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Role of Social Support and Spouse Abuse in Low Birth Weight: A Case-control Study from Puducherry, India
Yamini Marimuthu1, Sonali Sarkar2, Shivanand Kattimani3
1Department of Community Medicine, Rajah Muthiah Medical College, Chidambaram, Tamil Nadu, India.
Insights
Nonphysical abuse during pregnancy significantly increases the risk of low birth weight (LBW). Community awareness is crucial to prevent maternal exposure to abuse and reduce LBW rates.
Area of Science:
- Reproductive Health
- Maternal-Child Health
- Social Epidemiology
Background:
- Low birth weight (LBW) is a critical determinant of neonatal health outcomes.
- Socio-demographic factors, alongside clinical risks, significantly influence infant birth weight.
Purpose of the Study:
- To investigate the association between antenatal social support and spouse abuse with LBW in urban Puducherry.
- To identify risk factors contributing to LBW in a specific urban population.
Main Methods:
- A community-based case-control study involving 100 LBW infants and 100 normal birth weight infants.
- Utilized the Functional Social Support Questionnaire and Index of Spouse Abuse scales.
- Employed conditional logistic regression for matched pair analysis.
Main Results:
- Higher perceived social support was associated with reduced odds of LBW (OR = 0.5).
- Nonphysical abuse during pregnancy increased LBW odds by 3.6 times (aOR = 3.6).
- Pregnancy-induced hypertension also elevated LBW odds significantly (aOR = 6.9).
Conclusions:
- Antenatal exposure to nonphysical abuse is a significant risk factor for LBW.
- Community-level interventions promoting awareness are essential to mitigate maternal abuse and its impact on birth weight.
Background:
Low birth weight (LBW) is a major cause of neonatal morbidity and mortality. In addition to medical/clinical risk factors, various socio-demographic factors also have an impact on birth weight.
Objective:
The objective of the study is to determine the association of antenatal social support and spouse abuse during pregnancy with LBW in Urban areas of Puducherry.
Materials And Methods:
A community-based case-control study was conducted in Puducherry. Mothers of 100 LBW infants and normal birth weight infants in 2016 were studied. Functional Social Support Questionnaire and Index of Spouse Abuse scales were used. Conditional logistic regression for matched pair studies was done for multivariate analysis.
Results:
Mean (± standard deviation) age and education of the study participants was 25.6 (±3.5) and 8.28 (±3.6) years, respectively. The proportion of girl child was 59% and 43% among cases and controls, respectively. Mothers with higher perceived social support (odds ratio [OR] = 0.5; 95% confidence interval [CI]: 0.4-0.7) had lesser odds of LBW. The odds of LBW was 3.6 (adjusted OR [aOR] = 3.6; 95% CI: 1.3-9.9) times and 6.9 (aOR = 6.9; 95% CI: 1.5-31.9) times greater among mothers who experienced nonphysical abuse and had pregnancy-induced hypertension respectively and it was statistically significant after adjusting for child's gender, social support, and parity.
Conclusions:
The presence of nonphysical abuse during the antenatal period increased the risk of LBW. The awareness should be created in the community to prevent maternal exposure to abuse.
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