Effect of maternal height on neonatal outcomes in tertiary care hospital: a retrospective study


  • Poornima Shankar Department of Pediatrics, Kempegowda Institute of Medical Sciences, Bangalore, Karnataka, India
  • Jayalalitha S. Marol Department of Pediatrics, Kempegowda Institute of Medical Sciences, Bangalore, Karnataka, India
  • Muragesh Awati Department of Pediatrics, Kempegowda Institute of Medical Sciences, Bangalore, Karnataka, India
  • Abhishek Manohar Department of Pediatrics, Kempegowda Institute of Medical Sciences, Bangalore, Karnataka, India




Maternal stature, Neonatal outcome


Background: Global or regional evidence showed maternal height as a strong predictor of child survival. However, there is limited information that confirms the intergenerational effect of short maternal height on the risk of offspring mortality in Bangladesh. Therefore, this study aimed to examine the association of maternal height with neonatal morbidity and outcome.

Methods: In this analysis authors took data of 100 women who delivered in Kempegowda Hospital in the year 2018 including anthropometry of the mother at admission, anthropometry of the newborn, NICU admissions. Neonatal outcome was assessed by birth weight, anthropometry and NICU admissions against maternal stature which was stratified into 4 groups.

Results: Comparison of mean birth weight, head circumference and length showed significant relation with maternal height (p<0.001).

Conclusions: Findings should draw the attention of the programme and policymakers to focus on improving maternal nutrition for better offspring nutrition, health and survival.


UNICEF, WHO, World Bank Group, UN. Level & Trends in Child Mortality Report 2017. Estimates Developed by the Interagency group for Child Mortality Estimation; 2017.

Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, De Onis M, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. The lancet. 2013 Aug 3;382(9890):427-51.

Kozuki N, Katz J, Lee AC, Vogel JP, Silveira MF, Sania A et al. Short maternal stature increases risk of small-for gestational-age and preterm births in low- and middle income countries: individual participant data meta-analysis and population attributable fraction. J Nutr. 2015;145(11):2542-50.

Monden CW, Smits J. Maternal height and child mortality in 42 developing countries. American Journal of Human Biology. J Hu Bio Asso. 2009 May;21(3):305-11.

Özaltin E, Hill K, Subramanian SV. Association of maternal stature with offspring mortality, underweight, and stunting in low-to middle-income countries. JAMA. 2010 Apr 21;303(15):1507-16.

Khan JR, Awan N. A comprehensive analysis on child mortality and its determinants in Bangladesh using frailty models. Arch Public Health 2017;75:58.

Abir T, Agho KE, Page AN, Milton AH, Dibley MJ. Risk factors for under-5 mortality: evidence from Bangladesh Demographic and Health Survey, 2004-2011. BMJ open. 2015 Aug 1;5(8):e006722.

Subramanian SV, Ackerson LK, Smith GD, John NA. Association of maternal height with child mortality, anthropometric failure, and anemia in India. JAMA. 2009 Apr 22;301(16):1691-701.

Perkins JM, Subramanian SV, Davey Smith G, Özaltin E. Adult height, nutrition, and population health. Nutrition Reviews. 2016 Feb 29;74(3):149-65.

Wang J, Wu Z, Li D, Li N, Dindot SV, Satterfield MC, Bazer FW, Wu G. Nutrition, epigenetics, and metabolic syndrome. Antioxidants Redox Signaling. 2012 Jul 15;17(2):282-301.

Wu G, Imhoff‐Kunsch B, Girard AW. Biological mechanisms for nutritional regulation of maternal health and fetal development. Paed Perina Epidemiol. 2012 Jul;26:4-26.

Ogawa K, Morisaki N, Saito S, Sato S, Fujiwara T, Sago H. Association of Shorter Height with increased risk of Ischaemic placental disease. Paed Peri Epide. 2017 May;31(3):198-205.

Martorell R, Zongrone A. Intergenerational influences on child growth and undernutrition. Paed Pel Epide. 2012 Jul;26:302-14.

Katz J, Lee AC, Kozuki N, Lawn JE, Cousens S, Blencowe H, et al. Mortality risk in preterm and small-for-gestational-age infants in low-income and middle-income countries: a pooled country analysis. The Lancet. 2013 Aug 3;382(9890):417-25.

Ota E, Ganchimeg T, Morisaki N, Vogel JP, Pileggi C, Ortiz-Panozo E, et al. WHO Multi-Country Survey on Maternal and Newborn Health Research Network. Risk factors and adverse perinatal outcomes among term and preterm infants born small-for-gestational-age: secondary analyses of the WHO Multi-Country Survey on Maternal and Newborn Health. PLoS One. 2014 Aug 13;9(8):e105155.

Christian P, Lee SE, Donahue Angel M, Adair LS, Arifeen SE, Ashorn P, et al. Risk of childhood undernutrition related to small for gestational age and preterm birth in low and middle-income countries. Inter J Epid. 2013 Aug 6;42(5):1340-55.

Olofin I, McDonald CM, Ezzati M, Flaxman S, Black RE, Fawzi WW, et al. Nutrition Impact Model Study (anthropometry cohort pooling. Associations of suboptimal growth with all-cause and cause-specific mortality in children under five years: a pooled analysis of ten prospective studies. PloS one. 2013 May 29;8(5):e64636.

UNSCN, 2017. 6th report on the world nutrition situation. Progress in nutrition. Available at: http://www.fao.org/3/a-as211e.

Bhutta ZA, Das JK, Rizvi A, Gaffey MF, Walker N, Horton S, et al. Maternal and Child Nutrition Study Group. Evidence-based interventions for improvement of maternal and child nutrition: what can be done and at what cost?. The lancet. 2013 Aug 3;382(9890):452-77.






Original Research Articles