DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20172514

A study of maternal factors influencing very low birth weight babies

Mani Madhavan Sachithanantha Mooorthi, Balakrishnan Nadesan, Ezhilarasu Ramalingam, Sivaraman Thirumalaikumarasamy

Abstract


Background: Very low birth weight (VLBW) infants present one of the greatest medical and ethical challenges to the medical field. Although they represent a small percentage of overall birth and NICU admissions, VLBW infants are often the most critically ill and at the highest risk for mortality and long-term morbidity of any NICU patients. The present study was conducted with aim to find out the maternal risk factors related to VLBW of newborn.

Methods: This prospective case control study was conducted in Govt. R.S.R.M Lying in Hospital, which is affiliated to Stanley Medical College, during the period from January 2005- December 2005. The data related to maternal and new born variables were collected and evaluated by using Chi square test. P value less than 0.05 was considered as statistically significant.

Results: The incidence of VLBW newborns was found to be 2.08%. The most common cause of VLBW is preterm delivery (84%). Maternal factors like age, weight, parity, literacy, mid arm circumference, income, bad obstetric history of the mother and birth interval showed a significant association with the incidence of VLBW of the infants (P <0.05). Antenatal visits, maternal occupation and maternal disease had no significant (P >0.05) influence on the delivery of VLBW babies.

Conclusions: In the present study, incidence of VLBW was associated with the maternal factors like age, parity, literacy, nutritional status, income, birth interval and previous history of bad obstetrics. Hence, the study concludes that pregnant women need to be careful of all these above factors so as to avoid VLBW babies. 


Keywords


Maternal factors, New born variables, Very low birth weight

Full Text:

PDF

References


United Nations Children’s Fund and WHO: Low Birth Weight country, regional and global estimates. New York; 2004. Available at http://www.unicef.org/publications/index_24840.html. Last accessed on 24 May 2013.

UNDP: Infants with low birth weight. Available at http://hdrstats.undp.org/indicators/67.html. Accessed on 17 December 2006.

Rajaeefard A, Mohammadi M, Choobineh A. Preterm delivery risk factor: a prevention strategy in Shiraz, Islamic Republic of Iran. East Mediterr Health J. 2007;13:17.

Ballard JL, Khoury JC, Wedig K, Wang L, Eilers-Walsman BL, Lipp R. New Ballard Score, expanded to include extremely premature infants. J Pediatr. 1991;119(3):417-23.

Roth J, Hendrickson J, Schilling M, Stowell DW: The risk of teen mothers having low birth weight babies: implications of recent medical research for school health personnel. J Sch Health. 1998:68(7):271-5.

Amin N, Abel R, Sampathkumar V. Maternal risk factors associated with low birth weight. Indian J Pediatr. 1993;60(2):269-74.

Malik S, Ghidiyal RG, Udani R, Waingankar P. Maternal biosocial factors affecting low birth weight. Indian J Pediatr. 1997;64(3):373-7.

Dhar GM, Shah GN, Bhat TA, Butt N. Low birth weight: an outcome of poor socio- obstetric interaction: Indian J Matern Child Health. 1991;2(1):10-3.

Deshmukh JS, Motghare DD, Zodpey SP, Washva SK. Low Birth weight and associated maternal factors in an urban area. Indian Pediatr. 1998;35(1):33-6.

Chhabra P, Sharma AK, Grover VL, Aggarwal OP. Prevalence of low birth weight and its deteminants in an urban resettlement area of Delhi. Asia Pac J Public Health. 2004;16(2):95-8.

Karim E, Mascie-Taylor CGN. The association between birth weight, sociodemographic variables and maternal anthropometry in an urban sample from Dhaka, Bangladesh. Ann Hum Biol. 1997:24:387-401.

Zhang X, Liu Y, Lin L, Cao, L, Mi J. A case-control study on risk factors low birth weight in china. Zhonghua Yu Fang Yi Xue Za Zhi. 2002;36(3):158-60.

Cramer JC. Racial and ethnic difference in birth weight: The role of income and financial assistance. Demography. 1995;32:231-47.

Johnson J, Abraham B, Stephenson B, Jehangir HM. Maternal Risk Factors affecting Low Birth Weight babies: A case control study from tertiary care teaching hospital in rural Southern India. IJBRFA. 2016;7(11):790-4.

Martorell R, Gonzalez - Cossio T. Maternal Nutrition and Birth Weight. Yearb Phys Anthropol. 1987;30:195-220.

Arif MA, Qurreshi AH, Jafarey SN, Alam SE, Arif K.: Maternal sociocultural stauts: a novel assessment of risk for the birth of small for gestational age, low birth weight infants: J Obstet Gynaecol Rs. 1998;24(3):215-22.

Lawoyin TO. The relationship between maternal weight gain in pregnancy, hemoglobin level, stature, attendance and low birth weight. Southeast Asian J Trop Med Public Health. 1997;28(4):873-6.

Ndiaye O, Diallo D, B MG Diagne I, Moreau JC, Diadhiou F, Kuakuvi N. Maternal risk factors and low birth weight in Senegalese teenagers: the example of a hospital centre in Dakar. Sante. 2001;11(4):241-4.

Maruoka K, Yagi M, Akazawa K, Kinukawa N, Ueda K, Nose Y. Risk factors for low birth weight in Japanese infants. Acta paediatr. 1998;87(3):304-9.

Mondal B. Risk factors for low birth weight in Nepali infants. Indian J Pediatr. 2000;67(7):477-82.