scholarly journals A study of epidemiological co-relates of low birth weight babies born in tertiary care hospital

Author(s):  
Priti J. Patale ◽  
Monika S. Masare ◽  
Seema S. Bansode-Gokhe

Background: To study the Epidemiological Factors related with the low Birth weight Babies born in tertiary care Hospital of teaching Medical Institution.Methods: The present study was a cross sectional observational study carried out in the Post Natal ward of Obstetric department of a tertiary care hospital of a metropolitan city, data collection was done from the Mothers of low birth weight babies by conducting face to face interview in the post-natal ward with a predesigned, structured Performa. Data was analyzed using statistical package for social science program.Results: The study showed that most of mothers of the babies were between the age group of 22 to 30 years 87 (58.3%) while 49 (32.8%) were below the age of 21 years and 13(8.7%) were above 30 years of age. Most of the study subjects 70 (47.0%) belongs to the lower socioeconomic status where as 62 (41.6%) and 17 (11.4%) belong to upper lower and middle socioeconomic class respectively. It was observed in the present study that maternal education, socioeconomic status, parity, maternal weight gain during pregnancy, height of the mother, tobacco habits either chewing or smoking, birth order of the baby are the factors, significantly associated with low birth weight of the baby.Conclusions: Socioeconomic development, maternal nutrition, and increasing the use of health services during pregnancy, are all important for reducing LBW. There is need to strengthen the existing maternal services at the basic level of community.

2021 ◽  
Vol 8 (6) ◽  
pp. 1064
Author(s):  
Anuradha Sanadhya ◽  
Mohammad Asif ◽  
Priyanka Meena ◽  
Juhi M. Mehrotra

Background: Low birth weight (LBW) contributes substantially to neonatal, infant and childhood morbidity as well as mortality. Across the world neonatal mortality is 20 times more likely for low birth weight babies compared to heavier babies (>2.5 kg). Proportion of LBW babies at birth in Rajasthan is 14%. The present study is proposed to explore the determinants of LBW in babies admitted at tertiary care hospital. The objective of the study was to study the clinic-epidemiological profile and outcome of LBW neonates; to study various factors associated with LBW.Methods: This study was a hospital based descriptive cross-sectional study, carried out at NICU of MBGH, R.N.T Medical College, Udaipur, Rajasthan. The study population comprised of all LBW babies delivered in medical college attached hospital and admitted in NICU, for duration of one year from September 2019 to august 2020. Total 350 babies were enrolled in study as per calculated sample size.Results: LBW was found to be associated with low maternal age, low level of mother education, maternal anemia, less BMI, stature of mothers, number of ANC visits, poor maternal weight gain during pregnancy, per-capita income, etc. Most common cause of mortality was found in LBW was septicemia and of morbidity was RDS.Conclusions: The identified risk factors in our study were modifiable and many were preventable. Maternal age, education of mothers, nutrition of mothers, anaemia status, number of ANC visits by mothers are preventable causes. Demographic profile, socio-economic status; many medical and obstetric factors are modifiable.


2017 ◽  
Vol 4 (6) ◽  
pp. 2065 ◽  
Author(s):  
Arshiya Rehman Sheikh ◽  
Sushama Subhash Thakre ◽  
Subhash Thakre ◽  
Chaitanya Rangangouda Patil ◽  
Prithvi B. Petkar

Background: In spite of the interventions being taken, low birth weight still persists as a public health problem in low and middle-income countries. World Health Organization defines low birth weight as birth weight less than 2500 gm. There is a constant search to find newer methods to detect low birth weight babies so that early methods can be instituted. This study was conducted to evaluate calf circumference as procedure to screen low birth weight babies in tertiary care hospital in Nagpur. Methods: A cross sectional study was conducted in tertiary care hospital of Nagpur, Maharashtra for a period of 4 months. The study subjects were babies delivered at the hospital. Birth weight was recorded using a digital weighing scale within 24 hours of the delivery. Length, calf circumference, head and chest circumference were measured according to standard guidelines. Results: Majority of mothers were in the age group of 20 to 24 years of age group, were educated up to primary school and belonged to Hindu religion. The mean calf circumference of low birth weight babies was 9.64±1.13 cm and was 10.96±1.01 cm in normal weight babies. The mean values of calf circumference were significantly lower in low birth weight babies (p <0.001). The sensitivity and specificity for the best cut off of calf circumference was found to be 89.97% and 42.86% respectively.Conclusions: Measuring calf circumference was found to be a good test with higher sensitivity but lower specificity. Hence, calf circumference can be used as an alternative method to screen babies born in remote areas, where the facility of weighing the baby at birth is not available.


