scholarly journals Low birth weight and its sociodemographic correlates: a descriptive study from medical college hospital, Maharashtra

Author(s):  
Dnyaneshwar Digole ◽  
A. S. Nagaonkar ◽  
Anant A. Takalkar

Background: Low birth weight is one of the most serious challenges in maternal and child health in both developed and developing countries. According to a UNICEF report about 28 per cent of babies born in India are low birth weight. Present hospital based study was undertaken to estimate the proportion of babies with low birth weight.Methods: The present hospital based descriptive study was conducted at Swami Ramanand Teerth Rural Govt. Medical College and Hospital. The data collection was done during 1st March 2012 to 28th February 2013. All deliveries occurring on alternate days were included in the study which comes to, 1154 deliveries.Results: Out of total 1154 live full term new borns; 279 (24.18%) were low birth weight babies. The percentage of low birth weight babies was more in mothers from rural area 243 (27.46%). Highest percentage (45.33%) of low birth weight babies was seen in non agricultural laborer. Higher percentage of low birth weight babies (26.18%) was observed among mothers belonging to joint family. Highest percentage (28.61%) of low birth weight babies was observed in class V socioeconomic status.Conclusions: Baby birth weight has significant association with place of residence, mothers occupation, fathers occupation, socioeconomic status of family (p<0.05).

Author(s):  
Ambri Agarwal ◽  
Prashant Tomar

Background: Low birth weight is defined as weight at birth is less than 2.5 kg. Low birth weight infants are at a greater risk of having a disability and survival and respiratory problems. To reduce the incidence of low birth weight babies we studied the maternal factors which affect the baby in utero and cause preterm or low birth weight babies.Methods: Eighty-two pregnant ladies aged between 16-30 years were studied who regularly visiting to obstetrics and gynecology department of G. S. medical college hospital, Peeplabandpur, Pilkahuwa, Uttar Pradesh, India were selected for study.Results: In this study, it was seen that mothers who were illiterate, belonging to lower socioeconomic status, multiparous and pregnancy associated with PIH, Anaemia and Oligohydramnios had high incidence of low birth weight babies.Conclusions: This pragmatic approach study of LBW will be quite helpful to obstetrics and gynecologist, pediatrician, physician to treat such patients actively to prevent morbidity and mortality of low birth newborn which is a great threat and challenge to the medical fraternity globally.


2018 ◽  
Vol 10 (1) ◽  
pp. 16-22
Author(s):  
Zebun Nessa ◽  
Iffat Zaman ◽  
Menoka Ferdous ◽  
Sumana Rahman ◽  
Debalina Das

Background: World health organization estimates that 25 million low birth weight (LBW) babies are born annually worldwide and 95% occur in developing countries. Low birth weight is a major public health problem of Bangladesh. So an attempt was made to study the incidence of low birth weight (<2.5kg) and also the associated risk factors of low birth weight among the new born babies born to Dhaka Medical College Hospital.Aims: To determine the Prevalence of low weight among the babies born and to determine the relationship of low birth weight with maternal factor like maternal weight, height, gestational period, antenatal checkup, heavy physical work during pregnancy, hypertension, age of the mother and parity, in Obs. & Gynae Department, DMCH.Method: This descriptive cross sectional study was done in Gynecology and Obstetrics Department of Dhaka Medical College Hospital. Five hundred (500) samples were selected for the study. The study was done from 1st January 2006 to 31 December 2006. Data processing and questionnaire are processed manually using scientific calculator and by computer using SPSS programmers version-16. All abortions, still born, gross congenital abnormalities were excluded from this study. The cut off point used for low birth weight is 2.5 kg.Results: A total of 500 women were interviewed. The incidence of low birth were found 21.6%. Younger than 20 yrs (31.25%) and more than 40 years (35.71%) mother delivered more low birth weight babies. The primigravida and multigravida (>4 parity) showed more low birth weight babies. Women from low socioeconomic condition produced significantly larger number of low birth weight babies as well as short stature. Low maternal height, less educated, illiterate, manual worker mother delivered more low birth weight babies. Preterm birth comprises larger number of low birth weight (LBW 35%). Low height of new born babies also associated with low birth weight. Female babies were higher than the male babies. Preterm babies were lighter (LBW) than the full term babies.Conclusion: The study finds out the incidence of low birth babies, the figure close to the developing countries. The study revealed that maternal age, gestational age, parity, socioeconomic status, maternal weight and disease condition have strong relations with birth weight of babies. Occupation and antenatal check up also affects birth weight of babies.J Shaheed Suhrawardy Med Coll, June 2018, Vol.10(1); 16-22


