Maternal risk factors associated with term low birth weight neonates: A matched-pair case control study (original) (raw)
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IP Innovative Publication Pvt. Ltd, 2017
Aim: Present study was conducted to know the maternal risk factors and outcome of low birth weight babies in Materials and Method: Two hundred cases of low birth weight babies irrespective of gestational age, without any congenital anomalies were included, after informed consent. Detailed histories regarding maternal risk factors were taken and clinical examination done in all cases. Mothers' height and weight were recorded. The babies were followed up during this hospital stay to determine the morbidity and mortality. Results: Low maternal weight, multiparity, low socio economic status, illiteracy, inadequate antenatal care, maternal anemia, maternal malnutrition, maternal hypertension and PROM were the maternal risk factors associated with low birth weight babies. The most common cause of morbidity and mortality in low birth weight babies were sepsis, MODS, HIE, RDS, NEC, hypoglycemia, PDA, IVH, meningitis and feeding difficulties. Conclusion: Identification of high risk factors and apprsopriate management can reduce neonatal morbidity and mortality.
Incidence and risk factors for term low birth weight babies in a tertiary care hospital in Kerala
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2021
Background: Birth weight of <2.5 kg at birth is considered low birth weight and impacts the individual's health during their adult life. Babies are born with low birth weight, both in term and preterm deliveries. This study aims to find the incidence of term low birth weight babies (TLBW) and the maternal risk factors associated with the same.Methods: This case-control study was conducted on 166 pregnant women who had term live births during the study period July 2019 to December 2020. Inclusion criteria: Women with a live singleton TLBW (<2.5 kg) - cases (63) and normal birth weight babies - controls (103). Control group selection was 1:2 proportion as per the cases. Exclusion criteria consisted of women with multiple gestations. Binary and categorical variables were presented using counts and percentages. Independent sample t-test was used to compare two continuous variables, and the chi-square test/Fisher's exact test was used to find the association of categorical ...
Nigerian Medical Journal, 2016
The maternal risk factors are biologically and socially interrelated; most are, however, modifiable. 4 The maternal and fetal risk factors for LBW are varying among different geographical regions. Therefore, we planned the present study to assess the maternal risk factors associated with LBW neonates at a tertiary hospital, Nanded, Maharashtra. INTRODUCTION Low birth weight (LBW) is defined as weight <2500 g at birth regardless of gestational age. 1 LBW is a leading cause of prenatal and neonatal deaths, and as such it remains a worldwide issue and one of the most important public health problems particularly in developing countries. 2 National Family Health Survey-III has found that in India, 21.5% babies are born with LBW. 3 There are numerous
International Journal of Contemporary Pediatrics, 2018
Background: Maternal, foetal and placental risk factors have a causative effect in the prematurity and failure to thrive in the early infantile period. Timely diagnosis helps in the anticipation of complications specific to risk factors and managing by impairing their harmful effects on the growth and development of the baby.Methods: The study was conducted prospectively in Department of Paediatrics, Rajah Muthiah Medical College and Hospital, Chidambaram from January 2018 to June 2018. 361 Low birth weight babies were included. Neonates (n=361) weighing less than 2.5 kilograms with parental informed consent are included, whereas those with severe congenital anomaly, systemic disease or infection were excluded from the study. Various known maternal, placental and foetal risk factors are observed during the course of the study. The gestational age of the neonates was estimated using modified Dubowitz scoring. Other factors like mode of delivery of the babies were also noted. Statisti...
