IJCRR - 5(16), August, 2013
AN EPIDEMIOLOGICAL STUDY OF LOW BIRTH WEIGHT IN A TERTIARY CARE HOSPITAL, TIRUPATI, ANDHRA PRADESH
Author: N. Swarnalatha, P. Bhuvaneswari
Objective: To know the prevalence of low birth weight and its association with socio demographic and maternal factors in Tertiary care Hospital, Tirupati. Settings: Government Maternity Hospital attached to S.V. Medical College, Tirupati Study design: Hospital based cross sectional study Participants: 1200 postnatal women who delivered single live baby in the Government Maternity Hospital, Tirupati. Methodology: Systemic random sampling Study Period: January 2011 to December 2011 Statistical analysis used: Chi-square test and binary logistic regression analysis Results: Prevalence of Low birth weight was 26.8%. The prevalence of low birth weight was high and significant in less than 20 years of age group (42.0%), illiterate mothers (37.4%), occupation as labor (27.4%), low income (28.5%), consanguinity history (38.7%), primigravida (29.8%), women of birth order 3 and above (33.3%), narrow birth interval (34.8%), gestational age less than 37 weeks (72.7%), weight gain less than 6 kgs (57.7%), height less than 145cms (51.0%), weight less than 45kgs (55.2%), low hemoglobin level, less than 3 ante-natal checkups (87.5%), IFA tablets not consumed or less than 50 tablets during pregnancy (48.0%), hard physical labor during pregnancy (56.4%), tobacco chewing (44.7%), female babies (30.6%) and obstetric complications during pregnancy (50.4%). sHowever residence of mother showed any significant effect on low birth weight. Conclusion: To emphasize on need of improving ante natal coverage as well as quality of services.
Keywords: Low birth weight, antenatal check up, IFA tablets, birth interval
N. Swarnalatha, P. Bhuvaneswari. AN EPIDEMIOLOGICAL STUDY OF LOW BIRTH WEIGHT IN A TERTIARY CARE HOSPITAL, TIRUPATI, ANDHRA PRADESH International Journal of Current Research and Review. 5(16), August, 54-62
1. Wicox AJ, Skaeven R. Birth weight and perinatal mortality. The effect of gestational age. Am J Public Health 1992; 82:378-83.
2. Makhija K, Murthy GVS, Kapoor SK, Lobo J. Socio-biological determinants of birth weight. Ind J Paed 1989; 56:639-43.
3. Harfouche JK. WHO bulletin 1979:3; 387- 403.
4. UNICEF. Childinfo, Monitoring the situation of children and women, cited April 25, 2012 available at http://www.unicef.org/infobycountry/India_sta tistics.html.
5. Trivedi CR, Mavalankar DV. Epidemiology of low birth weight in Ahmedabad. Ind J Paed 1986; 53:795-800.
6. Lt.Col Singh G, Capt. Chouhan R and Major Sidhu K. Maternal factors for low birth weight babies. Medical journal Armed Forces India, 2009; 65(1):10-12.
7. Kramer MS. Determinants of low birth weight. Methodological assessment and metaanalysis. Bull of World Health Organization 1987; 65(5): 663-737.
8. Velankar DH. Maternal factors contributing to Low birth weight babies in an urban slum community of Greater Mumbai. Bombay Hospital Journal. 2009; 51(1):26-35.
9. Sachdev HP. Low birth weight in South Asia. Int J Diab Dev Ctries 2001; 21:13-33.
10. Pachauri S, Marvah SM. Socioeconomic factors in relation to birth weight. Indian Pediatr 1970; 7:462-8.
11. International Institute of Population Sciences, National Family Health Survey, India; 2005- 06 (NFHS-3, vol1) 2007; 223.
12. Sachin S Mumbare, Girish Maindarkar, Rajesh Darade, Surekha Yenges, Madhav kumar and Kiran Patole. Maternal Risk Factors Associated with Term Low Birth Weight Neonates: A Matched-Pair-Case Control Study. Indian Pediatrics. 2011; May 30.
13. Sharma MK., Kumar D, Huria A and Gupta P: Maternal risk factors of Low birth weight in Chandigarh India. The internet Journal of Health. 2009; 9(1):DOI:10.5580/10f1
14. Negi KS, Kandapal SD, Kukreti M. Epidemiological factors affecting low birth weight. J K Science, Journal of Medical Education and Research 2006; 8(1):31-34.
15. Kamaladoss T, Abel R, Sampathkumar V. Epidemiological correlates of low birth weight in rural Tamil Nadu. Ind J Pediatr 1992; 59(3):299-304.
16. Anand K, Garg BS. A study of factors affecting Low birth weight. Indian J Com Med 2000; 25(2): 57-62.
17. Rizvi SA, Hatcher J, Jehan I and Qureshi R. Maternal risk factors associated low birth weight in Karachi: A case control study. Eastern Mediterranean Health Journal 2007; 13(6): 1343-52.
18. Roudhari M, Yaghmaer M and Soheili M. Prevalence and risk factors of low birth weight infants in Zahedan, Islamic Republic of Iran. Eastern Mediteranean Health Journal 2007; 13(4); 838-45.
19. Mavalankar DV, Gray RH, Trivedi CR. Risk factors for preterm and term low birth weight in Ahmedabad. Indian Journal of Epidemiology 1992; 21(2):263-72.
20. Kiran A, Garg BS. A study of factors affecting LBW. Indian Journal of community medicine 2000;25:57-62
21. Acharya D, Nagraj K, Nair NS, Bhat HV. Determinants of Intrauterine Growth Retardation: A Case Control Study in Udupi District, Karnataka. Indian Journal of Community Medicine.2004; 29(4):181-82.
22. Joshi HS, Subba SH, Dabral SB, Dwivedi S, Kumar D, Singh S. Risk factors associated with Low birth weight in newborns. Indian Journal of Community Medicine. 2005; 30(4): 142-3.
23. Idris MZ, Gupta A, Mohan U, Srivastava AK, Das V. Maternal health and LBW among institutional deliveries. Indian J Community Med 2000; 25(4):156-60.
24. Phaneendra Rao RS, Prakash KP, Sreekumaran Nair N. Influence of PrePregnancy Weight, Maternal Height and Weight Gain During Pregnancy on Birth Weight. Bahrain Medical bulletin 2001; 23(1):1-8.
25. Mehta A, Shukla S. Tobacco and pregnancy. J Obstet Gynaecol India 1990; 40:1556-60.
26. Felke Y, Enquoseassie F. Maternal age, parity and gestational age on the size of newborn in Addis Abab. East Africa Medical journal 1999; 76(8):468-71.