collected from the labour room register statistics as reference for comparison. Maternal factors like-maternal age, parity, anemia, booking status, pregnancy induced hypertension, ante-natal iron and protein supplements, tobacco addiction, placenta previa, gender of newborn etc were studied. Data were analyzed with the help of chi-square test and were also presented by visual diagrams.

Results: From the study, the prevalence of LBW at term in Dhiraj hospital was around 22.36%. Out of 250 in sample group, 63.6% mothers were anemic. Almost over 50% mothers with LBW had not taken regular iron supplements. Around 67% mothers not adequately visited (4 antenatal visits) hospital during antenatal period. Primipara mothers (58%) associated more with LBW babies than Multipara (42%). Pregnancy induced hypertension and placenta previa significantly affects birth weight. Around 30% LBW show maternal history of tobacco addiction.

Conclusions: Although the prevalence of LBW in India has declined over the past decade, it remains still high. Anemia is the most important modifiable factors contributing birth weight. Iron and Protein supplementation need to be attention to prevent LBW. A comprehensive global strategy is required to reduce LBW which must include multiple elements: improving maternal status, treating PIH (or other associated condition), and providing adequate maternal care.

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Author Biography

Sulay R. Kathrani, Department of Obstetrics and Gynaecology, SBKS MIRC, Baroda, Gujarat, India

Department of Obstetrics and Gynaecology

References

International classification of disease and related health problems. Available at: https://www.who.int/news-room/spotlight/ international-classification-of-disease. Accessed on 20 November 2021.

Low birthweight estimates: levels and trends 2000-2015. Available at: https://www.unicef. org/reports/UNICEF-WHO-low-birthweight-estimates-2019. Accessed on 20 November 2021.

Global nutrition target 2025: low birth weight policy brief, Geneva. Available at: https://www.who.int/ publications/i/item/WHO-NMH-NHD-14.5. Accessed on 20 November 2021.

Park J. Park’s textbook of preventive and social medicine. 23rd ed. India: Banarshidas Bhanot Publishers; 2015:9-537.

Arias’ practical guide to high risk pregnancy and delivery. 5th ed. Netherlands: Elsevier publishers; 2020;13:172.

Jones R, Cederberg H, Wheeler S, Poston L, Hutchinson C, Seed P, et al. Relationship between maternal growth, infant birthweight and nutrient partitioning in teenage pregnancies. BJOG. 2010; 117:200-11.

Shah PS. Parity and low birth weight and preterm birth: a systematic review and meta-analyses. Acta Obstet Gynecol. 2010;89:862-75.

Bellizzi S, Padrini S. Quality utilization of antenatal care and low birth weight: evidence from 18 demographic health surveys. East Mediterr Health J. 2020;26(11):1381-7.

Samia H, Abu-Rmeileh N, Spence GWN, Gordon N. Determinants of birthweight; gender based analysis. Matern Child Health J. 2008;12:606-12.

Deshmukh JS, Motghare DD, Zodpey SP, Wadhva SK. Low birth weight and associated maternal factors in an urban area. Indian Pediatr. 1998;35(1):33-6.

Temesgen G, Ayenew N, Getenet D, Melaku D. The impact of pregnancy induced hypertension on low birth weight in Ethiopia: systematic review and metaanalysis. Getaneh et al. Italian J Pediatr. 2020; 46:174.

Balayla J, Desilets J, Shrem G. Placenta previa and the risk of intrauterine growth restriction (IUGR): a systematic review and meta-analysis. J Perinat Med. 2019;47(6):577-84.

Cogswell ME, Parvanta I, Ickes L, Yip R, Brittenham GM. Iron supplementation during pregnancy, anemia, and birth weight: a randomized controlled trial. Am J Clin Nutr. 2003;78(4):773-81.

Imdad A, Bhutta ZA. Effect of balanced protein energy supplementation during pregnancy on birth outcomes. BMC Public Health. 2011;11(3):S17.

Ting-Jung K, Li-Yi T, Li-Ching C, Shu-Jen Y, Cheung L, Chien-Yi C, et al. Parental smoking during pregnancy and its association with low birth weight, small for gestational age, and preterm birth offspring. Pediatr Neonat. 2014;55(1):20-27.

Khan N, Mozumdar A, Kaur S. Determinants of low birth weight in India: An investigation from the National family health survey. Am J Hum Biol. 2019; e23355.

Comprehensive implementation plan on maternal, infant and young child nutrition. Available at: http://www.who.int/nutrition/topics/WHA65.6_resolution_en.pdf?ua=1. Accessed on 20 November 2021.