Factors associated with low birth weight among deliveries at a tertiary healthcare hospital in Bundelkhand region of Uttar Pradesh
DOI:
https://doi.org/10.18203/2320-6012.ijrms20213404Keywords:
LBW, Bundelkhand, Determinants, Tertiary health careAbstract
Background: Low birth weight (LBW) is an important factor of infant morbidity and mortality in developing countries. Approximately 20.5 million new-borns, i.e., an estimated 15% of all babies are born with LBW globally. Various factors such as maternal age, education, parity, gestation period, nutritional status and socioeconomic status influence the of birth weight of baby. Objectives of the study to find out the prevalence of LBW babies and their determinants.
Methods: This was a hospital based cross-sectional study. The data has been taken from the period of 1st January 2019 to 15th February 2020.
Results: 223 mothers and their newborn babies were included in the study. The 55 infants (24.6 %) were LBW (<2500 g) babies. From binary logistic regression analyses of each variable with LBW; gender {0.430 (0.230-0.804), p=0.007}, religion OR={3.477 (1.178-10.264), p=0.018}, education of mother OR={2.051 (1.009- 4.170), p=0.044}, occupation of father OR={1.991 (1.008-3.933), p=0.045}, mode of delivery OR={1.880 (1.004-3.519), p=0.047} and duration of pregnancy OR={6.286 (2.895-13.648), p<0.001} were found to have significant association.
Conclusions: The study assessed the variables of LBW in Bundelkhand region of Uttar Pradesh. The study showed that teenage mothers are at a higher risk of having a low-birth-weight baby. It is important to strengthen health education, capacity building, spreading awareness for marriage after twenty along with diagnosing and treating any type of medical or gynaecological conditions resulting premature babies.
References
https://www.unicef.org/media/53711/file/UNICEFWHO%20Low%20birthweight%20estimates%202019%20.pdf. Assessed on 12 July 2021.
https://www.who.int/nutrition/topics/globaltargets_lowbirthweight_policybrief.pdf. Assessed on 14 July 2021.
Muchemi OM, Echoka E, Makokha A. Factors associated with low birth weight among neonates born at Olkalou District Hospital, Central Region, Kenya. Pan Afr Med J. 2015;20(108):108.
Kim D, Saada A. The social determinants of infant mortality and birth outcomes in western developed nations: a cross-country systematic review. Int J Environ Res Public Health. 2013;10(6):2296-335.
Muglia LJ, Katz M. The enigma of spontaneous preterm birth. N Engl J Med. 2010;362(6):529-35.
https://www.who.int/nutrition/topics/globaltargets_lowbirthweight_policybrief.pdf Table 1. Assessed on 14 July 2021.
http://rchiips.org/nfhs/nfhs-4Reports/India.pdf. Assessed on 12 July 2021.
Mahumud RA, Sultana M, Sarker AR. Distribution and determinants of low birth weight in developing countries. J Prev Med Public Heal. 2017;50(1):18-28.
Park K. Nutrition and health. In: Park K, editor. Park’s Textbook of Preventive and Social Medicine. 25th ed. Jabalpur: Bhanot Publications. 2019;695-97.
Groen-Blokhuis MM, Middeldorp CM, Van Beijsterveldt CEM, Boomsma DI. Evidence for a causal association of low birth weight and attention problems. J Am Acad Child Adolesc Psychiatry. 2011;50(12):1247-54.
Zaveri A, Paul P, Saha J, Barman B, Chouhan P (2020) Maternal determinants of low birth weight among Indian children: Evidence from the National Family Health Survey-4, 2015-16. PLoS ONE. 2015;15(12):e0244562.
Bhattacharjya H, Das S, Ghosh D. Proportion of low birth weight and related factors in a tertiary care institute of Tripura. Int J Med Public Health. 2015;5:10-13.
Ahankari A, Bapat S, Myles P, Fogarty A, Tata L. Factors associated with preterm delivery and low birth weight: a study from rural Maharashtra, India. F1000 Research. 2017;6:72.
Dandekar RH, Shafee M, Sinha SP. Prevalence and risk factors affecting low birth weight in a district hospital at Perambalur, Tamil Nadu. Global J Med Publ Health. 2014;3(2):1-5.
Agarwal G, Ahmad S, Goel K, Kumar V, Goel P, Garg M et al. Maternal risk factors associated with low-birth-weight neonates in a tertiary care hospital, Northern India. J Community Med Health Educ. 2012;2:177.
Boo NY, Lim SM, Koh KT, Lau KF, Ravindran J. Risk factors associated with low-birth-weight infants in the Malaysian Population. Med J Malaysia. 2008;63(4):306-310.
Siza JE. Risk factors associated with low birth weight of neonates among pregnant women attending a referral hospital in Northern Tanzania. Tanzan J Health Res. 2008;10(1):5-8.
Jananthan R, Wijesinghe DGNG, Sivananthawerl T. Maternal anthropometry as a predictor of birth weight. Trop. Agric Res. 2009;21(1):89-98.
Golestan M, Akhavan Karbasi S, Fallah R. Prevalence and risk factors for low birth weight in Yazd, Iran. Singapore Med J. 2011;52(10):730-3.
Joshi HS, Srivastava PC, Agnihotri AK, Joshi MC, Shalini C, Vipul M. Risk factors for low birth weight (LBW) babies and its medico legal significance. J Indian Acad Forensic Med. 2010;32(3):212-5.
Ghouse G, Zaid M. Determinants of Low-Birth-Weight a Cross Sectional Study: In Case of Pakistan. Munich Pers Re PEc Arch. 2016;(70660).
Voldner N, Frey Frøslie K, Godang K, Bollerslev J, Henriksen T. Determinants of birth weight in boys and girls. Hum Ontog. 2009;3(1):7-12.
Halileh S, Abu-Rmeileh N, Watt G, Spencer N, Gordon N. Determinants of birthweight; Gender based analysis. Matern Child Health J. 2008;12(5):606-12.
Momeni M, Danaei M, Nejad Kermani AJ. Prevalence and risk factors of low birth weight in the southeast of Iran. Int J Prev Med. 2017;8:12.
Borah M, Agarwalla R. Maternal and socio-demographic determinants of low birth weight (LBW): A community-based study in a rural block of Assam. J Postgrad Med. 2016;62:178-81.
Kader M, Perera NK. Socio-economic and nutritional determinants of low birth weight in India. N Am J Med Sci. 2014;6:302-8.
Dennis JA, Mollborn S. Young maternal age and low birth weight risk: An exploration of racial/ethnic disparities in the birth outcomes of mothers in the United States. Soc Sci J. 2013;50(4):625-34.
Sutan R, Mohtar M, Mahat AN, Tamil AM. Determinant of low-birth-weight infants: a matched case control study. Open J Preventive Med. 2014;4(3):91-9.
Mirzarahimi M, Hazrati S, Ahmadi P, Alijahan R. Prevalence and risk factors for low birth weight in Ardabil, Iran. Iran J Neonatol. 2013;4(1):18-23.
Adane A, Ayele TA, Ararsa LG, Bitew BD, Zeleke BM. Adverse birth outcomes among deliveries at Gondar University Hospital, Northwest Ethiopia. BMC Pregnancy Childbirth. 2014;14(1):90.