Indian Pediatrics

, Volume 49, Issue 1, pp 25–28 | Cite as

Maternal risk factors associated with term low birth weight neonates: A matched-pair case control study

  • Sachin S. Mumbare
  • Girish Maindarkar
  • Rajesh Darade
  • Surekha Yenge
  • Madhav Kumar Tolani
  • Kiran Patole
Research Paper

Abstract

Objective

To study maternal risk factors associated with full term low birth weight (LBW) neonates.

Design

Matched pair case control study.

Setting

Multicenter study including 2 medical colleges and 1 civil hospital, between July 2009 to December 2009.

Patients

Of 2382 neonates screened, 274 full term LBW babies (of 638) and 274 pair matched controls (of 1744) were included in the study. 364 LBW babies were excluded because of premature delivery/gestational age not known (314), unavailability of suitable matched controls (18), and insufficient data (32).

Methods

Maternal factors including birth spacing, height, pre-delivery weight and pregnancy weight gain, age, parity, educational and economic status, type of family, antenatal care (ANC), maternal exposure to tobacco, hypertension and anemia were studied.

Results

Birth spacing <36 months, maternal height ≤145 cm, pre-delivery weight ≤55 kg, pregnancy weight gain ≤6 kg, exposure to tobacco, inadequate antenatal care, maternal hypertension, low socio-economic status, maternal anemia and less maternal education were associated with delivery of a low birth weight infants. Conditional logistic regression analysis showed that significant risk factors associated with low birth weight were inadequate ANC (OR-4.98, 95% CI-2.64 to 9.39), maternal weight before delivery ≤55 kg (OR-4.81, 95% CI-2.53 to 9.15) and height ≤145 cm (OR-4.13, 95% CI-2.04 to 8.37).

Conclusion

Maternal malnutrition, inadequate antenatal care and poor weight gain during pregnancy are significant predictors for delivery of a low birth weight neonate.

Key words

India Full term LBW Maternal risk factors 

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Copyright information

© Indian Academy of Pediatrics 2012

Authors and Affiliations

  • Sachin S. Mumbare
    • 1
    • 7
  • Girish Maindarkar
    • 2
  • Rajesh Darade
    • 3
  • Surekha Yenge
    • 4
  • Madhav Kumar Tolani
    • 5
  • Kiran Patole
    • 6
  1. 1.Department of Community MedicineNDMVPS Medical CollegeNashikIndia
  2. 2.Department of PediatricsNDMVPS Medical CollegeNashikIndia
  3. 3.Department of Obstetrics & GynecologyNDMVPS Medical CollegeNashikIndia
  4. 4.Civil HospitalNashikIndia
  5. 5.Department of PediatricsGovernment Medical CollegeLaturIndia
  6. 6.Department of ObstetricsGovernment Medical CollegeLaturIndia
  7. 7.Department of Community MedicineNDMVPS Medical CollegeAdgaon, NashikIndia

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