Author(s):  
Isha Chopra ◽  
Sunil K. Juneja ◽  
Sarit Sharma

Background: Antenatal Care (ANC) utilization facility is available but poorly utilized because of many factors which play indirect role in inadequate utilization of antenatal care facility: low social status of women in the society, less opportunity for basic education, less ability to make decisions. Therefore, the present study is an attempt to study the effect of maternal education on antenatal care utilization, maternal and perinatal outcome in a tertiary care hospital.Methods: A prospective study was carried out on 525 cases delivered during period of one year at Dayanand Medical College and Hospital, Ludhiana, Punjab, India; a tertiary care hospital catering both urban and rural population. All cases were categorized into two groups: booked and unbooked. The age, parity and education of each patient in booked and unbooked cases was noted. Further, its impact on antenatal care utilization, maternal and perinatal outcome was studied.Results: On studying education pattern, among illiterate subjects 50% were booked and 50% were unbooked; For graduate and above were 80.6% and 19.4%respectively. Among mothers who were illiterate 90.9% had low birth weight babies and 13.6% had stillborn. Among those graduates and above 38.7% had low birth weight babies,1.5 % stillborn and 1.2% neonatal deaths.Conclusions: The educational status of the women came out as a significantly important variable and predictor of perinatal outcome. Hence, whole hearted efforts should be directed in educating women population and also improving health care facilities in rural areas to provide early referral to higher centers.


Author(s):  
Muhammad Parial Shahani ◽  
Mohd Rizal Abdul Manaf ◽  
Azimatun Noor Aizuddin ◽  
Aneela Atta Ur Rahman ◽  
Saeed Ahmed Shaikh ◽  
...  

In comparison to other middle-income countries, Pakistan has a high prevalence of low birth weight.  Currently the situation has worsened because of the COVID-19 pandemic where stress can have a negative impact on intrauterine development, leading to a rise in preterm birth rates and the incidence of low birth weight babies. The goal of this study is to estimate the prevalence of low birth weight in a tertiary care hospital in Larkana, Sindh, Pakistan, during the COVID-19 pandemic. In this cross-sectional study, the hospital records of two thousand, two hundred and seventy eight neonates were analyzed from patients’ data register for the year 2020. Data were analyzed using Microsoft Excel spread sheet. Of 2278 children admitted to the neonatal ward, only 29.2% babies had birth weight within normal range, 0.7% neonates were high birth weight, and the rest of the admitted babies (70.1%) during the year 2020 had birth weight below 2500 grams. Smallest birth weight observed in the study was 0.9 kg and 4.8 kg was highest birth weight (mean 2.35 kg, SD 0.88, SE 0.012). Female neonates were 895 (39.3%) and the rest of the 1383 (60.7%) babies were male. This study revealed that in Sindh province of Pakistan, the prevalence of low birth weight is extremely high during COVID-19 pandemic. Therefore, the findings suggest that there is need for a lot more emphasis on improving maternal mental health, nutrition and several other relevant factors to reduce the prevalence of low birth weight.


2017 ◽  
Vol 36 (3) ◽  
pp. 277-283 ◽  
Author(s):  
Manju Shrestha ◽  
Sweta Kumari Gupta ◽  
Bhawani Kant Sharmah ◽  
Manish Baidya

Introduction: Low Birth weight is one of the most sensitive and reliable predictors of health and also an essential determinant of mortality, morbidity and disability in infancy and childhood. Globally, about one sixth of all newborns are low birth weight (LBW <2500 grams), which is the single most important underlying risk factors for neonatal deaths. It is estimated that 18 million babies are born with Low Birth Weight and half of them are born in south Asia. Over three – quarters of newborns death in Nepal occur in LBW babies. The estimates of prevalence of LBW in Nepal have ranged from 14% in community based studies to 32% in hospital based ones, overall being 27%.Objectives were to study the various socioeconomic and maternal reproductive factors related to low birth weight babies in Central regional part of Nepal.Material and Methods: Cross-sectional and observational study was undertaken from October 2012 to September 2014 comprising of 350 singleton live born baby admitted in NICU of Tertiary Care Teaching Hospital, Chitwan.Results: The common risks factors for LBW were significantly associated with low socio- economic status, maternal age, maternal education, occupation of mother, maternal smoking, maternal alcohol intake, number of ANC visit with significant p-value of <0.05.Conclusion: LBW mostly associated with maternal factors can be addressed directly by improving the socioeconomic factors (maternal age, educational level and economic status) and health status of pregnant women by supplementations, family planning services and female education.J Nepal Paediatr Soc 2016;36(3):277-283


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