2000 ◽  
Vol 32 (4) ◽  
pp. 487-493 ◽  
Author(s):  
FARID UDDIN AHMED ◽  
ENAMUL KARIM ◽  
SYEDA NURJAHAN BHUIYAN

In Bangladesh, like other developing countries, most births occur at home or in the community, so logistic problems and taboos prevent the weighing of every newborn child. This study was performed to see whether other simpler measurements could be substituted for weight to identify neonates of low birth weight. A total of 1676 live births at the Chittagong Medical College Hospital constituted the study sample, and this showed a high correlation between mid-arm circumference and birth weight (r=0.792, p<0·000). A mid-arm circumference of <9·0 cm had the best sensitivity and specificity for identifying newborns with a birth weight of less than 2500 g. These neonates were followed up to record neonatal deaths. Neonatal mortality showed an inverse relation with mid-arm circumference. A mid-arm circumference of <9·0 cm and a birth weight of <2500 g were equally useful in predicting neonatal outcome. Mid-arm circumference is a simple, quick and reliable indicator for predicting low birth weight and neonatal outcome, and can be easily measured by medical practitioners and traditional birth attendants (TBAs) in the community of developing countries like Bangladesh.


2013 ◽  
Vol 21 (2) ◽  
pp. 160-165
Author(s):  
Shishir Ranjan Das ◽  
AKM Matiur Rahman ◽  
AKM Azad Chowdhury ◽  
Md. Mahbubul Hoq ◽  
Sudip Ranjan Deb

J Dhaka Medical College, Vol. 21, No. 2, October, 2012, Page 160-165 DOI: http://dx.doi.org/10.3329/jdmc.v21i2.15339


2020 ◽  
Vol 10 (4) ◽  
pp. 287-290
Author(s):  
Shazia Aftab ◽  
Paras Golo ◽  
Alma Iqbal

Objective: To determine the obstetric, antenatal, natal and socio-economic factors affecting low birth weight (LBW) babies. Study design and setting: The cross-sectional study was conducted from February2019 till May2019 at Jinnah Medical College hospital Karachi. Methodology: The targeted population was 100 mothers who recently delivered their babies and were present in the hospital during postpartum period. Variables included obstetric history, maternal risk factors, socioeconomic status and education of parents. Weight of the neonates was noted by the doctors within 24 hours of birth. Data was analysed on SPSS version 21. Results: Variables having significant and positive influence on LBW were; age, activity and occupation of mother, age at first pregnancy, no. of pregnancies, maternal anemia. The 48% of low birth weight babies were present in mothers belonging to younger age group (18-20 years). The incidence of low birth weight increases with increased number of pregnancies, women with greater than 3 pregnancies had 18% of 1.6-2kg of weight of babies, 12% of 2.1-2.5kg of weight, 10% of 1.1- 1.5kg of weight. Mother’s with poor diet had 36% of 2.1-2.5kg of weight. Women with high activity during pregnancy having 53% of 1.6-2kg of weight babies. Regarding occupation 40% of housewife’s risks of 1.6-2kg weight of baby with p-value of <0.05 as activity during pregnancy was high. Conclusion: Factors like younger age women, multi-parity, increased physical activity maternal diet, anemia due to nutritional deficiencywere contributed to low birth weight babies


Author(s):  
MuthuPrabha P. ◽  
Ramalakshmi S.

Background: Asymptomatic bacteriuria is defined as greater than 100,000 organisms in the urine of a person who lacks symptoms. The objective of present study was to find out the prevalence of asymptomatic bacteriuria (ASB) in women attending the antenatal OPD in a tertiary care centre and to study the effect of screening and treatment on maternal and fetal outcome.Methods: The study was conducted at OG Department, Tirunelveli Medical College Hospital over a period of ten months from March 2014 to Dec. 2014. Antenatal women at 12-16 weeks were screened by collecting clean catch midstream urine samples and doing routine urine analysis, culture/sensitivity and colony count. Treatment was given to all bacteriaurics with oral cephalexin and for persistent cases with Inj. gentamycin. Repeat culture was done at second and third trimesters.Results: In this study, the incidence of ASB was found to be 10.8%. It was more common among primi gravida (13.98%) and the incidence was found to be high in low socio economic groups (12.4%). In present study E. coli was 88.88%, Klebsiella 7.4% and Staphylococcus aureus 3.7%. Anemia was found in 37.04% of bacteriurics, preeclampsia in 7.4%, preterm delivery in 14.82% and low birth weight in 18.5% of bacteriurics.Conclusions: Treatment of ASB during pregnancy at the first antenatal visit decreases the incidence of preeclampsia, premature delivery, low-birth weight and perinatal mortality.


