Low birth weight: an observational study of maternal and neonatal factors in a rural tertiary care hospital, Telangana, India
Keywords:LBW, Mothers, Socio-demographic, Maternal factors, Neonatal factors
Background: Poor maternal health among Indian women is of global significance because India is home to 1/5th of the world’s births. 27% of these newborn babies in India are low birth weight (LBW), an important cause of high infant mortality. This study was conducted among puerperal women who delivered LBW babies in our hospital to know the various factors pertaining to socio-demographic, obstetric and anthropometric characteristics.
Methods: this observational study was conducted in the department of obstetrics and gynecology at Bhaskar medical college and hospital, Moinabad, Hyderabad from January 2016 to June 2017. The study sample were those who delivered LBW babies in our hospital and a set questionnaire was used to collect the relevant details.
Results: 75% of these mothers were in the age group of 20-25 years, 73.5% had more than 10 years of schooling. About 64% of these women had their 1st antenatal visit in 1st trimester of pregnancy and 54% had their 1st ultrasound in 1st trimester. 36 babies had NICU admission, either at our hospital or at a level III NICU facility, and all had good neonatal outcome.
Conclusions: The state must endeavor to make quality health free and easily accessible to pregnant women so that all can avail these services to better the maternal and neonatal outcomes. This will be helpful in improving the overall health of our population over the next few decades.
Organization WHO International statistical classification of diseases and related health problems, tenth revision, 2nd edition. World Health Organization. 2004.
WHO Global nutrition targets: Low Birth Weight Policy Brief Geneva. WHO. 2004.
Lawn JE, Cousens S, Zupan J. 4 million neonatal deaths: when? where? why? Lancet. 2005;365(9462):891-900.
UNICEF. State of World’s Children. New York, NY: UNICEF. 2009.
Kramer MS. Determinants of Low Birth Weight: methodological assessment and meta-analysis. Bull World Health Organization. 1987;65(5):663-737.
Zerbeto AB, Cortelo FM, Elio Filho BC. Association between Gestational Age and Birth Weight on the language development of Brazilian children: a systematic review. J de Pediatr. 2015;91(4);326-32.
Muthayya S. Maternal nutrition and low birth weight-what is really important? Ind J Medical Research. 2009;130:600-8.
Negi KS, Kandapal SD, Kukreti M. Epidemiological factors affecting Low Birth Weight. JK Science. 2006;8(1):31-4.
Rajashree K, Prashanth HL, Revathy R. Study on the factors associated with low birth weight among newborns delivered in a tertiary care hospital, Shimoga, Karnataka. Int J Med Sci Public Health. 2015;4:1287-90.
National Family Health Survey (NFHS)-4. 2015-16.
Joshi HS, Srivastava PC, Agnihotri AK, Joshi MC, Chandra S, Mahajan V. Risk factors for low-birth-weight babies and its medico-legal significance. J Indian Acad Forensic Med. 2014;32(3).
Bassetty KC, Phukan P, Ahmed RD, Borah R. Outcomes of neonates in pregnancies with IUGR in Developing countries: A cross sectional study over a period of 6 months. Gynecol Obstet (Sunnyvale). 2017;7(4):1000434.
Gagan A, Satraj A, Kapil G, Kumar V, Parul G. Maternal risk factors associated with low-birth-weight neonates in tertiary care hospital, Northern India. J Community Med Health Edu. 2012;2:177.
Sain S, Mukhopadhyay P, Saha TK, Chattopadhyay A, Dey I, Mandal NK. Effect of maternal factors on LBW in a Medical college of Kolkata. J comprehensive Health. 2014;2:2.
Prah J, Ameyaw EO, Afoakwah R, Kudom A. Factors affecting birth weight in Cape Coast, Ghana. Int J Reprod Contracept Obstet Gynecol. 2016;5(5):1536-9.
Murty NVR, Uma B, Rao JM, Sampurna K, Vasantha K, Vijayalakshmi G. High prevalence of Sub-clinical Hypothyroidism in pregnant women in South India. Intl J Reprod Contracept Obstet Gynecol. 2015;4(2):453-6.
Dubey M, Rout AJ, Ram R, Saha JB, Chakrabarty M, Biswas N. Relationship between low birth weight of babies and antenatal care of mothers: A cross sectional study at a tertiary care hospital of Kishanganj, Bihar. Global J Med Public Health. 2015;4:6.
Coffey D. Pre-pregnancy body mass and weight gain during pregnancy in India and sub-Saharan Africa. Pro Natl Acad Sci USA. 2015;112(11):3302-7.
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 Childbirth. 2015;15:222.