Tags

Type your tag names separated by a space and hit enter

Determinants of low birth weight: a community based prospective cohort study.
Indian Pediatr. 1994 Oct; 31(10):1221-5.IP

Abstract

The study aimed at identifying and quantifying determinants of low birth weight (LBW) by following a community based prospective cohort of pregnant women in 45 villages in Pune district. In the 1922 live births born to mothers without a chronic illness, in whom birth weight was available within 24 hours, the cumulative incidence of LBW (< 2500 g) was 29%. The unadjusted relative risks for LBW were significantly higher for lower socio-economic status (RR = 1.71), maternal age less than 20 years (RR = 1.27), primiparity (RR = 1.32), last pregnancy interval less than 6 months (RR = 1.48), non-pregnant weight less than 40 kg (RR = 1.3), height below 145 cm (RR = 1.51), hemoglobin less than 9 g/dl (RR = 1.53) and third trimester bleeding (RR = 1.87). Multivariate logistic regression analysis showed that the adjusted odds ratio for LBW decreased with increasing gestational duration, non-pregnant weight, parity and rising education level of the mother. Socio-economic status, non-pregnant weight, maternal height, and severe anemia in pregnancy had substantial attributable risk per cent for LBW (41.4%, 22.9%, 29.5% and 34.5%, respectively). The findings suggest that selectively targetted interventions such as improving maternal education and nutrition, specifically anemia, wider availability of contraception to delay the first pregnancy and to increase pregnancy intervals may help in identifying and ensuring adequate care for those women at greatest risk of LBW.

Authors+Show Affiliations

K.E.M. Hospital Research Centre, Rasta Peth, Pune.No affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

7875782

Citation

Hirve, S S., and B R. Ganatra. "Determinants of Low Birth Weight: a Community Based Prospective Cohort Study." Indian Pediatrics, vol. 31, no. 10, 1994, pp. 1221-5.
Hirve SS, Ganatra BR. Determinants of low birth weight: a community based prospective cohort study. Indian Pediatr. 1994;31(10):1221-5.
Hirve, S. S., & Ganatra, B. R. (1994). Determinants of low birth weight: a community based prospective cohort study. Indian Pediatrics, 31(10), 1221-5.
Hirve SS, Ganatra BR. Determinants of Low Birth Weight: a Community Based Prospective Cohort Study. Indian Pediatr. 1994;31(10):1221-5. PubMed PMID: 7875782.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Determinants of low birth weight: a community based prospective cohort study. AU - Hirve,S S, AU - Ganatra,B R, PY - 1994/10/1/pubmed PY - 1994/10/1/medline PY - 1994/10/1/entrez KW - Anemia--women KW - Asia KW - Biology KW - Birth Weight KW - Body Height--women KW - Body Weight--women KW - Cohort Analysis KW - Demographic Factors KW - Developing Countries KW - Diseases KW - Economic Factors KW - Educational Status--women KW - Fertility KW - Fertility Measurements KW - Fetus KW - Gestational Age KW - India KW - Low Birth Weight--determinants KW - Parity KW - Physiology KW - Population KW - Population Dynamics KW - Pregnancy KW - Pregnancy Outcomes KW - Premature Birth KW - Prospective Studies KW - Reproduction KW - Research Report KW - Risk Factors KW - Socioeconomic Factors KW - Socioeconomic Status KW - Southern Asia KW - Studies SP - 1221 EP - 5 JF - Indian pediatrics JO - Indian Pediatr VL - 31 IS - 10 N2 - The study aimed at identifying and quantifying determinants of low birth weight (LBW) by following a community based prospective cohort of pregnant women in 45 villages in Pune district. In the 1922 live births born to mothers without a chronic illness, in whom birth weight was available within 24 hours, the cumulative incidence of LBW (< 2500 g) was 29%. The unadjusted relative risks for LBW were significantly higher for lower socio-economic status (RR = 1.71), maternal age less than 20 years (RR = 1.27), primiparity (RR = 1.32), last pregnancy interval less than 6 months (RR = 1.48), non-pregnant weight less than 40 kg (RR = 1.3), height below 145 cm (RR = 1.51), hemoglobin less than 9 g/dl (RR = 1.53) and third trimester bleeding (RR = 1.87). Multivariate logistic regression analysis showed that the adjusted odds ratio for LBW decreased with increasing gestational duration, non-pregnant weight, parity and rising education level of the mother. Socio-economic status, non-pregnant weight, maternal height, and severe anemia in pregnancy had substantial attributable risk per cent for LBW (41.4%, 22.9%, 29.5% and 34.5%, respectively). The findings suggest that selectively targetted interventions such as improving maternal education and nutrition, specifically anemia, wider availability of contraception to delay the first pregnancy and to increase pregnancy intervals may help in identifying and ensuring adequate care for those women at greatest risk of LBW. SN - 0019-6061 UR - https://www.unboundmedicine.com/medline/citation/7875782/Determinants_of_low_birth_weight:_a_community_based_prospective_cohort_study_ DB - PRIME DP - Unbound Medicine ER -