Newborn birth weight: a trend towards positive paradigm shift in rural central India
Keywords:Maternal determinants, Newborn birth weight, Newborn health, Rural area
Background: Birth weight is one of the important determinants of neonatal wellbeing. It has many determinants including maternal nutritional status and gestational age. Low birth weight is associated with high neonatal and childhood mortality and morbidity. Over the years the birth weight is showing the increasing trend in developing countries like India. The study aimed at finding out the changing pattern of birth weight over a decade in rural India.
Methods: Retrospective data of 43,114 births was collected through hospital information system. Neonatal birth weight was analyzed over a period of 10 years from 2007-2016. Demographic data was studied to study the determinants.
Results: Over the period of 10 years, proportion of newborn with low birth weight (below 2500 grams) declined from 56.35 % to 43.65 %. The rise in mean birth weight was 147 gram in male infant and 114 grams in female. There was overall reduction in proportion of very low birth weight and extremely low birth weight babies. A linear relationship was observed between improved birth weight, socio economic status, age at marriage and maternal weight gain during pregnancy.
Conclusions: A positive trend towards improved newborn birth weight was observed in study site of rural central India. Better antenatal care, improved maternal nutrition and improved social status of women in the community are the determinants found to have a positive correlation.
Behrman RE BA. Preterm Birth: Causes, Consequences, and Prevention. Washigton DC: Institute of Medicine (US) Committee on Understanding Premature Birth and Assuring Healthy Outcomes; 2007.
Yadav DK, Chaudhary U, Shrestha N. Risk factors associated with low birth weight. Journal of Nepal Health Research Council. 2011;9(2):159-64.
Bangal VB, Gavhane SP, Gagare SD, Aher KH, Bhavsar DK, Verma PR. Changing pattern of birth weight over a decade in rural India. 2017. 2017;6(10):6.
Assefa N, Berhane Y, Worku A. Wealth Status, Mid Upper Arm Circumference (MUAC) and Antenatal Care (ANC) Are Determinants for Low Birth Weight in Kersa, Ethiopia. PloS one. 2012;7(6):e39957.
Zeleke BM ZM, Mohammed N. Incidence and correlates of low birth weight at a referral hospital in Northwest Ethiopia. The Pan African Medical Journal. 2012;12(4).
WHO U. Low birth weight: country, regional and global estimates. . New York: UNICEF; 2004.
Jayant D D, Phalke D, Peeyuusha D, Sushen B. Maternal risk factors for low birth weight neonates: A hospital based case-control study in rural area of Western Maharashtra, India2011.
Khushboo J, Najam K, Athar A, Anees A, Haroon K. Effect of utilization of antenatal services on pregnancy outcome in Aligarh - a community based study. Indian Journal of Community Health. 2016;28(1):40-4.
Celine TM, Antony J. Pattern of Birth Weight of New Born Babies at a Tertiary Care Level. International Journal of Preventive Medicine. 2012;3(5):375-6.
Akoijam BS, Thangjam ND, Singh KT, Devi SR, Devi RK. Birth weight pattern in the only referral teaching hospital in Manipur. Indian J Public Health. 2006;50(4):220-4.
Teshome D, Telahun T, Solomon D, Abdulhamid I. A study on birth weight in a teaching-referral hospital, Gondar, Ethiopia. Cent Afr J Med. 2006;52(1-2):8-11.
Gebremedhin M, Ambaw F, Admassu E, Berhane H. Maternal associated factors of low birth weight: a hospital based cross-sectional mixed study in Tigray, Northern Ethiopia. BMC Pregnancy and Childbirth. 2015;15(1):222.
Braveman P, Gottlieb L. The Social Determinants of Health: It's Time to Consider the Causes of the Causes. Public Health Reports. 2014;129(Suppl 2):19-31.
Kandel KP KS. Risk Factors Associated with Low Birth Weight among Deliveries at Bharatpur Hospital. Journal of Nepal Health Research Council. 2017;15(2):169-73.
Capra L, Tezza G, Mazzei F, Boner AL. The origins of health and disease: the influence of maternal diseases and lifestyle during gestation. Italian Journal of Pediatrics. 2013;39:7-.