Study of maternal risk factors for low birth weight neonates: a case-control study
International Journal of Medical Science and Public Health, 2015
development. Low birth weight (LBW) in babies continues to remain a major public health problem worldwide, especially in the developing countries. The prevalence of LBW in India is 28% of all live births. As per the WHO (World Health Organization) estimation approximately 25 million LBW babies are born each year, consisting 15% of all live birth, approximately 93% of them in developing countries. [1] Across the world, neonatal mortality is 20 times more likely for LBW babies compared to heavier babies (≤2.5 kg). [2] LBW is the result of preterm birth, intrauterine growth restriction, or a combination of both pathophysiologic conditions. There are numerous factors contributing to LBW, both maternal and fetal. Weight at birth is directly influenced by Background: Low birth weight (LBW) is an important indicator of reproductive health and general health status of population. Weight at birth is directly influenced by general level of health status of the mother. The maternal risk factors are biologically and socially interrelated; most are, however, modifiable, which vary from one area to another, depending on geographic, socioeconomic, and cultural factors. Objectives: This study was undertaken to evaluate maternal risk factors associated with LBW neonates. Materials and Methods: A case-control study was conducted in a tertiary care government hospital in Solapur, Maharashtra. A total of 220 cases (vaginal delivery or cesarean delivery) and 220 controls who delivered a live-born singleton baby without congenital malformation enrolled within 1 day of delivery. Mothers who had multiple births were excluded. All babies were weighed within 24 h after the birth. The information was gathered from the maternal health records and interviewing the mothers of these infants. Results: The mean age of mothers in case group was 22.6 years and that of controls was 23.92 years. Mean weight gain during pregnancy of mothers in case group was 4.2 kg and that of controls was 5.9 kg. Mean weight of the newborn of cases and controls was 1664.97 and 2548.35 g, respectively. Spacing <2 years between this and last pregnancy, pregnancy-induced hypertension, tobacco exposure, lower socioeconomic status (class IV+V), prepregnancy weight <45 kg, late antenatal care (ANC) registration were identified as significant risk factors for LBW neonates. Significant association was found between maternal education (illiterate/primary), prematurity, cesarean delivery, age of mother <20 or >30 years, height <145 cm, maternal occupation (laborer), nuclear family, primigravida, anemia, inadequate ANC, and LBW. Conclusion: Health education, socioeconomic development, maternal nutrition, and increasing the use of health services during pregnancy are all important factors for reducing LBW.
Ibrahim Cardiac Medical Journal, 2019
Background & objective: Term low birth weight neonate represents a heavy burden on healthcare services worldwide due to their higher incidence of morbidity and mortality than term normal weight neonates. Certain maternal factors contribute to delivering term low birth weight neonates. This study was designed to identify the proportion of term low birth weight neonates in a tertiary care hospital and their association with maternal risk factors. Methods: This case-control study was carried out in the Department of Obstetrics & Gynaecology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka over a period of 15 months between April 2017 to June 2018. Term low birth weight (< 2500 gm) neonates delivered in Obstetrics Ward were taken as cases, while the term normal weight neonates taken from the same place were controls. A total of 80 cases and 140 controls who met the eligibility criteria were consecutively included in the study. The maternal factors (that may contribute to t...
International Journal of Public Health and Clinical Sciences, 2020
Background: Cases of Low Birth Weight babies (LBW) are a health problem that is found in many countries, especially in developing and lagging countries. The causes of LBW babies are multifactorial, one of which is maternal and obstetric. The purpose of this study was to determine the relationship between maternal and obstetric factors with the incidence of LBW. Materials and Methods: This study was a case control study design. The study was conducted at the Regional General Hospital dr. Pirngadi Medan with 190 babies born in the year 2018 (130 LBW babies, 59 babies of normal weight). Samples were obtained as many as 68 divided into 34 case groups and 34 control groups. Factors such as lack of iron supplementation (anemia), history of LBW at previous labor, history of hypertension in pregnancy (preeclampsia, eclampsia), placenta previa, placental abruption. Data were analyzed using Chi-square test, and multiple logistic regression test. Result: The study showed that factors related to LBW incidence in newborns were ? maternal anemia (p = 0.032), history of LBW at previous delivery (p = 0.014), and placenta praevia (p = 0.027). Unrelated factors were history of hypertension in pregnancy (p = 1.124), placental abruption (p = 0.241). The most dominant factor associated with the incidence of LBW is the history of LBW at previous deliveries (PR = 4.35), meaning that mothers who have a history of previous deliveries of LBW babies have a 4.3 times higher chance than mothers who do not have a history of LBW at previous deliveries. Conclusion: LBW is associated with anemia, a history of LBW at previous labor, and placenta previa. Health workers must routinely educate mothers at ANC to prevent LBW babies. Conclusion: The conclusion of this study that of the factors associated with the incidence of LBW in newborns is anemia, a history of LBW in previous labor, and placenta previa. While the history of hypertension and placental abruption does not show a real relationship.