1970 ◽  
Vol 26 (3) ◽  
pp. 128-134
Author(s):  
ASM Nawshad Uddin Ahmed ◽  
MA Rob ◽  
Ferdous Rahman ◽  
Redwanur Rahman ◽  
Nazmul Huda

y, mainly due to infections and complications of prematurity. The present article is a descriptive analysis of the most common reasons for hospital admission of VLBW infants, morbidity during hospital stay, and their immediate outcome at a community level medical college hospital in Bangladesh. Sixty VLBW neonates (< 1,500 grams weight), 37 males and 23 females, < 72 hours of age were enrolled prospectively from March 2005 to February 2007; 4 babies were excluded. Thirty-four babies were hospital born and 26 home delivered cases admitted postnatally. The mean birth weight and gestational age of the newborns were 1270 ± 169 grams and 30.9 ± 2.9 weeks respectively. Forty-one of 60 cases (68.3%) mothers received at least one antenatal care visit. Common clinical presentations were prematurity alone (36.7%) and its complications like delayed crying (25.0%), feeding problem (23.3%), lethargy (16.7%), hypothermia (10.0%) and respiratory problem (8.3%). The commonest morbidity during hospital stay was neonatal hyperbilirubinemia requiring phototherapy (26.7%), apnoea of prematurity (15.0%), and septicaemia (11.7%). The overall survival rate was 56.7%; most of the deceased cases were those < 1250 grams (15/28, 53.6%) and < 30 weeks of gestation (17/30, 56.7%). No infant with a birth weight < 850 grams or a gestational age < 28 weeks survived. The most common cause of death was birth asphyxia (38.5%), followed by extreme prematurity (26.9%), and septicaemia (19.2%). Very low birth weight infants had relatively higher survival rates probably due to low infection rate. DOI: 10.3329/jbcps.v26i3.4196 J Bangladesh Coll Phys Surg 2008; 26: 128-134


2021 ◽  
Vol 29 (2) ◽  
pp. 145-148
Author(s):  
Md Saiful Islam ◽  
Manisha Banerjee ◽  
Tafazzal Hossain Khan ◽  
Chandan Kumar Shaha ◽  
Md Zahir Uddin ◽  
...  

Prematurity and low birth weight contributes to 27.8% of neonatal deaths in rural areas of Bangladesh. Fluid, electrolyte and metabolic abnormalities are the commonest derangements encountered in preterm infants due to their renal immaturity and relatively immature skin. Premature infant are at increased risk of developing dehydration or overhydration4. Therefore, high index of suspicion, prompt recognition and thorough understanding of common electrolyte abnormalities are necessary to improve neonatal outcome. Appropriate fluid and electrolyte management is essential for better neonatal outcome. Objectives: To identify the serum electrolytes abnormalities in preterm low birth weight neonates. Methodology: It was a cross- sectional study and carried out in the Department of Neonatology, Dhaka Medical College Hospital, Dhaka between January 2017 to August 2017. Information was collected who gave consent and participated in the study willingly. The sample size was 50. Patients admitted in the above mentioned hospital and after meeting the inclusion and exclusion criteria a simple random sampling technique was applied for selecting the study subjects. Results: Fifty preterm LBW neonates fulfilling the inclusion criteria were studied during this study period. Abnormal electrolytes were documented in 20(40%) out of 50 preterm LBW neonates and electrolyte status was normal in 30(60.0%) cases. Of 20 neonates who had abnormal electrolytes, hyperkalemia was the predominant electrolyte abnormality found in 8(16.0%) neonates, hyponatremia was found in 7(14.0%), hypokalemia in 3(6.0%) and hypernatremia 2(4.0%). Conclusion: Electrolyte abnormalities are common in preterm LBW neonates. So, identification of electrolyte abnormalities and proper management of fluid and electrolytes and close monitoring are important. J Dhaka Medical College, Vol. 29, No.2, October, 2020, Page 145-148


2021 ◽  
Vol 8 (12) ◽  
pp. 1926
Author(s):  
Nitesh Upadhyay ◽  
Minhajuddin Ahmed

Background: Gestational age and birth weight is an important predicator for morbidity and mortality in neonates. Aim was to determine the correlation of foot length with birth weight and gestational age in neonates.Methods: This was a prospective observational study done in the neonatal unit department of pediatrics in Chirayu medical college and hospital, Bhopal. There were 1739 deliveries included during the study period from January 2016 to December 2020. Study group comprised of all live born babies delivered in within 24 hours of birth who fulfilled the inclusion criteria.Results: The study comprised of 1739 newborn babies, out of which 896 (51.51%) were males and 843 (48.49%) were females. Male:female ratio 1.06:1. In our study group, 337 (15.6%) babies were preterm and 1385 (84.39%) were of term gestation. We found a positive linear correlation of foot length with all birth weight groups in a newborn with a correlation coefficient (r=0.78) and p<0.001 was found. Similarly, a positive correlation of foot length and gestational age of newborn in both term and preterm babies with (r=0.83) with p<0.01. Foot length has 87.4% sensitivity and 91.7% specificity among low-birth-weight babies with respect to cut off foot length of 75.5 mm. Foot length has 78.7% sensitivity and 63.7% specificity among preterm babies.Conclusions: Foot length can be used as a screening tool to identify low birth weight (LBW) and preterm babies as it had a higher sensitivity and specificity.


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