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Maternal factors in predicting low birth weight babies
Hematram Yadav1, Nagarajah Lee
1International Medical University, Division of Community Medicine, International Medical University, Malaysia. yadav@imu.edu.my.
The Medical Journal of Malaysia
|March 8, 2013
Summary
Maternal age, low BMI, high parity, Indian ethnicity, low income, and abnormal blood pressure are key risk factors for low birth weight (LBW). Blood pressure alone predicts LBW risk, improving with additional maternal factors.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Neonatal Research
Background:
- Low birth weight (LBW) is a significant global health concern.
- Identifying maternal risk factors is crucial for targeted interventions.
Purpose of the Study:
- To examine the association between maternal factors and LBW in Malaysian newborns.
- To identify predictive models for LBW risk.
Main Methods:
- Cross-sectional study of 666 mothers from first booking to delivery.
- Multiple logistic regression and ROC curve analysis were employed.
- Compared infant birth weight with maternal age, BMI, parity, ethnicity, income, and blood pressure.
Main Results:
- Significant risk factors for LBW included advanced maternal age (>35 years), low pre-pregnancy BMI (<20 kg/m²), high parity (≥4), Indian ethnicity, low income, and abnormal blood pressure.
- Blood pressure alone predicted LBW with 70% sensitivity and 70% specificity.
- Including maternal age, BMI, ethnicity, and income improved prediction to 80% sensitivity and 75% specificity.
Conclusions:
- Maternal age, pre-pregnancy BMI, parity, ethnicity, socioeconomic status, and blood pressure are critical determinants of LBW.
- Maternal blood pressure is a valuable predictor of LBW, especially when combined with other demographic and socioeconomic factors.
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