Current Pediatric Research, 2014
This study was conducted to know the maternal risk factors and outcome of low birth weight babies in Paediatric Department of a tertiary care teaching hospital in Orissa. Two hundred cases of low birth weight babies irrespective of gestational age, without any congenital anomalies were included, after informed consent. Detailed history regarding maternal risk factors were taken and clinical examination done in all cases. Mothers height and weight were recorded. The babies were followed up during this hospital stay to determine the morbidity and mortality. Low maternal weight, multiparity, low socio economic status, illiteracy, inadequate antenatal care, maternal anemia, maternal malnutrition, maternal hypertension and PROM were the maternal risk factors associated with low birth weight babies. The most common cause of morbidity and mortality in low birth weight babies were sepsis, MODS, HIE, RDS, NEC, hypoglycemia, PDA, IVH, meningitis and feeding difficulties. Identification of hig...
IOSR Journals , 2019
Background: Low birth weight is one of the most serious challenges for maternal and child health in both developed and developing countries. It is the single most important factor that determines the changes of child survival. Nearly 50% of neonatal deaths occur among LBW babies. The survivors among them are at a higher risk of developing malnutrition, recurrent infections and neurodevelopment backwardness. The objective of this study is to assess th effect of antenatal risk factors and mode of delivery on the survival out come of low birth weight babies, in Niloufer Hospital, Hyderabad. Methods: The present study was conducted at Department of OBG, Niloufer Hospital, Hyderabad. Study Design: Cross sectional study. Sample size: 2100 consecutive live birth babies were enrolled. Inclusion Criteria: All babies with birth weight between 1500-2500gm were included in the study. Exclusion Criteria: (1). Babies with birth weight < 1500 (2). IUD babies (3). Still born babies. Results: Incidence LBW 21.2 %, VLBW babies 2.71% and that of ELBW babies were 0.89%, Male, Female ratio was 1:1.09, 80%. Conclusions: Interventions to improve intrauterine growth by measures like adequate nutrition before and during pregnancy, interventions to prolong gestational duration by taking measures to prevent preterm deliveries, avoid child bearing in young adolescents and in late reproductive age, improving maternal education, general improvement in nutrition and Improving sanitation and water supply.
Pakistan Journal of Medical and Health Sciences, 2022
Aim:To determine the maternal risk factors contributing to the birth of low birth weight newborn Study design: A case-control study Place and Duration:This study was conducted at ChildLife Foundation (CLF), Paediatric Emergency NICH Karachi Pakistan from August 2021 to January 2022. Methodology:A total of 920 mothers were included in the study that delivered the baby during the mentioned time frame, out of which 460 were cases and 460 controlled mothers for the comparative analysis of risk factors. All the newborns weighing less than 2500 grams of weight were considered as respective cases for the study. Newborns that weight more than 2500 grams were included in the control groups Results:The mean weight of newborn cases was 2.07 ± 0.45 kilograms and 3.14 ± 0.36 kilograms in the newborn control group. However, the mean gestational age of the cases was 37.2 ± 1.48, and the control was 38.3 ± 1.23 weeks. Whereas mothers of 37.2% of cases and 38.7% of control had no education background, 76% of cases had low HB levels, and 68.7% of cases had less than 24 months of the birth interval were relatedto low birth weight. There was no direct associationbetweenmaternal hypertension and low birth weight among newborns observed in the present study. Conclusion:The present study concluded that maternal low HB levels, poor socioeconomic status, low BMI, poor educational background and close birth spacing have a strong association with LBW among newborns. The country's child and maternal health care services should be prioritized to address these issues.