A study of various determinates and incidence of low birth weight babies born in Umaid hospital, Jodhpur (Western Rajasthan)
Keywords:Incidence, Low birth weight, Prematurity, Preterm, Risk factors
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.
Methods:The present study was conducted at Department of Pediatrics, Dr. S. N. Medical. College, Jodhpur. Study Design: Cross sectional study. Sample size: 8266 consecutive live birth babies were enrolled. Inclusion Criteria: A total number of 8266 consecutive live birth babies were enrolled a total number of 2542 Low birth weight babies were delivered with birth weight 2.5 Kg. or less. Exclusion Criteria: (i) IUD babies, (ii) Still born babies, (iii) Lodger babies.
Results: Incidence of LBW babies were 30.725%, VLBW babies 2.71% and that of ELBW babies were 0.89%, Male, Female ratio was 1:1.09, 80% LBW babies were more than 1.8Kg, 73.05% babies were between 37-40 weeks of gestational age and 5.0% were extreme premature (<32 weeks) Teen aged mother and elderly mothers, Primi para and multiparty (4th and above) had increased incidence of LBW babies, 84.97% of LBW babies born normally, maximum number of mothers were from lower socioeconomic status (54.41%) were illiterate (41.8%). Tobacco addiction had adverse effects on birth weight. PIH was the most frequent complication (17.93%). Followed by APH (2.95%) and P.P.H. 1.41% Anemia was the most common (23.73%) medical illness followed by Chronic UTI 2.59%, TB 1.61% and RHD 1.18%.
Conclusions:Interventions to improve intrauterine growth and gestational duration by providing adequate caloric supplementation before and during pregnancy, febrile illnesses prophylaxis, or treatment, reduce tobacco chewing in mothers, avoid child bearing in young adolescents and in late reproductive age, improving maternal education, general improvement in nutrition and socio-economic condition and Improving sanitation and water supply.
Roger Segeltken. Low Birth weight may presage adult Ills. Cornell chronicle. 2006;8:9-12.
Miller. Problems of prematurity and low birth weight. India J Child Health. 1886;12:254-61.
Technical report. Geneva (Switzerland) WHO; 1950. Series No. 27.
National Neonatology forum. Rajasthan State Chapter low birth weight babies. 2003;43-5.
Modified Perkin’s criterion. CEBS method- for determination of gestational age. Indian Pediatr. 2003;3:78-9.
Modified method of Kuppuswami. Socioeconomic classification. Indian J Pediatr. 2003;11:212-5.
Sarna MS. Study of urban hospital Indian J Pediatr. 1991;28:284-92.
Indian council of medical research. Instruction used for anthropometric measurement. Indian J children. 1987;6:920-7.
Gorav RB, Kartikeyan S, Jape MR. Low birth weight babies- A pilot study. BMJ. 2003;8:176-81.
UNICEF/WHO New York. Low birth weight babies-country, Regional and global estimates. 2004;12-3.
Ghosh S, Daga S. Gestational age and low birth weight. Pediatrics. 1967;71:173-7.
Saigal, Srivastava. Morbidity and mortality pattern of LBW babies. Indian J Comm Medicine. 1970;28:927-36.
Shah HN. A study of 3138 premature babies. Archi child Health. 1987;11:145-52.
Bhakoo ON, Narang A, Kulkarni, Patil KN. Neonatal morbidity and mortality in hospital based study. Indian Pediatr. 1975;6:44-56.
Bhatia BD, Mathur NB, Chaturvedi P, Dubey AP. Neonatal mortality in rural based medical college Hospital. Indian J Pediatr. 1984;51:390-312.
Sarna MS, Saili A, Dutta AK, Kumari S. Neonatal mortality patterns in an urban hospital. Indian Pediatr. 1991;28(7):719-24.
M Singh. Review of perinatal and data based. Indian J Pediatr. 1986;23:579-84.
Amon E. Obstetrics variables predicting survival of the immature newborn less than 1000 gms. Am J Obstet Gynecol. 1987;64:1380-9.
Finnstrom O. Incidence, Mortality, Morbidity and survival in relation to level of care. The Swedish national prospective study on ELBW infants. Acta Pediatr. 1997;5:503-11.
Rafati S, Borna H, Akhavirad MB, Fallah N. Maternal determinates of Giving birth to low birth weight Neonates. Archiv Iranian Med. 2005;8:227-8.
Joshi HS, Subba SH. Risk factors associated with low birth weight in new born. Indian J Comm Medicine. 2005;30:510-2.
Villar J, Belizan JM. The timing factor in the pathophysiology of IUGR syndrome. Obstetrical Gynecological Surveys. 1982;37:499-506.
Bhargava SK Bhargava V, Kumari S. Birth weight, gestational age and maternal factors in LBW babies. Indian J Pediatr. 1973;10:161-71.
Verma V, Das KB. Teenage Primigrivida: A Comparative study. Indian J Public Health. 1997;2:52-5.
Srivastava AK. A study of maternal and fetal factors in relation to small for date babies. Indian J Pediatr. 1982;4:88-108.
Kramer MS. Determination of low Birth weight methodological assessment and meta-analysis. Bulletin of the world health organization. 1887;65:663-737.
Sainba MK, Indra OC, Mathai NM. low birth weight babies. Indian J Pediatr. 1972;39:389-402.
OP Ghai. Maternal factors in epidemiology of low birth weight babies. Indian J Pediatr. 1980;47:123-8.
Dhall K. Maternal determinates of birth weight of north Indian babies. Indian J Pediatr. 1995;62:333-4.
Saigal S. Maternal factors in relation to birth weight. Indian J Pediatr. 1969;12:773-81.
Mukherjee DK. Birth weight and its relation with certain Maternal factors. Indian J Pediatr. 1970;37:460-8.
Pachuri and Marwah SM. A correlation study of birth weight and maternal factors. Indian J Med Sci. 1971;25:604-11.
Chia SE, Lee J, Chia KS, Chan OY. Low birth weight in relation to parental occupations-a population-based registry in Singapore (1994-1998). Neurotoxicol Teratol. 2004;26(2):285-90.
Udani PM. Physical growth in children in different socioeconomic group Bombay. Indian J Child Health. 1963;12:593-604.
Basavorajappa KG. Effect of sex, maternal age, birth order and socioeconomic status on birth weight of live born infant. Indian J Pub Health. 1962;6:86-98.
Mallov MH. Risk of previous very low birth weight and very preterm infants among women delivering a low birth weight and very preterm infants. J Perinatol. 1999;2:97-102.
Dunsted M. Maternal constraint of fetal growth in Mandev. Med J Neurol. 1965;7:479-98.